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Power-Pulse Spray Thrombectomy for Treatment of Paget-Schroetter Syndrome

¹ Department of Interventional Radiology, Mount Sinai School of Medicine, Mount Sinai Medical Center, One Gustave L. Levy Pl., Box 1234, New York, NY 10029.
² Department of Vascular Surgery, Mount Sinai School of Medicine, Mount Sinai Medical Center, New York, NY.
³ Department of Vascular Medicine, Mount Sinai School of Medicine, Mount Sinai Medical Center, New York, NY.

OBJECTIVE. This initial single-center study describes three cases of axillary-subclavian vein thrombosis (Paget-Schroetter syndrome) treated with a rapid, novel thrombectomy technique, termed "power-pulse spray thrombectomy," in which a thrombolytic agent is directly infused into the clot via a catheter, followed by intravascular mechanical clot fracture and removal.

CONCLUSION. All patients in this series were treated in a single session. Complete clot removal was successfully achieved without the development of any complications. This is the first description of the application of this technique in the treatment of Paget-Schroetter syndrome to our knowledge.

Keywords: Paget-Schroetter syndrome • thrombolysis • venography

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