Shah Ami D, Bajakian Danielle R, Olin Jeffrey W, Lookstein Robert A
Department of Interventional Radiology, Mount Sinai School of Medicine, Mount Sinai Medical Center, One Gustave L. Levy Pl., Box 1234, New York, NY 10029, USA.
AJR Am J Roentgenol. 2007 May;188(5):1215-7. doi: 10.2214/AJR.06.0028.
This initial single-center study describes three cases of axillary-subclavian vein thrombosis (Paget-Schroetter syndrome) treated with a rapid, novel thrombectomy technique, termed "power-pulse spray thrombectomy," in which a thrombolytic agent is directly infused into the clot via a catheter, followed by intravascular mechanical clot fracture and removal.
All patients in this series were treated in a single session. Complete clot removal was successfully achieved without the development of any complications. This is the first description of the application of this technique in the treatment of Paget-Schroetter syndrome to our knowledge.
