Subclavian vein stenosis and axillary vein effort thrombosis: Age and the first rib bypass collateral, thrombolytic therapy and first rib resection
Date
1987-05
Journal Title
Journal ISSN
Volume Title
Publisher
Health & Medical Publishing Group
Abstract
ENGLISH ABSTRACT: Three patients presented with axillary vein 'effort thrombosis'. Intravenous streptokinase for 3 days followed by heparin for 10 days restored patency and relieved symptoms. Pretreatment diagnosis and the effect of streptokinase were confirmed venographically and an abnormality in the subclavian vein just medial to the first rib was demonstrated. This stenosis was most severe and had a prominent bypass collateral in the oldest patient. It is proposed that, in the absence of superimposed thrombosis, the damage to the vein in predisposed patients is progressive with age, with establishment of permanent collaterals. Transaxillary first rib resection is advised to prevent compression of the veins in the thoracic outlet.
Description
CITATION: Shuttleworth, R.D., Van Der Merwe, D.M., & Mitchell, W.L. 1987. Subclavian vein stenosis and axillary vein effort thrombosis: Age and the first rib bypass collateral, thrombolytic therapy and first rib resection. S Afr Med J, 71(9):564-566.
The original publication is available at http://www.samj.org.za
The original publication is available at http://www.samj.org.za
Keywords
Subclavian artery, Arteries -- Stenosis, Thrombosis -- Surgery
Citation
Shuttleworth, R.D., Van Der Merwe, D.M., & Mitchell, W.L. 1987. Subclavian vein stenosis and axillary vein effort thrombosis: Age and the first rib bypass collateral, thrombolytic therapy and first rib resection. S Afr Med J, 71(9):564-566.