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Management of Venous Thoracic Outlet Syndrome - Methodist ...

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Treatment # 1: Acute Vein Occlusion<br />

• Three patients (4.5%) presented with acute occlusion <strong>of</strong><br />

the subclavian vein (2,3 and 7 days)<br />

• All were lysed, underwent first rib resection and<br />

scalenectomy followed by 2 week postoperative<br />

venogram +/- intervention<br />

• One re-thrombosed and was lysed<br />

• Postoperative anticoagulation was given to all patients<br />

de Leon et al, Surgery 2009

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