I am a 30 yr old male, non-smoker, previously healthy, only significant medical history is spontaneous pneumothorax which was fixed 7 yrs ago. My question relates to treatment for chronic DVT. I suffered an acute rt arm DVT in Nov. 06 which was removed by catheter-directed tPA. I was diagnosed with venous thoracic outlet syndrome. In Feb. 07 I reported to a referral surgeon to investigate my candidacy for rib resection, however, at this referral the surgeon suspected I had suffered another DVT and sent me for an emergency CT. This showed I had a large, non-occlusive thrombus in the RT innominate vein. My vasc. surgeon declined thrombolysis, as he suspected the DVT was 3 wks old based on clinical history and outside the window of efficacy. I have been recently referred again to the thoracic outlet specialist to look at my condition and he doesn't think that anything can be done to resolve the innominate DVT (about 2 cm). He also doesn't think that there is a point to rib resection. My current symptoms are slight arm swelling that worsens with any exertion, visible collaterals, jugular tightness with activity, slight tingling in fingers, and arm fatigue.
I have been examining options, such as vein reconstruction/bypass.
My questions are:
1. If a surgeon elected for a vein reconstruction, how disabling is the sternotomy surgery?
2. Are there any effective intraluminal/endovenous techniques to resolve the thrombus?
3. Can you suggest any effective treatment for this condition?
Copyright 1994-2016 MedHelp International. All rights reserved.
MedHelp is a division of Aptus Health.
This site complies with the HONcode standard for trustworthy health information.
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. Med Help International, Inc. is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.