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Axillary-subclavian venous thrombosis.
G Brochner1, M Rojas, A J Armas
1Department of Angiology and Vascular Surgery, Hospital da Gamboa, Rio de Janeiro, Brazil.
The Journal of Cardiovascular Surgery
|January 1, 1989
Summary
Axillary-subclavian venous thrombosis is rare, often linked to effort or thoracic outlet syndrome. Treatment involves anticoagulants or surgery, with good outcomes reported in most cases.
Area of Science:
- Vascular Surgery
- Thrombosis Research
- Medical Case Studies
Background:
- Axillary-subclavian venous thrombosis is a rare condition, accounting for 1% of reported venous thrombosis cases.
- It can be associated with specific causes like physical exertion, cervical ribs, or post-mastectomy complications.
Purpose of the Study:
- To study and report on the characteristics, diagnosis, and treatment outcomes of patients with axillary-subclavian venous thrombosis.
Main Methods:
- A retrospective study of six patients diagnosed with axillary-subclavian venous thrombosis between 1974 and 1984.
- Diagnosis was confirmed via clinical evaluation and phlebography.
- Treatment included anticoagulants, bed rest, and surgical interventions for thoracic outlet syndrome.
Main Results:
- All patients presented with arm edema and functional impairment.
- Common symptoms included pain (83%), venous prominence (83%), rubor (66%), hyperthermia (50%), and arterial compression (33%).
- Four patients experienced good outcomes, and two had average outcomes after a mean follow-up of 13 months.
Conclusions:
- Axillary-subclavian venous thrombosis requires prompt diagnosis and management.
- Treatment strategies, including anticoagulation and surgery for underlying causes like thoracic outlet syndrome, can lead to favorable results.