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Schastlivtsev I.V.

Pirogov’s Russian National Research Medical University

Lobastov K.V.

Pirogov Russian National Research Medical University

Kanzafarova I.Yu.

Mayo Clinic

Can McCleery Syndrome Lead to Acute Venous Thrombosis?

Authors:

Schastlivtsev I.V., Lobastov K.V., Kanzafarova I.Yu.

More about the authors

Journal: Journal of Venous Disorders. 2021;15(4): 304‑310

DOI: 10.17116/flebo202115041304

Views: 2092

Downloaded: 34

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Table of contents

CAN MCCLEERY SYNDROME LEAD TO ACUTE VENOUS THROMBOSIS?
CAN MCCLEERY SYNDROME LEAD TO ACUTE VENOUS THROMBOSIS?

To cite this article:

Schastlivtsev IV, Lobastov KV, Kanzafarova IYu. Can McCleery Syndrome Lead to Acute Venous Thrombosis? Journal of Venous Disorders. 2021;15(4):304‑310. (In Russ.)
https://doi.org/10.17116/flebo202115041304

Подписка 2025-2 (Journal of Venous Disorders)
 
МСФ на ЯМ
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Management of McCleery syndrome and its complication are presented. Over 5-year period, the patient periodically suffered from edema and blue discoloration of skin of the right upper extremity arising after physical exertion and regressing at rest after 20-30 min. Thrombosis of the right subclavian vein occurred after physical exercise on December 5, 2017. On December 11, 2017, the patient underwent regional catheter thrombolysis with alteplase (bolus 5 mg followed by infusion 1 mg/100 ml/h). Thrombolytic therapy for 24 hours resulted clinical improvement. Phlebography confirmed complete lysis of clots. However, subclavian vein deformation and parietal filling defect were found within the right costoclavicular space. Ultrasound with functional tests revealed signs of the right subclavian vein compression by anterior scalene muscle. A month later, transient impairment of venous outflow occurred despite anticoagulation. Considering persistent compression by hypertrophied anterior scalene muscle and transient impairment of venous outflow, the patient underwent right-sided scalenotomy on May 23, 2018. Postoperative period was uneventful. Control ultrasound confirmed no compression. Untimely diagnosis of McCleery syndrome and ignorance of its typical symptoms resulted acute thrombosis of the right subclavian vein in this patient. Thrombolysis and anticoagulation ensured complete recanalization of subclavian vein. However, symptoms of periodic positional obstruction of subclavian vein persisted. Scalenotomy eliminated external compression of the right subclavian vein. Surgical treatment not only significantly improved the patient’s quality of life, but also prevented recurrent venous thrombosis.

Keywords:

McCleery syndrome
venous thrombosis
upper extremities
thoracic outlet syndrome

Authors:

Schastlivtsev I.V.

Pirogov’s Russian National Research Medical University

Lobastov K.V.

Pirogov Russian National Research Medical University

Kanzafarova I.Yu.

Mayo Clinic

Received:

28.07.2021

Accepted:

30.08.2021

List of references:

  1. Peet RM, Henriksen JD, Anderson TP, Martin GM. Thoracic-outlet syndrome: evaluation of a therapeutic exercise program. Proc Staff Meet Mayo Clin. 1956;31(9):281-287. 
  2. Wójcik G, Sokolowska B, Piskorz J. Epidemiology and pathogenesis of thoracic outlet syndrome. Current Issues in Pharmacy and Medical Sciences. 2015;28:24-27.  https://doi.org/10.1515/cipms-2015-0036
  3. Sanders RJ, Hammond SL, Rao NM. Diagnosis of thoracic outlet syndrome. J Vasc Surg. 2007;46(3):601-604.  https://doi.org/10.1016/j.jvs.2007.04.050
  4. Illig KA, Doyle AJ. A comprehensive review of Paget-Schroetter syndrome. J Vasc Surg. 2010;51(6):1538-1547. https://doi.org/10.1016/j.jvs.2009.12.022
  5. Illig KA, Donahue D, Duncan A, Freischlag J, Gelabert H, Johansen K, Jordan S, Sanders R, Thompson R. Reporting standards of the Society for Vascular Surgery for thoracic outlet syndrome. J Vasc Surg. 2016;64(3):23-35.  https://doi.org/10.1016/j.jvs.2016.04.039
  6. Vedantham S, Thorpe PE, Cardella JF, Grassi CJ, Patel NH, Ferral H, Hofmann LV, Janne d’Othée BM, Antonaci VP, Brountzos EN, Brown DB, Martin LG, Matsumoto AH, Meranze SG, Miller DL, Millward SF, Min RJ, Neithamer CD Jr, Rajan DK, Rholl KS, Schwartzberg MS, Swan TL, Towbin RB, Wiechmann BN, Sacks D; CIRSE and SIR Standards of Practice Committees. Quality improvement guidelines for the treatment of lower extremity deep vein thrombosis with use of endovascular thrombus removal. J Vasc Interv Radiol. 2009;20(7 Suppl):227-239.  https://doi.org/10.1016/j.jvir.2009.04.016
  7. Czihal M, Paul S, Rademacher A, Bernau C, Hoffmann U. Impact of the postthrombotic syndrome on quality of life after primary upper extremity deep venous thrombosis. Vasa. 2012;41(3):200-204.  https://doi.org/10.1024/0301-1526/a000186
  8. McCleery RS, Kesterson JE, Kirtley JA, Love RB. Subclavius and anterior scalene muscle compression as a cause of intermittent obstruction of the subclavian vein. Ann Surg. 1951;133(5):588-601.  https://doi.org/10.1097/00000658-195105000-00002
  9. Ryan CP, Mouawad NJ, Vaccaro PS, Go MR. A Patient-Centered Approach to Guide Follow-Up and Adjunctive Testing and Treatment after First Rib Resection for Venous Thoracic Outlet Syndrome Is Safe and Effective. Diagnostics (Basel). 2018;8(1):4.  https://doi.org/10.3390/diagnostics8010004
  10. Chen H, Doornbos N, Williams K, Criado E. Physiologic variations in venous and arterial hemodynamics in response to postural changes at the thoracic outlet in normal volunteers. Ann Vasc Surg. 2014;28(7):1583-1588. https://doi.org/10.1016/j.avsg.2014.05.003
  11. Sheng GG, Duwayri YM, Emery VB, Wittenberg AM, Moriarty CT, Thompson RW. Costochondral calcification, osteophytic degeneration, and occult first rib fractures in patients with venous thoracic outlet syndrome. J Vasc Surg. 2012;55(5):1363-1369. https://doi.org/10.1016/j.jvs.2011.11.124
  12. Weber AE, Criado E. Relevance of bone anomalies in patients with thoracic outlet syndrome. Ann Vasc Surg. 2014;28(4):924-932.  https://doi.org/10.1016/j.avsg.2013.08.014
  13. Henry BM, Vikse J, Sanna B, Taterra D, Gomulska M, Pękala PA, Tubbs RS, Tomaszewski KA. Cervical Rib Prevalence and its Association with Thoracic Outlet Syndrome: A Meta-Analysis of 141 Studies with Surgical Considerations. World Neurosurg. 2018;110:965-978.  https://doi.org/10.1016/j.wneu.2017.11.148
  14. Stewman C, Vitanzo PC Jr, Harwood MI. Neurologic thoracic outlet syndrome: summarizing a complex history and evolution. Curr Sports Med Rep. 2014;13(2):100-106.  https://doi.org/10.1249/JSR.0000000000000038
  15. Arnhjort T, Nordberg J, Delle M, Borgis CJ, Rosfors S, Lärfars G. The importance of the costoclavicular space in upper limb primary deep vein thrombosis, a study with magnetic resonance imaging (MRI) technique enhanced by a blood pool agent. Eur J Intern Med. 2014;25(6):545-549.  https://doi.org/10.1016/j.ejim.2014.05.005
  16. Naeem M, Soares G, Ahn S, Murphy TP. Paget-Schroetter syndrome: A review and Algorithm (WASPS-IR). Phlebology. 2015;30(10):675-686.  https://doi.org/10.1177/0268355514568534
  17. Moore R, Wei Lum Y. Venous thoracic outlet syndrome. Vasc Med. 2015; 20(2):182-189.  https://doi.org/10.1177/1358863X14568704
  18. Lord JW Jr. Thoracic outlet syndromes: current management. Ann Surg. 1971;173(5):700-705.  https://doi.org/10.1097/00000658-197105000-00010
  19. Charrette EJ, Iyengar KS, Lynn RB, Challis TW. Symptomatic non-thrombotic subclavian vein obstruction. Surgical relief in six patients. Vasc Surg. 1973;7(4):220-231.  https://doi.org/10.1177/153857447300700408
  20. Likes K, Rochlin DH, Call D, Freischlag JA. McCleery syndrome: etiology and outcome. Vasc Endovascular Surg. 2014;48(2):106-110.  https://doi.org/10.1177/1538574413512380
  21. Thiyagarajah K, Ellingwood L, Endres K, Hegazi A, Radford J, Iansavitchene A, Lazo-Langner A. Post-thrombotic syndrome and recurrent thromboembolism in patients with upper extremity deep vein thrombosis: A systematic review and meta-analysis. Thromb Res. 2019;174:34-39.  https://doi.org/10.1016/j.thromres.2018.12.012

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