{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T20:04:40Z","timestamp":1790021080625,"version":"4.0.1"},"reference-count":19,"publisher":"BMJ","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["BMJ Case Reports"],"abstract":"<jats:p>An 18-year-old man presented to the emergency department with an acutely swollen right upper limb having spent the previous day canoeing. Venography confirmed right subclavian venous thrombosis at middle one-third of right clavicle with no evidence of cervical rib or other structural abnormalities. Following heparinisation, catheter directed thrombolysis was performed which restored luminal flow. Postprocedure the patient developed spontaneous small-volume haemoperitoneum and acute renal failure. The patient was admitted to the intensive care unit for haemodialysis and supportive management. The patients\u2019 renal function improved and he was discharged well following his 28th day of admission. Paget-Schroetter syndrome or effort thrombosis involves subclavian venous thrombosis associated with strenuous activity of upper extremities. In these cases, catheter directed thrombolysis with first rib resection provides greater patency rate than anticoagulation therapy alone. Acute kidney injury following mechanical thrombolysis is rarely reported in the literature.<\/jats:p>","DOI":"10.1136\/bcr-2013-008858","type":"journal-article","created":{"date-parts":[[2013,7,13]],"date-time":"2013-07-13T01:43:19Z","timestamp":1373679799000},"page":"bcr2013008858","source":"Crossref","is-referenced-by-count":10,"title":["Paget-Schrotter syndrome and complications of management"],"prefix":"10.1136","volume":"2013","author":[{"given":"A","family":"Dep","sequence":"first","affiliation":[{"name":"Department of Vascular Surgery, University Hospital Limerick, Limerick, Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"E","family":"Concannon","sequence":"additional","affiliation":[{"name":"Department of Vascular Surgery, University Hospital Limerick, Limerick, Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S M","family":"Mc Hugh","sequence":"additional","affiliation":[{"name":"Department of Vascular Surgery, University Hospital Limerick, Limerick, Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P","family":"Burke","sequence":"additional","affiliation":[{"name":"Department of Vascular Surgery, University Hospital Limerick, Limerick, Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2013,7,12]]},"reference":[{"key":"2025082801173818000_2013.jul12_1.bcr2013008858.1","doi-asserted-by":"crossref","first-page":"240","DOI":"10.1016\/j.jvs.2007.11.039","article-title":"Upper extremity deep vein thrombosis: a community-based perspective","volume":"2013","author":"Spencer","year":"2008","journal-title":"J Vasc Surg"},{"key":"2025082801173818000_2013.jul12_1.bcr2013008858.2","doi-asserted-by":"crossref","first-page":"729","DOI":"10.1055\/s-2006-951458","article-title":"Upper extremity deep venous thrombosis","volume":"2013","author":"Bernardi","year":"2006","journal-title":"Semin Thromb Hemost"},{"key":"2025082801173818000_2013.jul12_1.bcr2013008858.3","doi-asserted-by":"crossref","first-page":"903","DOI":"10.1007\/s00270-011-0148-4","article-title":"Venous thoracic outlet compression and the Paget-Schroetter syndrome: a review and recommendations for management","volume":"2013","author":"Thompson","year":"2011","journal-title":"Cardiovasc Inter Rad"},{"key":"2025082801173818000_2013.jul12_1.bcr2013008858.4","first-page":"358","article-title":"Paget-Schroetter syndrome: review of pathogenesis and treatment of effort thrombosis","volume":"2013","author":"Alla","year":"2010","journal-title":"WestJEM"},{"key":"2025082801173818000_2013.jul12_1.bcr2013008858.5","first-page":"21","article-title":"Upper extremity deep vein thrombosis","volume":"2013","author":"Saseedharan","year":"2012","journal-title":"IJCIIS"},{"key":"2025082801173818000_2013.jul12_1.bcr2013008858.6","doi-asserted-by":"crossref","first-page":"677","DOI":"10.1056\/NEJM199603143341101","article-title":"A comparison of low-molecular-weight heparin administered primarily at home with unfractionated heparin administered in the hospital for proximal deep-vein thrombosis","volume":"2013","author":"Levine","year":"1996","journal-title":"NEJM"},{"key":"2025082801173818000_2013.jul12_1.bcr2013008858.7","doi-asserted-by":"crossref","first-page":"515","DOI":"10.1016\/S0002-9343(01)00661-1","article-title":"Does the location of thrombosis determine the risk of disease recurrence in patients with proximal deep vein thrombosis?","volume":"2013","author":"Douketis","year":"2001","journal-title":"AMJ MED"},{"key":"2025082801173818000_2013.jul12_1.bcr2013008858.8","first-page":"1538","article-title":"Illig A comprehensive review of Paget-Schroetter syndrome","volume":"2013","author":"Karl","year":"2010","journal-title":"J Vasc Surg"},{"key":"2025082801173818000_2013.jul12_1.bcr2013008858.9","doi-asserted-by":"crossref","first-page":"980","DOI":"10.1007\/s00270-009-9655-y","article-title":"Catheter-directed thrombolysis for treatment of deep venous thrombosis in the upper extremities","volume":"2013","author":"Vik","year":"2009","journal-title":"Cardiovasc Inter Rad"},{"key":"2025082801173818000_2013.jul12_1.bcr2013008858.10","doi-asserted-by":"crossref","first-page":"1268","DOI":"10.1111\/j.1538-7836.2009.03464.x","article-title":"Catheter-directed thrombolysis vs. anticoagulant therapy alone in deep vein thrombosis: results of an open randomized, controlled trial reporting on short-term patency","volume":"2013","author":"Enden","year":"2009","journal-title":". 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