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Paget-von-Schroetter-Syndrom und Thoracic-inlet-Syndrom

Paget-Schroetter syndrome and thoracic inlet syndrome

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Zusammenfassung

Das Paget-von-Schroetter-Syndrom (PvSS) entwickelt sich überwiegend infolge von Risikofaktoren, wie zentralvenösen Kathetern. Meist sind ältere Patienten mit hoher Komorbidität betroffen. Es betrifft aber auch junge Patienten nach außergewöhnlicher Kraftanstrengung des Arms. In diesen Fällen spielt eine Venenkompression im „Thoracic inlet“ eine wesentliche Rolle. Im vorliegenden Beitrag wird ein Algorithmus für die Diagnose und Therapie bei den beiden unterschiedlichen Formen des PvSS vorgestellt.

Abstract

Paget–Schroetter syndrome (PSS) generally develops in the presence of risk factors such as central venous catheters. In most cases it affects older patients with higher comorbidity. But PSS can also develop in young patients secondary to excessive arm activity. In these cases venous compression in the thoracic inlet plays a major role. This report provides information on the algorithm of diagnosis and treatment of the two different forms of PSS.

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Compliance with ethic guidelines

Conflict of Interest A. Mumme and T. Hummel declare that they have no conflict of interest.

All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helsinki Declaration of 1975, as revised in 2008. Informed consent was obtained from all patients for being included in the study.

Additional informed consent was obtained from all patients for whom identifying information is included in this article.

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Authors and Affiliations

  1. Klinik für Gefäßchirurgie, Katholisches Klinikum der Ruhr-Universität Bochum, Gudrunstr. 56, 44791, Bochum, Deutschland

    A. Mumme & T. Hummel

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  1. A. Mumme
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  2. T. Hummel
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Correspondence to A. Mumme.

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Mumme, A., Hummel, T. Paget-von-Schroetter-Syndrom und Thoracic-inlet-Syndrom. Gefässchirurgie 18, 196–200 (2013). https://doi.org/10.1007/s00772-013-1151-7

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  • DOI: https://doi.org/10.1007/s00772-013-1151-7

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