CASE REPORT: SUBCLAVIAN VEIN THROMBOSIS TREATED BY PULSE-SPRAY THROMBOLYSIS USING A RETROGRADE APPROACH

Authors

  • DES Wong Departments of Diagnostic Imaging and Rheumatology, Tan Tock Seng Hospital
  • KH Leong Departments of Diagnostic Imaging and Rheumatology, Tan Tock Seng Hospital
  • PH Feng Departments of Diagnostic Imaging and Rheumatology, Tan Tock Seng Hospital
  • TSG Chee Departments of Diagnostic Imaging and Rheumatology, Tan Tock Seng Hospital

Abstract

We report a case of subclavian vein thrombosis in a 44 year old lady with SLE that was successfully treated with transcatheter thrombolytic techniques. The treatment was unusual in that a retrograde approach to the thrombosed vessel had to be employed due to the failure to canulate a distal peripheral vein. We also used the Pulse Spray technique to administer the thrombolytic drugs, the technique being originally described for thrombolysis in the arterial system. The patient has been followed up for 8 months with no recurrence of the problem.

Downloads

Download data is not yet available.

Metrics

Metrics Loading ...

References

Bookstein JJ, Fellmeth B, Roberts A, Valji K, et al. Pulsed spray pharmacomechanical thrombo- lysis: preliminary clinical results. AJR 1989;152:1097-1100.

Geller MJ, Isner JM, Payne DD, et al: Limb loss due to transvenous endocardial pacemaker therapy. Am J Med 1985;78:351-354.

Smith BM, Shield MD, Riddle DH, et al: Venous gangrene of the upper extremity. Ann Surg 1985:201:511-519.

Kleinasser LJ:"Effort" thrombosis of axillary and subclavian veins. Arch Surg 1949;59:258-274.

Lindblad B, Tengborn L, Berggvist D: Deep venous thrombosis of the axillary-subclavian veins: Epidemiologic data, effects of different types of treatment and late sequelae. J Vase Surg 1988;2:161-165.

Tilney NR, Griffith MB, Edwards EA: Natural history of major venous thrombosis of the upper extremity. Arch Surg 1970;101:792-796.

Pollack EW, Walsch J: Subclavian - axillary vein thrombosis: Role of non-invasive diagnostic methods. South Med J 1980;73:1503-1506.

Knudson GJ, Wiedmeyer DA. Erickson SJ, et al: Color doppler sonographic imaging in the assessment of upper extremity deep venous thrombosis. AJR Am J Roentgenol 1990;154:399 -403.

Donayre CE, White GH, Mehringer SN et al: Pathogenesis determines late morbidity of axillosubclavian vein thrombosis. Am J Surg 1986;152:179-184.

Lisse JR, Davis CP, Thurmond-Aderle M: Upper extremity deep venous thrombosis: Increased prevalence due to cocaine abuse. Am J Med 1989;87:457-460.

DeWeese JA, Adams JT, Gaiser DL: Subclavian venous thrombectomy. Circulation 1970:16:158- 164.

Steed DL, Teodori M, Peitzman A, et al: Streptokinase in the treatment of subclavian vein thrombosis. Vasc Surg 1986;4:28-32.

Becker JB, Holder RW, Rabe FE, et al: Local thrombolytic therapy for subclavian and axillary vein thrombosis. Radiology 1983;149:419-453.

Taylor LM, McAllister, Dennis DL: Throm- bolytic therapy followed by first rib resection for spontaneous ("effort") subclavian vein throm- bosis. Am J Surg 1985;149:644-647.

Machleder HI:Evaluation of a new treatment strategy for Paget-Schroetter syndrome: Spon- taneous thrombosis of the axillary/subclavian vein. J. Vasc. Surg. 1993;17:305-317.

Downloads

Published

2023-04-03

How to Cite

1.
Wong D, Leong K, Feng P, Chee T. CASE REPORT: SUBCLAVIAN VEIN THROMBOSIS TREATED BY PULSE-SPRAY THROMBOLYSIS USING A RETROGRADE APPROACH. ASEAN J Radiol [Internet]. 2023 Apr. 3 [cited 2024 Nov. 21];2(2):77-81. Available from: https://asean-journal-radiology.org/index.php/ajr/article/view/317

Issue

Vol. 2 No. 2 (1996): May-August

Section

Original Article

License

Copyright (c) 2023 The ASEAN Journal of Radiology

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

Disclosure Forms and Copyright Agreements
All authors listed on the manuscript must complete both the electronic copyright agreement. (in the case of acceptance)