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Paget–Schroetter Syndrome Treated with Cutting-Balloon Angioplasty

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Abstract

Here, a case of Paget–Schroetter Syndrome in a 25-year-old guitar player is reported. After thrombolysis, conventional angioplasty failed to dilate the underlying subclavian stenosis both before and after first-rib excision with scalenus anterior and medius division. For the third attempt at angioplasty, a cutting balloon was used, which immediately produced a good result. Venography at 4-year follow-up showed no restenosis and no functional deficit. This case report demonstrates that cutting-balloon angioplasty may be considered when conventional balloon fails and may have greater durability than conventional balloon angioplasty in the treatment of Paget–Schroetter syndrome.

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Authors and Affiliations

  1. Department of Interventional Radiology, City General Hospital, University Hospital of North Staffordshire NHS Trust, Newcastle Road, Stoke-On-Trent, ST4 6QG, UK

    J. Gosling, M. Nayeemuddin, M. Cowling, A. Pherwani & J. Asquith

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  1. J. Gosling
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  2. M. Nayeemuddin
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  3. M. Cowling
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  4. A. Pherwani
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  5. J. Asquith
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Correspondence to J. Asquith.

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Gosling, J., Nayeemuddin, M., Cowling, M. et al. Paget–Schroetter Syndrome Treated with Cutting-Balloon Angioplasty. Cardiovasc Intervent Radiol 35, 686–689 (2012). https://doi.org/10.1007/s00270-011-0245-4

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  • DOI: https://doi.org/10.1007/s00270-011-0245-4

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