Why the study?
What is the expert consensus on the management of primary subclavian-axillary vein thrombosis?
Population
Patients with primary subclavian-axillary vein thrombosis
Design
Guideline
Authors
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Supports early clot removal and thrombolysis in primary subclavian-axillary vein thrombosis; leaves open optimal residual occlusion management given divergent expert preferences.
What is the expert consensus on the management of primary subclavian-axillary vein thrombosis?
Expert consensus supports early clot removal and catheter-directed thrombolysis for primary subclavian-axillary vein thrombosis, though management of residual stenoses remains controversial.
Rutherford et al. (1996) studied Primary subclavian-axillary vein thrombosis (n=25). Management options for primary subclavian-axillary vein thrombosis was evaluated on Consensus on management options. Among 25 vascular surgeons, consensus favored early clot removal and catheter-directed thrombolysis, though for residual symptomatic occlusion, 66% favored jugular vein turndown and 10% first rib removal.
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