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The most recent version of this article was published on 1 August 2007

Br J Sports Med. Published Online First: 8 February 2007. doi:10.1136/bjsm.2006.033456
Copyright © 2007 BMJ Publishing Group Ltd & British Association of Sport and Exercise Medicine.

Case Report

Effort thrombosis of the upper extremity in a young sportsman - Paget-Schroetter syndrome

Graham Roche-Nagle 1*, Ronan Ryan 1, Mary Barry 1 and David Brophy 1

1 St Vincents Hospital, Republic of Ireland

* To whom correspondence should be addressed. E-mail: grnagle{at}rcsi.ie.

Accepted 21 January 2007


Abstract

We report a case of effort thrombosis of the upper extremity. Untreated symptomatic patients can sustain long-term disability from venous obstruction resulting in significant loss of occupational productivity and quality of life. Early catheter directed thrombolysis followed by anticoagulation +/- surgical intervention are recommended in the recent literature.

Key Words: Paget-Schroetter syndrome, angioplasty., heparin, tissue plasminogen activator


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