Subclavian vein stenosis and axillary vein effort thrombosis: Age and the first rib bypass collateral, thrombolytic therapy and first rib resection

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dc.contributor.authorShuttleworth, R. D.en_ZA
dc.contributor.authorVan der Merwe, D. M.en_ZA
dc.contributor.authorMitchell, W. L.en_ZA
dc.date.accessioned2011-03-18T14:59:38Z
dc.date.available2011-03-18T14:59:38Z
dc.date.issued1987-05
dc.descriptionCITATION: Shuttleworth, R.D., Van Der Merwe, D.M., & Mitchell, W.L. 1987. Subclavian vein stenosis and axillary vein effort thrombosis: Age and the first rib bypass collateral, thrombolytic therapy and first rib resection. S Afr Med J, 71(9):564-566.
dc.descriptionThe original publication is available at http://www.samj.org.za
dc.description.abstractENGLISH ABSTRACT: Three patients presented with axillary vein 'effort thrombosis'. Intravenous streptokinase for 3 days followed by heparin for 10 days restored patency and relieved symptoms. Pretreatment diagnosis and the effect of streptokinase were confirmed venographically and an abnormality in the subclavian vein just medial to the first rib was demonstrated. This stenosis was most severe and had a prominent bypass collateral in the oldest patient. It is proposed that, in the absence of superimposed thrombosis, the damage to the vein in predisposed patients is progressive with age, with establishment of permanent collaterals. Transaxillary first rib resection is advised to prevent compression of the veins in the thoracic outlet.
dc.description.versionPublisher’s version
dc.format.extent3 pages : illustrationsen_ZA
dc.identifier.citationShuttleworth, R.D., Van Der Merwe, D.M., & Mitchell, W.L. 1987. Subclavian vein stenosis and axillary vein effort thrombosis: Age and the first rib bypass collateral, thrombolytic therapy and first rib resection. S Afr Med J, 71(9):564-566.
dc.identifier.issn2078-5135 (online)
dc.identifier.issn0256-9574 (print)
dc.identifier.urihttp://hdl.handle.net/10019.1/7948
dc.language.isoen_ZAen_ZA
dc.publisherHealth & Medical Publishing Group
dc.rights.holderSouth African Medical Journal
dc.subjectSubclavian arteryen_ZA
dc.subjectArteries -- Stenosisen_ZA
dc.subjectThrombosis -- Surgeryen_ZA
dc.titleSubclavian vein stenosis and axillary vein effort thrombosis: Age and the first rib bypass collateral, thrombolytic therapy and first rib resectionen_ZA
dc.typeArticleen_ZA
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