Original articleGeneral thoracicSurgery Remains the Most Effective Treatment for Paget-Schroetter Syndrome: 50 Years' Experience
Section snippets
Material and Methods
The chair of the institutional review board of the Baylor Research Institute reviewed the study and determined that it was exempt from institutional review board approval under 45 CFR 46.101 (b) (4).
Clinical manifestations of effort thrombosis of the axillary subclavian vein in the acute and subacute phases were evaluated in 626 extremities of 608 patients, 18 being bilateral. There were 307 women and 301 men, ranging in age from 16 to 51 years, with a mean of 32 years. (For the remainder of
Results
Results were evaluated as excellent, good, fair, or poor according to the criteria in Table 3 and are summarized in Table 4. In group I, 10 extremities of the 36 showed substantial improvement with anticoagulation and evaluation therapy. In 25 extremities, symptoms either were not completely improved or recurred. The pain, swelling, and dysfunction usually occurred when the patient returned to the job that had produced the difficulty initially.
Twenty-one of those required first rib resection,
Comment
Historically, Sir James Paget [2] in 1875 in London and Von-Schroetter [1] in 1884 in Vienna described this syndrome of thrombosis of the axillary-subclavian vein, which bears their names. The word effort [14] was added to thrombosis because of the frequent association with exertion superimposed on anatomic compressive elements in the thoracic outlet. Trauma, unusual occupations requiring repetitive muscular activity, as has been observed in professional athletes, linotype operators, painters,
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