Smith Richard A, Dimitri Sameh K
Department of Surgery, Countess of Chester Hospital, Chester, United Kingdom.
Angiology. 2008 Feb-Mar;59(1):100-6. doi: 10.1177/0003319707305917.
Axillosubclavian vein thrombosis is seen relatively infrequently in clinical practice when compared with lower limb deep-venous thrombosis; however, it is a condition that can result in significant morbidity if managed suboptimally. A multimodal treatment approach has been increasingly adopted with thrombolysis and/or thoracic outlet decompression being favored over anticoagulation alone, although the evidence base to support this approach is limited. In all, 3 cases are reported, which highlight numerous pertinent issues relating to the diagnostic and therapeutic options available.
与下肢深静脉血栓形成相比,腋锁骨下静脉血栓形成在临床实践中相对少见;然而,如果处理不当,这种情况可能导致严重的发病率。尽管支持这种方法的证据有限,但多模式治疗方法已越来越多地被采用,溶栓和/或胸廓出口减压比单独抗凝更受青睐。总共报告了3例病例,这些病例突出了与现有诊断和治疗选择相关的许多相关问题。