Multidisciplinary management of Paget-Schroetter syndrome. A case series of eight patients

• Published in: Archivos de bronconeumología (English ed.) Vol. 51; no. 8; pp. e41 - e43
• Main Authors: Rosa Salazar, Vladimir, Otálora Valderrama, Sonia Del Pilar, Hernández Contreras, María Encarnación, García Pérez, Bartolomé, Arroyo Tristán, Andrés Del Amor, García Méndez, María Del Mar
• Format: Journal Article
• Language: English; Spanish
• Published: 01-08-2015
• ISSN: 1579-2129
• DOI: 10.1016/j.arbres.2014.09.003

Paget-Schroetter syndrome (PSS) in the context of upper extremity deep venous thrombosis (DVT) is an uncommon but potentially very serious condition affecting young, healthy adults, in which secondary post-thrombotic syndrome (PTS) can be a complication with major implications. The best treatment option remains controversial, with current guidelines recommending anticoagulation for at least 3 months. However, an incidence of PTS of approximately 50% after 6 months, 30% after 1 year and 25% after 2 years has been found using this therapeutic approach. Consequently, specialized units recommend local thrombolysis and early decompressive surgery. We describe a series of eight cases treated in this way. None of the patients showed signs of complications, and an early return to regular activities with no PTS was observed in 90% of cases.