Document Detail


"Effort" thrombosis of the subclavian vein in a competitive swimmer.
MedLine Citation:
PMID:  4025679     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
"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.
Authors:
C M Vogel; J E Jensen
Related Documents :
10501899 - Percutaneous transluminal angioplasty and stent placement for subclavian and brachiocep...
11257769 - Revascularization of left subclavian artery for coronary subclavian steal syndrome.
14724079 - Brachial plexus injury following subclavian vein catheterization: a case report.
3330119 - Cross-over axillary by-pass. treatment of subclavian or innominate artery obstructive l...
15053479 - Congenital right subclavian artery aneurysm: a case report.
2043689 - Contralateral tension pneumo/hemothorax resulting from left subclavian vein cannulation...
14980849 - A mediastinal false aneurysm with aortocutaneous fistula.
23892449 - Bypass to the left coronary artery system may accelerate left main coronary artery nega...
20384659 - Lobectomy for pulmonary vein occlusion secondary to radiofrequency ablation.
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    
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Adult
Catheters, Indwelling / adverse effects
Humans
Male
Physical Exertion*
Streptokinase / therapeutic use
Subclavian Vein*
Swimming*
Thoracic Outlet Syndrome / complications
Thorax / pathology
Thrombosis / drug therapy,  etiology*
Urokinase-Type Plasminogen Activator / therapeutic use
Chemical
Reg. No./Substance:
EC 3.4.-/Streptokinase; EC 3.4.21.73/Urokinase-Type Plasminogen Activator

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


Previous Document:  Improvement of muscle flexibility. A comparison between two techniques.
Next Document:  Correction of abduction. Deformity of the small finger caused by avulsion of the insertion of the th...