Management of Venous Thoracic Outlet Syndrome - Methodist ...

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Treatment # 2: Subclavian Vein Stenosis • Comprised <strong>of</strong> 39 (58%) patients who presented with symptomatic subclavian vein stenosis • Presented on average 27 weeks following acute event • All underwent first rib resection and scalenectomy followed by 2 week postoperative venogram de Leon et al, Surgery 2009
Treatment # 2: Subclavian Vein Stenosis • Postoperative venograms – 25/39 (64%) had significant stenosis and underwent PTA – 13 (33%) were non-stenotic and required no further intervention – 1 presented with an occluded subclavian vein and was treated with lysis then PTA • Overall, 26 (67%) patients underwent PTA and were maintained on anticoagulation for 3 months – 2 (5%) pts required re-intervention at 1 and 5 weeks de Leon et al, Surgery 2009
Page 1 and 2: Heitham T. Hassoun, MD AUGUST 20 -
Page 3 and 4: Multiple treatment algorithms for s
Page 5 and 6: Paget-Schroetter Syndrome “Effort
Page 7 and 8: Post-Thrombolysis
Page 9: Transaxillary 1 st Rib Resection
Page 13 and 14: Subclavian Vein Stenosis “Focal
Page 15 and 16: Post-operative Subclavian Vein PTA
Page 17 and 18: Treatment # 3: Intermittent Vein Ob
Page 19 and 20: Treatment # 4: Chronically Occluded
Page 21 and 22: Failure of stents as primary therap
Page 23: Top 3 Future Directions • Anticoa

Management of Venous Thoracic Outlet Syndrome - Methodist ...

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