Document Detail

"Effort" thrombosis of the subclavian vein in a competitive swimmer.
MedLine Citation:
PMID:  4025679     Owner:  NLM     Status:  MEDLINE    
"Effort" thrombosis is a unique form of subclavian and axillary vein thrombosis because it is the result of an unusual variant of the thoracic outlet syndrome. Another cause of subclavian vein thrombosis is local compression from trauma, tumor, or development anomalies; a third is intimal damage from indwelling central venous catheters. This is a case report of "effort" thrombosis of the subclavian vein in a competitive swimmer. A recently developed technique of local infusion of low-dose streptokinase therapy is used for clot lysis. Early diagnosis is essential for effective thrombus dissolution with streptokinase. The rationale, risk, and method of streptokinase administration are discussed. Since "effort" thrombosis is secondary to thoracic outlet syndrome (TOS), decompression of the thoracic outlet by removal of the first rib after clot lysis is recommended.
C M Vogel; J E Jensen
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The American journal of sports medicine     Volume:  13     ISSN:  0363-5465     ISO Abbreviation:  Am J Sports Med     Publication Date:    1985 Jul-Aug
Date Detail:
Created Date:  1985-08-26     Completed Date:  1985-08-26     Revised Date:  2008-11-21    
Medline Journal Info:
Nlm Unique ID:  7609541     Medline TA:  Am J Sports Med     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  269-72     Citation Subset:  IM    
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MeSH Terms
Catheters, Indwelling / adverse effects
Physical Exertion*
Streptokinase / therapeutic use
Subclavian Vein*
Thoracic Outlet Syndrome / complications
Thorax / pathology
Thrombosis / drug therapy,  etiology*
Urokinase-Type Plasminogen Activator / therapeutic use
Reg. No./Substance:
EC 3.4.-/Streptokinase; EC Plasminogen Activator

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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