Tratamiento fibrinolítico en el síndrome de Paget Schroetter
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Abstract
The axilo-subclavian vein primary thrombosis is the only variant presentation of the thorax outlet syndrome which affects to young, active and otherwise healthy people. Recently, the fibrinolytic treatment has been enriched by the use of streptokinase, urokinase and plasminogen activating factor. Clinical response to treatment for deep venous thrombosis have ímproved as a.result. Former usual treatment consisted on systemic anticoagulant agents and after eight weeks the resection of the first rib was carried out. Today's current treatment includes the sequential administration of fibrinolytic and anticoagulant agents as well as the immediate resection of the first rib in order to decompress the thoracic outlet. This is a case report of effort subclavian venous thrombosis who had excellent results in response to the above-mentioned scheme of treatment. Such a scheme is proposed as the elective treatment for subclavian thrombosis in order to reduce its late sequelate.
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