Paget-Schroetter syndrome in female water polo player
https://doi.org/10.47183/mes.2021.005
Abstract
This article describes a case of Paget-Schroetter syndrome in a female water polo player. The condition was associated with strenuous exercise. The initial treatment strategy was limited to a 14-day heparin regimen followed by a course of diosmin and sulodexide. The article discusses the high risk of post-thrombotic syndrome in this cohort of patients and the rationale for a surgical intervention.
About the Authors
S. R. Rodionovskaya
Federal Research and Clinical Center for Children and Adolescents, FMBA of Russia
Russian Federation
Russian Federation
Svetlana R. Rodionovskaya
Moskvorechye, 20, Moscow, 115409
G. G. Torosian
Federal Research and Clinical Center for Children and Adolescents, FMBA of Russia
Russian Federation
Russian Federation
Moscow
N. V. Аksenova
Federal Research and Clinical Center for Children and Adolescents, FMBA of Russia
Russian Federation
Russian Federation
Moscow
References
1. Chandra V, Little C, Lee JT. Thoracic outlet syndrome in high- performance athletes. J Vasc Surg. 2014 Oct; 60 (4): 1012–7; DOI: 10.1016/j.jvs.2014.04.013. Epub 2014 May 14. PMID: 24835692.
2. Hangge P, Rotellini-Coltvet L, Deipolyi AR, Albadawi H, Oklu R. Paget–Schroetter syndrome: treatment of venous thrombosis and outcomes. Cardiovasc Diagn Ther. 2017; 7 (Suppl 3): 285–90. DOI: 10.21037/cdt.2017.08.15.
3. Heil J, Miesbach W, Vogl T, Bechstein WO, Reinisch A. Deep Vein Thrombosis of the Upper Extremity. Dtsch Arztebl Int. 2017; 114 (14): 244–9. DOI: 10.3238/arztebl.2017.0244.
4. Keller RE, Croswell DP, Medina GIS, Cheng TTW, Oh LS. Paget– Schroetter syndrome in athletes: a comprehensive and systematic review. J Shoulder Elbow Surg. 2020 Nov; 29 (11): 2417–25. DOI: 10.1016/j.jse.2020.05.015. Epub 2020 Jun 9. PMID: 32868012.
5. Rossijskie klinicheskie rekomendacii po profilaktike i lecheniju venoznyh trombojembolicheskih oslozhnenij (VTJeO). Flebologija. 2015; 2: 4–52.
6. Phadke DR, Sheeran DP, Wilkins LR, Kern JA, Tracci MC, Angle JF. Impact of Venous Collaterals on Clinical Outcomes in Paget– Schroetter Syndrome. J Vasc Interv Radiol. 2019; 30: 572–7. DOI: 10.1016/j.jvir.2018.12.0.
7. Bosch FTM, Nisio MD, Büller HR, van Es N. Diagnostic and therapeutic management of upper extremity deep vein thrombosis. J Clin Med. 2020; 9 (7): 2069. DOI: 10.3390/jcm9072069.
8. Thiyagarajah K, Ellingwood L, Endres K, Hegazi A, Radford J, Iansavitchene A., et al. Post-thrombotic syndrome and recurrent thromboembolism in patients with upper extremity deep vein thrombosis: A systematic review and meta-analysis. Thromb Res. 2019; 174: 34–39. DOI: 10.1016/j.thromres.2018.12.012.
9. Bleker SM, van Es N, Kleinjan A, Büller HR, Kamphuisen PW, Aggarwal A, et al. Current management strategies and long- term clinical outcomes of upper extremity venous thrombosis. J Thromb Haemost. 2016 May; 14 (5): 973–81. DOI: 10.1111/jth.13291. Epub 2016 Apr 4. PMID: 26866515.
10. Moore R, Wei Lum Y. Venous thoracic outlet syndrome. Vasc Med. 2015 Apr; 20 (2): 182–9. DOI: 10.1177/1358863X14568704. PMID: 25832605.
11. Mazajshvili KV, Darvin VV, Klimova NV, Kabanov AA, Lobanov DS, Mozhanova GA. Klinicheskij sluchaj uspeshnogo selektivnogo kateternogo trombolizisa pri sindrome Pedzheta–Shrettera. Vestnik SurGU. Medicina. 2018; 4 (38): 28–32.
Review
For citations:
Rodionovskaya S.R., Torosian G.G., Аksenova N.V. Paget-Schroetter syndrome in female water polo player. Extreme Medicine. 2021;23(1):66-69. https://doi.org/10.47183/mes.2021.005
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