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

Ami D. Shah1, Danielle R. Bajakian2, Jeffrey W. Olin3 and Robert A. Lookstein1

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.


Figure 1
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  		Fig. 1A —22-year-old athletic woman who underwent power-pulse spray thrombectomy. Initial venogram from left brachial vein sheath shows absence of flow in left axillary vein (arrow). Collaterals are preferentially draining arm from cephalic vein (arrowhead).

 

Figure 2
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  		Fig. 1B —22-year-old athletic woman who underwent power-pulse spray thrombectomy. With catheter in left subclavian vein, venogram shows complete thrombosis of axillary and subclavian vein (arrow).

 

Figure 3
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  		Fig. 1C —22-year-old athletic woman who underwent power-pulse spray thrombectomy. Completion venogram shows complete resolution of venous thrombosis. There is residual venous spur (arrow) at anatomic "pinch off" of subclavian vein between clavicle and first rib. Small residual thrombus is seen in cephalic vein (arrowhead). This procedure took 2.5 hours to complete.

 

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