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Related Experiment Videos

Subclavian vein thrombosis: a continuing challenge.

S L Hill1, R E Berry

  • 1Department of Surgery, Community Hospital of Roanoke Valley, Roanoke Memorial Hospital, Va.

Surgery
|July 1, 1990
PubMed
Summary
This summary is machine-generated.

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Subclavian vein thrombosis, though uncommon, is treatable. Causes include catheters and anatomical issues, with most patients responding well to medical management.

Area of Science:

  • Vascular Surgery
  • Hematology

Background:

  • Subclavian vein thrombosis (SVT) is a rare but serious condition.
  • Understanding its causes and effective treatments is crucial for patient outcomes.

Purpose of the Study:

  • To investigate the frequency, causes, and optimal treatment strategies for subclavian vein thrombosis.
  • To analyze trends in SVT diagnosis despite increased central venous access device use.

Main Methods:

  • Retrospective chart review of patients diagnosed with SVT over a 6-year period at two metropolitan hospitals.
  • Analysis of patient demographics, causative factors, and treatment modalities.

Main Results:

  • 40 cases of SVT identified, representing 3.5% of all venous thromboses.

Related Experiment Videos

  • Primary causes: anatomic abnormalities (45%), intravenous catheters (32%), and malignancy with radiation (22.5%).
  • Most patients (55%) were treated with heparinization; all showed positive responses without progression to venous gangrene or significant pulmonary embolism.

    • Conclusions:

    • Subclavian vein thrombosis is manageable with medical therapy, particularly heparinization.
    • Anatomic abnormalities may necessitate surgical intervention.
    • No increase in SVT incidence was observed despite increased central venous access device utilization.