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[Local thrombolytic therapy for axillary vein thrombosis]
A Halevy1, J Leonov, G Lewinsohn
1Dept. of Surgery A, Assaf Harofeh Medical Center, Zerifin.
Harefuah
|May 15, 1990
Summary
Local thrombolytic therapy offers a successful alternative for upper limb deep vein thrombosis, a rare condition. This treatment resulted in a full recovery and symptom relief for a patient one year post-intervention.
Area of Science:
- Vascular Medicine
- Interventional Cardiology
- Hematology
Background:
- Deep vein thrombosis (DVT) in the upper limb is significantly less common than in the lower limbs.
- Conventional systemic heparin therapy for upper limb DVT often leads to persistent residual symptoms in patients.
- Limited treatment options exist for managing upper limb deep vein thrombosis effectively.
Observation:
- A case study involving a 30-year-old female patient diagnosed with upper limb deep vein thrombosis.
- The patient presented with symptoms indicative of venous obstruction in the arm.
- Conventional treatment approaches were considered but an alternative was pursued.
Findings:
- Successful application of local thrombolytic therapy for upper limb deep vein thrombosis.
- The patient experienced a complete resolution of symptoms following the intervention.
- One-year follow-up confirmed the patient remained well and symptom-free, indicating long-term efficacy.
Implications:
- Local thrombolytic therapy demonstrates potential as a highly effective treatment for rare upper limb DVT cases.
- This approach may offer a superior alternative to systemic anticoagulation, potentially reducing long-term morbidity.
- Further research into local thrombolysis for upper limb DVT could refine treatment protocols and improve patient outcomes.