Primary venous obstruction of the upper extremity

Area of Science:

• Vascular Surgery
• Diagnostic Imaging
• Internal Medicine

Background:

• Primary axillary and subclavian venous obstruction is a condition affecting otherwise healthy individuals.
• Classic symptoms include swelling, aching or pain, and discoloration after physical exertion.
• Effort-induced venous obstruction can significantly impact quality of life.

Purpose of the Study:

• To present three cases of primary axillary and subclavian venous obstruction.
• To highlight the classic clinical and diagnostic findings associated with this condition.
• To discuss treatment outcomes and the frequency of residual changes.

Main Methods:

• Case series presentation of three patients.
• Clinical diagnosis based on characteristic symptoms.
• Confirmation of diagnosis using venography.
• Treatment modalities including anticoagulation and thrombectomy were employed.

Main Results:

• All three cases presented with classic symptoms of swelling, aching or pain, and discoloration following effort.
• Venography confirmed the diagnosis of primary axillary and subclavian venous obstruction in all patients.
• Residual changes were frequently observed after treatment interventions.

Conclusions:

• Primary axillary and subclavian venous obstruction can be diagnosed based on classic clinical presentation.
• Venography is a crucial tool for confirming the diagnosis.
• Treatment, while necessary, may frequently lead to residual changes, indicating the need for further research into long-term management.