Management of subclavian-axillary vein thrombosis: a review
Identifieur interne : 00B094 ( Main/Curation ); précédent : 00B093; suivant : 00B095Management of subclavian-axillary vein thrombosis: a review
Auteurs : Gary J. Hicken ; F. Michael AmeliSource :
- Canadian Journal of Surgery [ 0008-428X ] ; 1998.
Abstract
To study, by literature review, the management of subclavian-axillary vein thrombosis (SAVT) and to make recommendations.
The MEDLINE database and cross-referenced articles.
Key words subclavian-axillary vein thrombosis, venous thrombosis, Paget–Schroetter syndrome, anticoagulation, and thrombolysis were used to extract articles related to SAVT.
Independent extraction of articles by 2 observers.
Although numerous studies are available in the literature, they vary widely in their patient selection, treatment methods, follow-up and conclusions. As such, the management of patients with SAVT remains controversial.
Anticoagulation remains the initial treatment of choice for acute SAVT although there is definitely a role for thrombolysis and surgery in selected cases. Surgical intervention should be reserved for patients in whom there is a specific indication. Since chronic symptoms depend largely on the etiology of the disease, treatment should be tailored to address the causative factors. A multicentre, prospective study is necessary to evaluate the optimum management strategies for patients with SAVT.
Url:
PubMed: 9492744
PubMed Central: 3950057
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PMC:3950057Le document en format XML
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