FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W2168460878> ?p ?o ?g. }

• W2168460878 endingPage "334" @default.
• W2168460878 startingPage "328" @default.
• W2168460878 abstract "IntroductionReviewed are the results of the emergent treatment of effort thrombosis of the subclavian vein. The protocol calls for immediate thrombolysis, followed by surgery at the time of the acute event. The one-stage procedure includes decompression of the thoracic inlet by subclavicular removal of the first rib, subclavius muscle, scalenectomy, and vein patch plasty of the stenotic segment of the vein.MethodsBetween July 1985 through June 2006, 114 patients presented with Paget-Schroetter syndrome (effort thrombosis of the subclavian vein), 97 of which (group I) were seen ≤2 weeks of onset of symptoms. They underwent an emergent protocol treatment in which thrombolysis is immediately followed by surgery at the time of the acute event. In addition, another 17 patients (group II) were referred to our institution after being treated elsewhere with initial thrombolysis, but with surgery deferred a mean 34 days (range, 2 weeks to 3 months) after the initial event. All patients underwent the same lytic and surgical protocol. Operability was determined by the findings on the venogram. Routine postoperative anticoagulation for 8 weeks was implemented with warfarin and clopidogrel.ResultsThere was 100% success in re-establishing the flow and normal caliber of the subclavian vein in the 97 patients in group I. Seven patients showed some residual stenosis that required balloon plasty and implant of a stent. Postoperative duplex ultrasound imaging documented patency in all 97 patients (100%). The 17 patients with delayed surgery (group II) showed progression of the fibrosis, with vein obstruction in 12 (70%). Only five patients (29%) were operable with successful results. The remaining 12 patients were inoperable owing to extensive fibrosis and occlusion of the inflow, and all 12 have remained disabled for the use of their arm.ConclusionsThe emergent approach to treat Paget-Schroetter syndrome seems to render the optimal results, with 100% effectiveness in re-establishing venous flow and normal caliber to the vessel. When properly conducted, this operation avoids the use of stents or balloon plasty with excellent long-term results, leaving the patients unrestricted for physical activities. Reviewed are the results of the emergent treatment of effort thrombosis of the subclavian vein. The protocol calls for immediate thrombolysis, followed by surgery at the time of the acute event. The one-stage procedure includes decompression of the thoracic inlet by subclavicular removal of the first rib, subclavius muscle, scalenectomy, and vein patch plasty of the stenotic segment of the vein. Between July 1985 through June 2006, 114 patients presented with Paget-Schroetter syndrome (effort thrombosis of the subclavian vein), 97 of which (group I) were seen ≤2 weeks of onset of symptoms. They underwent an emergent protocol treatment in which thrombolysis is immediately followed by surgery at the time of the acute event. In addition, another 17 patients (group II) were referred to our institution after being treated elsewhere with initial thrombolysis, but with surgery deferred a mean 34 days (range, 2 weeks to 3 months) after the initial event. All patients underwent the same lytic and surgical protocol. Operability was determined by the findings on the venogram. Routine postoperative anticoagulation for 8 weeks was implemented with warfarin and clopidogrel. There was 100% success in re-establishing the flow and normal caliber of the subclavian vein in the 97 patients in group I. Seven patients showed some residual stenosis that required balloon plasty and implant of a stent. Postoperative duplex ultrasound imaging documented patency in all 97 patients (100%). The 17 patients with delayed surgery (group II) showed progression of the fibrosis, with vein obstruction in 12 (70%). Only five patients (29%) were operable with successful results. The remaining 12 patients were inoperable owing to extensive fibrosis and occlusion of the inflow, and all 12 have remained disabled for the use of their arm. The emergent approach to treat Paget-Schroetter syndrome seems to render the optimal results, with 100% effectiveness in re-establishing venous flow and normal caliber to the vessel. When properly conducted, this operation avoids the use of stents or balloon plasty with excellent long-term results, leaving the patients unrestricted for physical activities." @default.
• W2168460878 created "2016-06-24" @default.
• W2168460878 creator A5020906504 @default.
• W2168460878 creator A5035661831 @default.
• W2168460878 creator A5035782493 @default.
• W2168460878 date "2007-02-01" @default.
• W2168460878 modified "2023-10-11" @default.
• W2168460878 title "Paget-Schroetter syndrome treated with thrombolytics and immediate surgery" @default.
• W2168460878 cites W136168306 @default.
• W2168460878 cites W1963842191 @default.
• W2168460878 cites W1977680266 @default.
• W2168460878 cites W1978718769 @default.
• W2168460878 cites W1979013351 @default.
• W2168460878 cites W1990325882 @default.
• W2168460878 cites W1996305857 @default.
• W2168460878 cites W1997503272 @default.
• W2168460878 cites W2001574232 @default.
• W2168460878 cites W2008338163 @default.
• W2168460878 cites W2020484175 @default.
• W2168460878 cites W2042555838 @default.
• W2168460878 cites W2059593363 @default.
• W2168460878 cites W2083046553 @default.
• W2168460878 cites W2107355614 @default.
• W2168460878 cites W2120537937 @default.
• W2168460878 cites W2153008754 @default.
• W2168460878 cites W4231282746 @default.
• W2168460878 cites W89121839 @default.
• W2168460878 doi "https://doi.org/10.1016/j.jvs.2006.09.052" @default.
• W2168460878 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/17264012" @default.
• W2168460878 hasPublicationYear "2007" @default.
• W2168460878 type Work @default.
• W2168460878 sameAs 2168460878 @default.
• W2168460878 citedByCount "163" @default.
• W2168460878 countsByYear W21684608782012 @default.
• W2168460878 countsByYear W21684608782013 @default.
• W2168460878 countsByYear W21684608782014 @default.
• W2168460878 countsByYear W21684608782015 @default.
• W2168460878 countsByYear W21684608782016 @default.
• W2168460878 countsByYear W21684608782017 @default.
• W2168460878 countsByYear W21684608782018 @default.
• W2168460878 countsByYear W21684608782019 @default.
• W2168460878 countsByYear W21684608782020 @default.
• W2168460878 countsByYear W21684608782021 @default.
• W2168460878 countsByYear W21684608782022 @default.
• W2168460878 countsByYear W21684608782023 @default.
• W2168460878 crossrefType "journal-article" @default.
• W2168460878 hasAuthorship W2168460878A5020906504 @default.
• W2168460878 hasAuthorship W2168460878A5035661831 @default.
• W2168460878 hasAuthorship W2168460878A5035782493 @default.
• W2168460878 hasBestOaLocation W21684608781 @default.
• W2168460878 hasConcept C126322002 @default.
• W2168460878 hasConcept C126838900 @default.
• W2168460878 hasConcept C141071460 @default.
• W2168460878 hasConcept C2775836813 @default.
• W2168460878 hasConcept C2779581417 @default.
• W2168460878 hasConcept C2780007028 @default.
• W2168460878 hasConcept C2780868729 @default.
• W2168460878 hasConcept C2781267111 @default.
• W2168460878 hasConcept C2781362458 @default.
• W2168460878 hasConcept C500558357 @default.
• W2168460878 hasConcept C71924100 @default.
• W2168460878 hasConceptScore W2168460878C126322002 @default.
• W2168460878 hasConceptScore W2168460878C126838900 @default.
• W2168460878 hasConceptScore W2168460878C141071460 @default.
• W2168460878 hasConceptScore W2168460878C2775836813 @default.
• W2168460878 hasConceptScore W2168460878C2779581417 @default.
• W2168460878 hasConceptScore W2168460878C2780007028 @default.
• W2168460878 hasConceptScore W2168460878C2780868729 @default.
• W2168460878 hasConceptScore W2168460878C2781267111 @default.
• W2168460878 hasConceptScore W2168460878C2781362458 @default.
• W2168460878 hasConceptScore W2168460878C500558357 @default.
• W2168460878 hasConceptScore W2168460878C71924100 @default.
• W2168460878 hasIssue "2" @default.
• W2168460878 hasLocation W21684608781 @default.
• W2168460878 hasLocation W21684608782 @default.
• W2168460878 hasOpenAccess W2168460878 @default.
• W2168460878 hasPrimaryLocation W21684608781 @default.
• W2168460878 hasRelatedWork W2022263588 @default.
• W2168460878 hasRelatedWork W2030266238 @default.
• W2168460878 hasRelatedWork W2073746255 @default.
• W2168460878 hasRelatedWork W2092583709 @default.
• W2168460878 hasRelatedWork W2321477942 @default.
• W2168460878 hasRelatedWork W2379497856 @default.
• W2168460878 hasRelatedWork W2380537602 @default.
• W2168460878 hasRelatedWork W2390273518 @default.
• W2168460878 hasRelatedWork W2391300479 @default.
• W2168460878 hasRelatedWork W2947314142 @default.
• W2168460878 hasVolume "45" @default.
• W2168460878 isParatext "false" @default.
• W2168460878 isRetracted "false" @default.
• W2168460878 magId "2168460878" @default.
• W2168460878 workType "article" @default.