Journal
PHLEBOLOGY
Volume 36, Issue 4, Pages 329-330Publisher
SAGE PUBLICATIONS INC
DOI: 10.1177/0268355520967519
Keywords
Direct oral anticoagulant; upper extremities deep vein thrombosis; thoracic outlet syndrome
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Venous thoracic outlet syndrome (VTOS) can cause acute venous thrombosis when the subclavian vein is compressed, and there is limited evidence on the optimal management approach for this condition. Anticoagulation alone is not recommended for treatment in patients with upper extremities deep vein thrombosis due to VTOS who refuse endovascular approach or surgery.
Venous thoracic outlet syndrome (VTOS) is a manifestation of venous symptoms that occurs when the subclavian vein is compressed and it may present clinically with acute venous thrombosis of the axillo-subclavian vein. Evidence for the optimal approach to the management of this condition is sparse and actually anticoagulation alone is not considered an option. Herein we reported our experience with direct oral anticoagulants in patients with upper extremities deep vein thrombosis, due to VTOS, who refused endovascular approach or surgery.
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