{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T00:51:12Z","timestamp":1777942272068,"version":"3.51.4"},"reference-count":10,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2001,9,1]],"date-time":"2001-09-01T00:00:00Z","timestamp":999302400000},"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":["Vascular Surgery"],"published-print":{"date-parts":[[2001,9]]},"abstract":"<jats:p>Multimodal (thrombolysis, surgical decompression, venous reconstruction, oral anticoagulation) treatment of primary axillary-subclavian venous thrombosis was reviewed to assess the impact of venous patency on functional outcome. Since 1996, 7 patients (6 men, 1 woman) of ages 16-53 years (mean 33 years) presented with symptomatic acute axillosubclavian venous thrombosis as a result of a recent athletic or strenuous arm activity. Five patients had undergone previous (&gt;2 weeks) catheter-directed thrombolysis and venous angioplasty. Diagnostic contrast venography followed by repeat catheter-directed thrombolysis demonstrated abnormal (residual stenosis [n =6] or occlusion En = I1) axillosubclavian venous segments in all patients. Surgical intervention was performed at a mean interval of 7 days (range 1-19 days) after thrombolysis and consisted of thoracic outlet decompression with scalenectomy and 1st rib resection via a paraclavicular (n =4) or supraclavicular (n = 3) approach. Medial claviculectomy or cervical rib resection was performed in 2 patients. Concomitant venous surgery was performed in all patients to restore normal venous patency by circumferential venolysis (n = 7) and balloon catheter thrombectomy (n = 3), or vein-patch angioplasty (n=2), or endovenectomy (n=5), or internal jugular transposition (n=2). Postoperative venous duplex testing beyond 1 month identified recurrent thrombosis in 4 patients despite therapeutic oral anticoagulation. Subsequent venous recanalization was documented in 3 patients. Poor functional outcome was associated with an occluded venous repair and extensive venous thrombosis on initial presentation. A patent or recanalized venous repair present in 6 of 7 patients was associated with good functional outcome and may justify multimodal intervention in patients with primary axillosubclavian effort thrombosis presenting with recurrent thrombosis and significant residual disease after thrombolysis.<\/jats:p>","DOI":"10.1177\/153857440103500505","type":"journal-article","created":{"date-parts":[[2007,6,21]],"date-time":"2007-06-21T23:03:41Z","timestamp":1182467021000},"page":"353-359","source":"Crossref","is-referenced-by-count":4,"title":["Primary Axillary-Subclavian Venous Thrombosis: Is Aggressive Surgical Intervention Justified?"],"prefix":"10.1177","volume":"35","author":[{"given":"Dale C.","family":"Schmacht","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Martin R.","family":"Back","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael L.","family":"Novotney","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brad L.","family":"Johnson","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dennis F.","family":"Bandyk","sequence":"additional","affiliation":[{"name":"Division of Vascular Surgery, University of South Florida College of Medicine, Tampa, FL"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2001,9,1]]},"reference":[{"key":"atypb1","doi-asserted-by":"publisher","DOI":"10.1016\/0741-5214(93)90416-J"},{"key":"atypb2","doi-asserted-by":"publisher","DOI":"10.1016\/S0741-5214(98)70052-7"},{"key":"atypb3","doi-asserted-by":"publisher","DOI":"10.1016\/0003-4975(91)90004-A"},{"key":"atypb4","doi-asserted-by":"publisher","DOI":"10.1016\/S0741-5214(98)70012-6"},{"key":"atypb5","first-page":"414","volume":"181","author":"Molina JE","year":"1995","journal-title":"J Am Coll Surg"},{"key":"atypb6","doi-asserted-by":"publisher","DOI":"10.1016\/S0039-6060(05)80276-4"},{"key":"atypb7","doi-asserted-by":"publisher","DOI":"10.1067\/mva.2000.106949"},{"key":"atypb8","first-page":"67","volume":"321","author":"Lee AW","year":"2000","journal-title":"J Vasc Surg"},{"key":"atypb9","doi-asserted-by":"publisher","DOI":"10.1016\/0967-2109(96)00007-5"},{"key":"atypb10","doi-asserted-by":"publisher","DOI":"10.1007\/s100169900042"}],"container-title":["Vascular Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/153857440103500505","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/153857440103500505","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T06:43:56Z","timestamp":1777704236000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/153857440103500505"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2001,9]]},"references-count":10,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2001,9]]}},"alternative-id":["10.1177\/153857440103500505"],"URL":"https:\/\/doi.org\/10.1177\/153857440103500505","relation":{},"ISSN":["0042-2835"],"issn-type":[{"value":"0042-2835","type":"print"}],"subject":[],"published":{"date-parts":[[2001,9]]}}}