{"id":4496,"date":"2010-05-05T17:12:33","date_gmt":"2010-05-05T17:12:33","guid":{"rendered":"http:\/\/cardiophile.org\/?p=4496"},"modified":"2026-05-16T12:24:10","modified_gmt":"2026-05-16T06:54:10","slug":"paget-schrotter-syndrome","status":"publish","type":"post","link":"https:\/\/johnsonfrancis.org\/professional\/paget-schrotter-syndrome\/","title":{"rendered":"Paget Schroetter Syndrome &#8211; Effort Thrombosis"},"content":{"rendered":"<iframe loading=\"lazy\" width=\"560\" height=\"315\" src=\"https:\/\/www.youtube.com\/embed\/cVkUW6PCViQ?si=FNJRm8X2wwMAjyns\" title=\"YouTube video player\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe>\n\n<p class=\"wp-block-paragraph\">Paget-Schroetter syndrome is the spontaneous thrombosis of the deep veins of the upper limb &#8211; axillary or subclavian vein. Earliest description was by Cruveilhier in 1816 [1]. A detailed description was given by James Paget in 1875 [2]. von Schroetter discovered vessel trauma from muscle overactivity as a potential cause of the thrombosis in 1884 [3]. Paget-Schroetter syndrome is also known as effort thrombosis because it is often associated with activities involving hyperabduction of the upper limbs [4].<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Sudden jerky movements cause axillary vein to be crushed between clavicle and the first rib. This can damage the intima of the vein and initiate thrombosis. The syndrome is also associated with thoracic outlet syndrome due to similar compressive reasons. Painful swelling of the limb is an important manifestation of the Paget-Schroetter syndrome. The diagnosis is confirmed by compression ultrasonography or venography. Other diagnostic modalities used are CT venography and MR venography.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Treatment is by thrombolysis and anticoagulation. Catheter directed thrombolysis is another option. Surgical options are needed only for those with persistent symptoms of thoracic outlet compression. Important differential diagnoses include lymphangitis, lymphatic obstruction and intramuscular hemorrhage.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong><span style=\"color: #0000ff;\">Reference<\/span><\/strong><\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li class=\"\">Cruveilhier LJB. Essai sur l\u2019anatomie pathologique en g\u00e9n\u00e9ral et sur les transformations et productions organiques en particulier. 1816. Doctoral thesis. Paris.<\/li>\n\n\n\n<li class=\"\">Paget J. Clinical Lectures and Essays. London: Longman Green; 1875. p. 292.<\/li>\n\n\n\n<li class=\"\">Von Schr\u00f6tter L. Nathnagel\u2019s Handbuch der speciellen Pathologie und Therapie. Vienna, Austria: Holder; 1884. Erkrankungen der Gef\u00e4sse.<\/li>\n\n\n\n<li class=\"\">Venkata M Alla, Nagendra Natarajan, Manu Kaushik, Rugmini Warrier, Chandra K Nair. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/21079709\/\">Paget-schroetter syndrome: review of pathogenesis and treatment of effort thrombosis<\/a>. West J Emerg Med. 2010 Sep;11(4):358-62.<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"<p>Paget-Schroetter syndrome is the spontaneous thrombosis of the deep veins of the upper limb &#8211; axillary or subclavian vein. <\/p>\n","protected":false},"author":1,"featured_media":66702,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"nf_dc_page":"","footnotes":""},"categories":[9],"tags":[],"class_list":["post-4496","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-general"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.9 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Paget-Schroetter syndrome - axillary or subclavian DVT<\/title>\n<meta name=\"description\" content=\"Paget-Schroetter syndrome is the spontaneous thrombosis of the deep veins of the upper limb - axillary or subclavian vein.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/johnsonfrancis.org\/professional\/paget-schrotter-syndrome\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Paget-Schroetter syndrome - axillary or subclavian DVT\" \/>\n<meta property=\"og:description\" content=\"Paget-Schroetter syndrome is the spontaneous thrombosis of the deep veins of the upper limb - axillary or subclavian vein.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/johnsonfrancis.org\/professional\/paget-schrotter-syndrome\/\" \/>\n<meta property=\"og:site_name\" content=\"All About Cardiovascular System and Disorders\" \/>\n<meta property=\"article:published_time\" content=\"2010-05-05T17:12:33+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2026-05-16T06:54:10+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/johnsonfrancis.org\/professional\/wp-content\/uploads\/2010\/05\/Paget-Schroetter-Syndrome-Effort-Thrombosis.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"1371\" \/>\n\t<meta property=\"og:image:height\" content=\"769\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"Johnson Francis\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Johnson Francis\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"2 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/paget-schrotter-syndrome\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/paget-schrotter-syndrome\\\/\"},\"author\":{\"name\":\"Johnson Francis\",\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/#\\\/schema\\\/person\\\/5441d907049b914770f4bd98fb57feec\"},\"headline\":\"Paget Schroetter Syndrome &#8211; 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