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Updated: Aug 7, 2026
06:57
Transaxillary First Rib Resection for Treatment of the Thoracic Outlet Syndrome
Published on: September 13, 2020
[Axillo-subclavian effort thrombosis: main characteristics]
J Gil Romero1, M D Ferrer Puchol, J Blanquer Olivas
1Servicio de Radiodiagnóstico, Hospital Clínico Universitario, Valencia.
Anales De Medicina Interna (Madrid, Spain : 1984)
|October 3, 1999
Summary
Effort-related axillo-subclavian vein thrombosis requires prompt diagnosis and treatment. Surgical decompression is crucial for successful outcomes, complementing fibrinolytic therapy.
Area of Science:
- Vascular Surgery
- Diagnostic Imaging
- Thrombotic Disorders
Background:
- Effort-related axillo-subclavian vein thrombosis is a disabling condition affecting young individuals.
- Early diagnosis and effective therapy are essential for managing this disorder.
Purpose of the Study:
- To present our experience in diagnosing and treating effort-related axillo-subclavian vein thrombosis.
- To evaluate the effectiveness of different therapeutic approaches.
Main Methods:
- A retrospective study of 7 patients (6 female, 1 male, average age 26) over 5 years (1994-1998).
- Diagnosis involved Doppler ultrasound and venography of the affected upper extremity.
- Initial treatment included systemic fibrinolytic agents.
Main Results:
- One patient achieved a successful clinical outcome with initial therapy.
- Five patients underwent surgical decompression, resulting in excellent function.
- One patient treated with warfarin sodium after refusing surgery showed a poor clinical response.
Conclusions:
- Systemic fibrinolytic therapy can re-establish axillo-subclavian vein patency.
- Surgical intervention is necessary to address the underlying external compression causing the thrombosis.
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