Paget-Schroetter's disease , also known as Paget-von Schrötter's disease , is a form of extremity over deep vein thrombosis (DVT), a medical condition in which blood clots form in the deep veins of the arm. This DVT usually occurs in the axillary or subclavian veins.
Video Paget-Schroetter disease
Signs and symptoms
The condition is relatively rare. It usually appears in young and healthy patients, and is also more common in men than in women. This syndrome is also known as the "effort-induced thrombosis" of the 1960s, as has been reported after strong activity, although it can also occur due to anatomical abnormalities such as clavicle or spontaneous collisions. It may develop as a sequela of the chest outlet syndrome. It is distinguished from secondary causes of upper limb caused by intravascular catheters. Paget-Schroetter syndrome is described once for viola players who suddenly increase exercise time 10-fold, creating sufficient recurrent pressure on brachiocephalic and external jugular vein to cause thrombosis.
Symptoms include abrupt pain, warmth, redness, blueness, and swelling in the arm. Diagnosis is usually confirmed by ultrasound. This DVT has the potential to cause pulmonary embolism.
Maps Paget-Schroetter disease
Diagnosis
Duplex ultrasonography MR Venography
Prevention and Treatment
Preventing the development of blood clots in the upper extremities is done by accessing the risk of developing the clot. Traditional treatment for thrombosis is the same as lower-extremity DVT, and involves systemic anticoagulants to prevent pulmonary embolism. Some also recommend thrombolysis by directing catheter alteplase. If there is a chest outlet syndrome or other anatomic cause then surgery may be considered to correct the underlying defect.
History
This condition is named after two men. James Paget first proposed the idea of ââvenous thrombosis that caused upper extremity pain and swelling, and Leopold von Schrötter then linked the clinical syndrome with axillary and subclavian venous thromboses.
References
External links
Source of the article : Wikipedia