This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on HighWire  • Citing articles on Web of Science (174)  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

Nicholas L. Tilney, MD; Henry J. G. Griffiths, MB; Edward A. Edwards, MD

AMA Arch Surg. 1970;101(6):792-796.

Abstract
Forty-eight cases of thrombosis of major veins of the upper extremity have been studied. In 17 patients primary thrombosis occurred following effort, prolonged compression, or without recognized cause. Thirty-one patients experienced venous thrombosis secondary to thrombophlebitis of varying etiology, or underlying systemic disease. On various nonoperative treatments, all acute manifestations of the disorder disappeared within a few days of treatment. Late follow-up information on 31 patients showed residual disability in 74%. Late venography demonstrated continuing occulsion of the major trunks in ten of 11 patients examined an average of 6.6 years following the initial episode. Venous pressure was elevated significantly in symptomatic patients, but not in asymptomatic ones. Because of the long-term disability experienced by the affected patients, new therapeutic approaches should be considered.

Author Affiliations
Boston

From the departments of surgery (Drs. Tilney and Edwards) and radiology (Dr. Griffiths), Peter Bent Brigham Hospital, Harvard Medical School, Boston, and West Roxbury Veterans Administration Hospital, West Roxbury, Mass.

Footnotes
Accepted for publication Aug 7, 1970.

Read before the 18th scientific meeting of the International Cardiovascular Society, Chicago, June 20, 1970.

Reprint requests to Peter Bent Brigham Hospital, 721 Huntington Ave, Boston 02115 (Dr. Tilney).

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Surgery Remains the Most Effective Treatment for Paget-Schroetter Syndrome: 50 Years' Experience
Urschel and Patel
Ann. Thorac. Surg. 2008;86:254-260.
ABSTRACT | FULL TEXT  

Clinical Outcome of Patients With Upper-Extremity Deep Vein Thrombosis: Results From the RIETE Registry,{dagger}
Munoz et al.
Chest 2008;133:143-148.
ABSTRACT | FULL TEXT  

Power-Pulse Spray Thrombectomy for Treatment of Paget-Schroetter Syndrome
Shah et al.
Am. J. Roentgenol. 2007;188:1215-1217.
ABSTRACT | FULL TEXT  

Upper-Extremity Deep-Vein Thrombosis After Anterior Shoulder Dislocation and Closed Reduction. A Case Report
Willis et al.
JBJS 2005;87:2086-2090.
FULL TEXT  

Thoracic Outlet Decompression for Subclavian Vein Thrombosis: Experience in 71 Patients
Divi et al.
Arch Surg 2005;140:54-57.
ABSTRACT | FULL TEXT  

Upper-Extremity Deep Vein Thrombosis: A Prospective Registry of 592 Patients
Joffe et al.
Circulation 2004;110:1605-1611.
ABSTRACT | FULL TEXT  

Three-Dimensional Gadolinium-Enhanced Magnetic Resonance Venography in Suspected Thrombo-occlusive Disease of the Central Chest Veins
Kroencke et al.
Chest 2001;120:1570-1576.
ABSTRACT | FULL TEXT  

Catheter-Directed Thrombolysis for Treatment of Axillary-Subclavian Venous Thrombosis
Comerota
PERSPECT VASC SURG ENDOVASC THER 2001;14:51-55.
ABSTRACT  

Paget-Schroetter syndrome: what is the best management?
Urschel and Razzuk
Ann. Thorac. Surg. 2000;69:1663-1668.
ABSTRACT | FULL TEXT  

Long-Term Results of Local Thrombolysis Followed by First Rib Resection: An Encouraging Clinical Experience in Treatment of Subclavian Vein Thrombosis
Yilmaz et al.
VASC ENDOVASCULAR SURG 2000;34:17-22.
ABSTRACT  

Long-Term Sequelae of Spontaneous Axillary-Subclavian Venous Thrombosis
Heron et al.
ANN INTERN MED 1999;131:510-513.
ABSTRACT | FULL TEXT  

Deep Vein Thrombosis: Intraarterial Application of a Thrombolytic Agent: A Case Report
Vojko
VASC ENDOVASCULAR SURG 1997;31:111-113.
ABSTRACT  

Management of Deep Vein Thrombosis and Pulmonary Embolism : A Statement for Healthcare Professionals From the Council on Thrombosis (in Consultation With the Council on Cardiovascular Radiology), American Heart Association
Hirsh and Hoak
Circulation 1996;93:2212-2245.
FULL TEXT  

Primary Effort Thrombosis: Treatment Options in Acute and Chronic Disease--Case Reports
Adams et al.
VASC ENDOVASCULAR SURG 1991;25:234-239.
ABSTRACT  

Basilic Vein Thrombosis Near an Arterial-Venous Access Graft Resulting in a Symptomatic Upper Extremity: A Case Report
de la Torre et al.
VASC ENDOVASCULAR SURG 1990;24:524-529.
ABSTRACT  

An Unusual Case of Effort Thrombosis of the Subclavian Vein Successfully Treated by Resection and Saphenous Vein Grafting
Human
VASC ENDOVASCULAR SURG 1990;24:60-65.
ABSTRACT  

Thrombolytic Therapy of AxillarySubclavian Venous Thrombosis
Landercasper et al.
Arch Surg 1987;122:1072-1075.
ABSTRACT  

Venous Hypertension Associated with Asymptomatic Bilateral Axillary Vein Thrombosis and Graft Arteriovenous Fistula A Case Report
Purcell and Guillermo Pena
VASC ENDOVASCULAR SURG 1985;19:270-273.
ABSTRACT  

Subclavian Venous Stenosis
Davis et al.
JAMA 1984;252:3404-3406.
ABSTRACT  

Clinical Effect of Nonthrombotic Total Parenteral Nutrition Catheters
Fabri et al.
JPEN J Parenter Enteral Nutr 1984;8:705-707.
ABSTRACT  

Deep Venous Thrombosis of the Upper Extremity Five Years Experience at a University Hospital
Painter and Karpf
ANGIOLOGY 1984;35:743-749.
ABSTRACT  

Scope and Limitations of Collateral Circulation: Presidential Address
Edwards
Arch Surg 1984;119:761-765.
ABSTRACT  

Subclavian thrombosis following hockey injuries
Butsch
Am J Sports Med 1983;11:448-450.
ABSTRACT  

Phleborheography of the Upper Extremity
Sullivan et al.
Arch Surg 1983;118:1134-1136.
ABSTRACT  

Upper Extremity Thrombosis: Etiology and Prognosis
Demeter et al.
ANGIOLOGY 1982;33:743-755.
ABSTRACT  

Effort Vein Thrombosis and Intermittent Nonthrombotic Occlusion of the Subclavian and Axillary Veins
Martinez and Adiga
VASC ENDOVASCULAR SURG 1980;14:123-134.
 

The Painful Arm: Evaluation and Treatment of Vascular Causes
Warren
ANGIOLOGY 1972;23:392-400.