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Axillo-Subclavian Vein Thrombosis

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Symptoms and risk factors of a Paget-Schroetter syndrome

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Axillo-subclavian vein thrombosis develops when a rib or a nearby muscle presses on the axillary vein in the armpit or the subclavian vein in front of the shoulder. This rare condition is a type of thoracic outlet syndrome (TOS) caused by repetitive arm motion, particularly in athletes.

Repeated compression causes the vein to become inflamed and fibrous tissue to build up. This tissue causes the vein to narrow and restrict blood flow, leading to the formation of blood clots.

Left untreated, axillo-subclavian vein thrombosis can cause:

  • Arm pain and fatigue
  • Arm swelling
  • Chronic venous insufficiency
  • Pulmonary Hypertension

The specialists in our Vascular and Endovascular Program are leaders in treating venous issues with minimally invasive techniques.

What are the symptoms?

Symptoms can be vague until the vein is fairly blocked. At that time, you may experience:

  • Bluish skin color
  • Heaviness of the arm
  • Muscle bulk that doesn’t match the other arm
  • Swelling and pain in the arm

Who is at risk?

The condition can affect anyone, but you are at increased risk if you:

  • Participate in sports that require repetitive arm and shoulder motions, such as baseball, softball, basketball, hockey, swimming, tennis and weightlifting
  • Work in occupations that involve repetitive use of the arm, such as construction work, house painting or window washing
  • Have a blood clotting disorder
  • Have a central venous catheter in the subclavian vein, such as for chemotherapy or hemodialysis
  • Have a pacemaker or defibrillator, because the wires pass through the area

Vascular and Endovascular Program

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Tests

Angiogram (Angiography)

An angiogram is a special X-ray taken as a special dye is injected through a thin, flexible tube called a catheter to detect blockages or aneurysms in blood vessels.

Chest X-ray

Chest X-rays use a small dose of radiation to create pictures of the structures inside the chest, including the lungs, heart and chest wall.

Computerized Tomography (CT) Scan

The cardiac computed tomography scan, or cardiac CT, uses X-rays to create three-dimensional images of your heart and blood vessels.

Magnetic Resonance Imaging (MRI)

Magnetic resonance imaging, better known as cardiac MRI, is a combination of radio waves, magnets and computer technology to create images of your heart and blood vessels.

Treatments

In the early stages of axillo-subclavian vein thrombosis, medication may be successful to dissolve clots (thrombolysis). In some cases, surgery may be recommended to restore blood flow or to remove the rib or muscle causing the problem.

Thoracic Outlet Decompression

Learn how MedStar Heart & Vascular Institute uses thoracic outlet decompression to treat thoracic outlet syndrome.

Physicians

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20 Doctors & Specialists
Dr. Edward Yiming Woo, MD
Dr. Edward Yiming Woo, MD
Vascular Surgery
(239)
106 Irving Street Northwest Physician Office Building North Tower, Suite 3150 Washington, DC 20010
(202) 877-0275
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Dr. Geetha Jeyabalan, MD
Dr. Geetha Jeyabalan, MD
Vascular Surgery
(268)
2002 Medical Parkway Suite 520 Annapolis, MD 21401
(410) 571-8430
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Dr. Kevin Arthur Brown, MD
Dr. Kevin Arthur Brown, MD
Vascular Surgery
2002 Medical Parkway Suite 520 Annapolis, MD 21401
410-571-8430
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Dr. Stephen Fulvio Stanziale, MD
Dr. Stephen Fulvio Stanziale, MD
Vascular Surgery
(282)
9101 Franklin Square Drive Outpatient Center, Suite 212 Baltimore, MD 21237
(443)-777-1900
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Dr. Jason Ryan Crowner, MD
Dr. Jason Ryan Crowner, MD
Vascular Surgery
5601 Loch Raven Boulevard GSH SMYTH BLDG Baltimore, MD 21239
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Dr. Javairiah Fatima, MD
Dr. Javairiah Fatima, MD
Vascular Surgery
18101 Prince Philip Drive Olney, MD 20832
(301) 774-8962
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Dr. Krystal C. Maloni, MD
Dr. Krystal C. Maloni, MD
Vascular Surgery
110 Irving Street Northwest Center for Vascular Care Washington, DC 20010
202-416-2000
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Dr. Cameron M. Akbari, MD, MBA
Dr. Cameron M. Akbari, MD, MBA
Vascular Surgery
(278)
106 Irving Street Northwest Suite 3600 Washington, DC 20010
(202) 444-2255
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Dr. Mark O'Brien Peeler, MD
Dr. Mark O'Brien Peeler, MD
Vascular Surgery
(469)
2002 Medical Parkway Suite 520 Annapolis, MD 21401
(410) 571-8430
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Dr. Jason Andrew Chin, MD
Dr. Jason Andrew Chin, MD
Vascular Surgery
5601 Loch Raven Boulevard Smyth Bldg Ste 303 Baltimore, MD 21239
(443) 444-3431
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Dr. Steven David Abramowitz, MD
Dr. Steven David Abramowitz, MD
Vascular Surgery
(237)
106 Irving Street Northwest Suite 3150 Washington, DC 20010
(202) 877-0275
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Dr. Margaret Walkup Arnold, MD
Dr. Margaret Walkup Arnold, MD
Vascular Surgery
9000 Franklin Square Drive Baltimore, MD 21237
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Dr. Joshua A. Dearing, MD
Dr. Joshua A. Dearing, MD
Vascular Surgery
(193)
7501 Surratts Road 208 Clinton, MD 20735
301-877-7353
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Dr. Ayesha Nzeribe Hatch, MD
Dr. Ayesha Nzeribe Hatch, MD
Vascular Surgery
106 Irving Street Northwest Suite NW Washington, DC 20010
(202) 877-3100
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Dr. Raghuveer Vallabhaneni, MD
Dr. Raghuveer Vallabhaneni, MD
Vascular Surgery
(179)
3333 North Calvert Street Johnston Professional Building Baltimore, MD 21218
(410) 554-2950
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Dr. Lucy B. Kupersmith, MD
Dr. Lucy B. Kupersmith, MD
Vascular Surgery
1630 Main Street Suite 208 Chester, MD 21619
(410) 571-8430
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Dr. Arthur Flatau, III, MD
Dr. Arthur Flatau, III, MD
Vascular Surgery
(316)
25500 Point Lookout Road Floor 2 Leonardtown, MD 20650
(240) 434-4072
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Dr. Misaki Mikki Kiguchi, MD
Dr. Misaki Mikki Kiguchi, MD
Vascular Surgery
(364)
3800 Reservoir Road Northwest 4th Floor Washington, DC 20007
(202) 444-2255
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Dr. John Harvey, MD
Dr. John Harvey, MD
Vascular Surgery
(267)
24035 Three Notch Road Hollywood, MD 20636
(301) 373-7900
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Dr. Suzanne Siefert Kool, MD
Dr. Suzanne Siefert Kool, MD
Vascular Surgery
(182)
5601 Loch Raven Boulevard GSH SMYTH BLDG Baltimore, MD 21239
(410) 554-2950
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