Paget-Schroetter syndrome with bilateral pulmonary emboli

Glavich, Garrison J.; Gourley, Jeffrey; Fong, Victor

doi:10.1016/j.radcr.2017.10.006

Cited by 9 publications

(10 citation statements)

References 6 publications

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“…Clinical symptoms, blood tests, and radiological imaging methods should be evaluated together when diagnosing PSS. The clinical findings alone have a specificity of less than 50% [12,13]. Since partial venous drainage will be provided, especially due to the collateral network that develops after a while, clinical findings regress, and diagnosis may be difficult [4].…”

Section: Discussionmentioning

confidence: 99%

A rare cause of upper extremity deep venous thrombosis: Paget Schroetter syndrome

Erdem¹,

Keyik²,

Çağlar³

et al. 2021

Journal of Surgery and Medicine

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Paget-Schroetter syndrome is a rare clinical entity, which is characterized by the thrombosis of the axillary and/or subclavian vein resulting from the activation of the coagulation cascade due to vigorous and repetitive activity of the arm and the external compression related microtrauma to the venous intima. The first imaging modality for diagnosis should be color Doppler ultrasonography. Thrombolysis and surgical decompression of the thoracic outlet are focused on relieving the external compression of the veins. In this case report, we aimed to present the greyscale ultrasonography and dynamic Doppler ultrasonography findings of a patient with upper extremity deep venous thrombosis.

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Section: Discussionmentioning

confidence: 99%

A rare cause of upper extremity deep venous thrombosis: Paget Schroetter syndrome

Erdem¹,

Keyik²,

Çağlar³

et al. 2021

Journal of Surgery and Medicine

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“…The incidence of a UEDVT is about 3/1,000,000 in the general population, making it relatively rare. [2,[5][6][7] UEDVT is classified as primary (non-idiopathic or idiopathic) or secondary in origin as summarized in (Table 1). [6] Primary UEDVT is related to anatomical abnormalities such as thoracic outlet syndrome or Paget-Schroetter syndrome.…”

Section: Discussionmentioning

confidence: 99%

“…[6] Primary UEDVT is related to anatomical abnormalities such as thoracic outlet syndrome or Paget-Schroetter syndrome. [2,[6][7][8] If there are no known triggers, it is then classified as idiopathic thrombosis which can be related to malignancy. [8] Secondary UEDVT is related to insertion of central venous catheters at an incidence rate of 14-23%; other sources of secondary UEDVT include arm surgery, trauma, immobilization, and pregnancy.…”

Section: Discussionmentioning

confidence: 99%

“…A systematic review of studies showed high sensitivity of compression ultrasound in diagnosing UEDVT at 56-100% and specificity of 94-100%. [7,9,20] Acute thrombosis includes features such as venous distension, partially compressible or incompressible lumen, hypoechoic, and homogenous appearance of thrombus. [20] An important limitation of ultrasonography is that the clavicle could impair visualization and compression of the subclavian and brachiocephalic veins.…”

Section: Ajsmentioning

confidence: 99%

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Glomus Jugulare Tumor Presenting as Deep Vein Thrombosis

Zambrano

Dogra

2018

AJS

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Intraluminal filling defect and non-compressibility of the vein are diagnostic of a deep vein thrombosis (DVT). However, other etiologies can present with features similar to DVTs; these include tumors extending into the vein and primary tumors arising from the vein such as leiomyosarcoma and hemangioendothelioma. Here, we present a case of an 80-year-old female with a right glomus jugulare tumor (GJT) with extension into the right internal jugular vein mimicking a DVT. This case report presents the sonographic features of GJT presenting as DVT and review of the literature of other tumors that can present in a similar fashion.

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“…Изолированная антикоагулянтная терапия имела место у 9 пациентов (37,5%) [1,13,15,23,24,25,26,27], сочетание антикоагулянтов и селективного тромболизиса у 5 пациентов (20,8%) [3,28,29,30,31]. Комбинированное вмешательство в виде антикоагулянтного, тромболитического и хирургического (открытое с/без стентирования) лечения -5 случаев (20,8%) [14,19,24,32,33], сочетание антикоагулянтов и хирургического лечения (открытая хирургия или эндоваскулярная терапия) -5 (20,8%) [8,14,16,24,34]. ЗАКЛЮЧЕНИЕ Синдром усилия -достаточно редкое состояние как по механизму его развития, так и по локализации, что обусловливает отсутствие доказанного с позиции клинических рандомизированных исследований рекомендаций по лечению.…”

Section: Introductionunclassified

Modern approaches in the treatment of patients with Paget-Schretter syndrome

Sonkin

Syromyatnikova

Alieva

et al. 2021

Evrazijskij kardiologičeskij žurnal

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Goal. Consider the management of patients with effort thrombosis (Paget-Schretter syndrome).The article presents the modern vision of the problem of effort thrombosis. This review is aimed at describing the epidemiology, pathophysiology, diagnosis and treatment of patients with Paget-Schretter syndrome. SPS occurs spontaneously, as a rule, in young, healthy and active patients aged 20-30 years after strenuous physical activity. The ratio of men and women is 2:1, recently there has been a growing trend among women. The main complaints of patients with SPS include swelling of the affected limb, discomfort when moving the affected arm, pain and heaviness when trying to raise the arm up. When examining these patients, attention is paid to hyperemia of the skin or their cyanotic nature, pasty limbs, as well as an enhanced venous pattern on the shoulder, the so-called Arshel sign. The diagnosis is based on the data of anamnesis, physical examination, the “gold standard of diagnostics” – ultrasound examination of veins, the sensitivity and specificity of which is 70-100%. The first step in the diagnosis can be the evaluation of the D-dimer, with its negative values, the SPSH is rejected. With an obvious clinic and controversial results of serial ultrasound examinations, other imaging methods are used, such as computed contrast tomography, magnetic resonance imaging, the diagnostic value of which is especially significant in occlusive venous thrombosis.SPS differs not only from DVT of the lower extremities, but also from secondary DVT of the upper extremities, which determines the peculiarities of management of this category of patients, including surgical treatment aimed at preventing subclavian vein compression in the future. The article summarizes the experience in the management of patients with blood thrombosis.

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Paget-Schroetter syndrome with bilateral pulmonary emboli

Cited by 9 publications

References 6 publications

A rare cause of upper extremity deep venous thrombosis: Paget Schroetter syndrome

A rare cause of upper extremity deep venous thrombosis: Paget Schroetter syndrome

Glomus Jugulare Tumor Presenting as Deep Vein Thrombosis

Modern approaches in the treatment of patients with Paget-Schretter syndrome

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