open access

Vol 26, No 1 (2020)
Case reports
Published online: 2020-03-25
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Stent fracture after endovascular treatment patient with subclavian vein thrombosis – difficult diagnosis and complication of venous thoracic outlet syndrome

Pawel Wierzchowski, Pawel Brazis, Arkadiusz Migdalski, Arkadiusz Jawień
DOI: 10.5603/AA.2020.0003
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Acta Angiologica 2020;26(1):40-44.

open access

Vol 26, No 1 (2020)
Case reports
Published online: 2020-03-25

Abstract

Subclavian vein thrombosis is relatively rare. It constitutes 4 to 10% of all cases of venous thrombosis and is often associated with compression or canniulation of the subclavian vein. We present the case of patient with Paget-Schroetter syndrome treated in our center for right subclavian vein thrombosis as a result of the venous thoracic outlet syndrome (VTOS). In the case described below, VTOS was unrecognized and the stent fracture following endovascular treatment led to a relapse of venous thrombosis. Secondary angioplasty and stenting with subclavian vein decompression was successfully made. The patient was regularly monitored throughout the following year and there was no relapse of clinical symptoms. Conclusions: in case of subclavian vein thrombosis decompression is a very important step in the management of VTOS. It prevents recurrence of thrombosis and potential complications.

Abstract

Subclavian vein thrombosis is relatively rare. It constitutes 4 to 10% of all cases of venous thrombosis and is often associated with compression or canniulation of the subclavian vein. We present the case of patient with Paget-Schroetter syndrome treated in our center for right subclavian vein thrombosis as a result of the venous thoracic outlet syndrome (VTOS). In the case described below, VTOS was unrecognized and the stent fracture following endovascular treatment led to a relapse of venous thrombosis. Secondary angioplasty and stenting with subclavian vein decompression was successfully made. The patient was regularly monitored throughout the following year and there was no relapse of clinical symptoms. Conclusions: in case of subclavian vein thrombosis decompression is a very important step in the management of VTOS. It prevents recurrence of thrombosis and potential complications.

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Keywords

stent fracture, subclavian vein thrombosis, venous thoracic outlet syndrome, Paget Schroetter syndrome

About this article
Title

Stent fracture after endovascular treatment patient with subclavian vein thrombosis – difficult diagnosis and complication of venous thoracic outlet syndrome

Journal

Acta Angiologica

Issue

Vol 26, No 1 (2020)

Pages

40-44

Published online

2020-03-25

DOI

10.5603/AA.2020.0003

Bibliographic record

Acta Angiologica 2020;26(1):40-44.

Keywords

stent fracture
subclavian vein thrombosis
venous thoracic outlet syndrome
Paget Schroetter syndrome

Authors

Pawel Wierzchowski
Pawel Brazis
Arkadiusz Migdalski
Arkadiusz Jawień

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