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[The importance of excision of the first thoracic rib and accessory cervical rib in the treatment of deep venous thrombosis of the upper extremities].

Authors
  • Pukacki, F
  • Oszkinis, G
  • Krasiński, Z
  • Zapalski, S
Type
Published Article
Journal
Wiadomości lekarskie (Warsaw, Poland : 1960)
Publication Date
Jan 01, 1998
Volume
51
Issue
11-12
Pages
497–503
Identifiers
PMID: 10222842
Source
Medline
License
Unknown

Abstract

This paper presents 15 cases of deep venous thrombosis of the upper extremity as a complication of previously asymptomatic thoracic outlet syndrome. The diagnosis was based on clinical examination and phlebography. To achieve prompt recanalisation of the vein streptokinase was used. Fibrinolytic treatment was followed by surgical treatment carried out 6 to 8 weeks after resolution of acute symptoms. The surgery consisted of excision of first rib and accessory cervical rib when present through the axillary approach. In 73% of cases complete lysis of the thrombus was achieved which was confirmed by phlebography and resolution of symptoms of venous hypertension.

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