{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,3]],"date-time":"2026-05-03T14:43:44Z","timestamp":1777819424765,"version":"3.51.4"},"reference-count":20,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2000,8,1]],"date-time":"2000-08-01T00:00:00Z","timestamp":965088000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Endovasc Ther"],"published-print":{"date-parts":[[2000,8]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>To analyze changes in the management of effort subclavian vein thrombosis at our institution.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec sec-type=\"methods\">\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Records of 23 patients with effort subclavian vein thrombosis treated over a 10-year period were analyzed to compare the results of conventional therapy (heparin\/warfarin) used in the first half of this period to a multimodality treatment strategy (thrombolysis and other adjunctive treatment as indicated, e.g., first rib resection, angioplasty\/stenting, and vein reconstruction). Diagnostic testing included duplex ultrasound and venography. All patients had at least 1-year follow-up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec sec-type=\"results\">\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Eight patients (7 men; mean age 34 years, range 15\u201354) had conventional treatment (group A) and 15 patients (14 men; mean age 36 years, range 17\u201355) had multimodality therapy (group B). Demographics and clinical characteristics were comparable for both groups. Initial thrombolysis was achieved in 14 (93%) group B patients; 10 received adjunctive treatment to relieve external compression or vein stenosis. Four patients had successful first or cervical rib resection and scalenectomy, and first rib resection followed by angioplasty\/stenting was successful in 2. However, angioplasty and stenting alone failed in 2 patients, while venous reconstruction was successful in only 1 of 2 cases.<\/jats:p>\n                    <jats:p>Mean follow-up was 72 months in group A patients and 59 months in group B. One (13%) group A patient and 12 (80%) group B patients demonstrated total venous recanalization and symptom resolution (p = 0.003). Overall, clinical resolution (total and partial symptom relief) was achieved in 3 (38%) group A patients and 13 (87%) group B patients (p = 0.026).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec sec-type=\"conclusions\">\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Initial lytic therapy followed by adjunctive treatment to relieve external venous compression or venous stenosis is effective in treating patients with effort subclavian vein thrombosis.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/152660280000700408","type":"journal-article","created":{"date-parts":[[2015,3,19]],"date-time":"2015-03-19T06:13:52Z","timestamp":1426745632000},"page":"302-308","source":"Crossref","is-referenced-by-count":9,"title":["Effort Subclavian Vein Thrombosis: Evolution of Management"],"prefix":"10.1177","volume":"7","author":[{"given":"Ali F.","family":"AbuRahma","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Patrick A.","family":"Robinson","sequence":"additional","affiliation":[{"name":"Ridgefield, Connecticut, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2000,8]]},"reference":[{"key":"e_1_2_1_2_2","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.1965.01320130031005"},{"key":"e_1_2_1_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9610(91)91112-V"},{"key":"e_1_2_1_4_2","doi-asserted-by":"publisher","DOI":"10.1097\/00005373-197111000-00006"},{"key":"e_1_2_1_5_2","first-page":"89","article-title":"Venous obstruction in the upper extremity (Paget-Schrotter syndrome): review of 320 cases","volume":"88","author":"Hughes ES","year":"1949","unstructured":"Hughes ES. Venous obstruction in the upper extremity (Paget-Schrotter syndrome): review of 320 cases. Int Abstr Surg. 1949;88:89\u2013127.","journal-title":"Int Abstr Surg."},{"key":"e_1_2_1_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9610(84)90093-X"},{"key":"e_1_2_1_7_2","first-page":"1077","article-title":"The place for scalenectomy and first-rib resection in thoracic outlet syndrome","volume":"92","author":"Roos DB","year":"1982","unstructured":"Roos DB. The place for scalenectomy and first-rib resection in thoracic outlet syndrome. Surgery. 1982;92:1077\u20131085.","journal-title":"Surgery"},{"key":"e_1_2_1_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/0741-5214(86)90319-8"},{"key":"e_1_2_1_9_2","doi-asserted-by":"publisher","DOI":"10.1177\/153857448501900309"},{"key":"e_1_2_1_10_2","doi-asserted-by":"publisher","DOI":"10.1148\/radiology.149.2.6622685"},{"key":"e_1_2_1_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/0741-5214(85)90129-6"},{"key":"e_1_2_1_12_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF02000508"},{"key":"e_1_2_1_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/0741-5214(93)90416-J"},{"key":"e_1_2_1_14_2","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.1970.01340300148026"},{"key":"e_1_2_1_15_2","first-page":"421","volume-title":"Venous Disorders","author":"DeWeese JA","year":"1991","unstructured":"DeWeese JA. Results of surgical treatment of axillary-subclavian venous thrombosis. In: Bergan JJ, Yao JST, eds. Venous Disorders. Philadelphia, PA: WB Saunders; 1991:421\u2013433."},{"key":"e_1_2_1_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9610(86)90141-8"},{"key":"e_1_2_1_17_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9610(05)80262-4"},{"key":"e_1_2_1_18_2","doi-asserted-by":"publisher","DOI":"10.1007\/s100169900042"},{"key":"e_1_2_1_19_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1051-0443(95)71135-6"},{"key":"e_1_2_1_20_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0741-5214(96)70043-5"},{"key":"e_1_2_1_21_2","doi-asserted-by":"publisher","DOI":"10.1177\/096721099600400402"}],"container-title":["Journal of Endovascular Therapy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/152660280000700408","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/152660280000700408","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T21:27:55Z","timestamp":1777498075000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/152660280000700408"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2000,8]]},"references-count":20,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2000,8]]}},"alternative-id":["10.1177\/152660280000700408"],"URL":"https:\/\/doi.org\/10.1177\/152660280000700408","relation":{},"ISSN":["1526-6028","1545-1550"],"issn-type":[{"value":"1526-6028","type":"print"},{"value":"1545-1550","type":"electronic"}],"subject":[],"published":{"date-parts":[[2000,8]]}}}