Percutaneous thrombectomy in the management of early rethrombosis in venous thoracic outlet syndrome: two case reports

CVIR Endovascular

Martin Vorčák¹  Adam Krkoška¹  Ján Sýkora¹  Štefánia Vetešková¹  Kamil Zeleňák¹  Ľuboš Hlinka²  Igor Šinák²  Jozef Sivák³  Martina Sýkorová⁴ 

[1] Clinic of Radiology, Comenius University’s Jessenius Faculty of Medicine and University Hospital, Kollárova 2, 036 59, Martin, Slovakia;Department of Vascular Surgery, University Hospital, Kollárova 2, 036 59, Martin, Slovakia;Middle-Slovak Institute of Cardiovascular Diseases, Cesta k nemocnici 1, 974 01, Banská Bystrica, Slovakia;Vaša ambulancia Ltd., Prieložtek 1, 036 01, Martin, Slovakia;

关键词: Venous thoracic outlet syndrome;    Paget-Schroetter syndrome;    Upper extremity deep venous thrombosis;    Percutaneous mechanical thrombectomy;    Aspiration thrombectomy;   

DOI  :  10.1186/s42155-021-00250-6

来源: Springer

【 摘 要 】

BackgroundVenous thoracic outlet syndrome resulting in the upper limb deep venous thrombosis is known as Paget–Schroetter syndrome or effort thrombosis. A general treatment algorithm includes catheter-directed thrombolysis followed by surgical thoracic outlet decompression.There are limited data regarding endovascular treatment of rethrombosis presenting early after the surgery.Case presentationTwo cases of early rethrombosis successfully treated with percutaneous mechanical thrombectomy by two different techniques are described. In both cases, rethrombosis was diagnosed soon after thrombolysis and first rib resection with scalenectomy. After 12 months, both patients remain symptom-free, with patent subclavian veins confirmed by duplex ultrasonography.ConclusionPercutaneous mechanical thrombectomy devices may offer a safe treatment option for patients with recurrent thrombosis after thoracic outlet surgery, even when thrombolytic therapy is contraindicated.

【 授权许可】

CC BY