Member Comments are provided by individuals and reflect their personal opinions only. Under NO circumstances should you act on any advice or opinion posted in this forum. ALWAYS check with your personal physician before taking any action regarding your health! MedHelp International and our partners, sponsors and affiliates have no obligation to monitor any comments posted on this site, or the content and/or accuracy of such exchanges. MedHelp International does not endorse the views of any user.
Heart Disease Community
This patient support community is for discussions relating to angina, angioplasty, arrhythmia, bypass surgery, cardiomyopathy, coronary artery disease, defibrillator, heart attack, heart disease, high blood pressure, mitral valve, pacemaker, PAD, stenosis, and stress tests.
subclavian/innominate DVT
by sbosinge, Jun 19, 2007 03:18PM
Hello,
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?
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?
Post Comment
