Primary Subclavian Venous Thrombosis: Report of Three Cases and Review of the Japanese Literatures

Abstract

Significant improvements were made in management of primary subclavian venous thrombosis due to venous thoracic outlet syndrome and unknown cause. The management according to the algorithm has become popular. We reviewed 86 cases from Japanese literatures and noticed that the aim of the management is recovery from symptoms in Japan although various treatments have been performed for patients. We treated three patients of primary subclavian venous thrombosis (Paget-Schroetter syndrome) with combined conservative therapy (thrombolysis and anticoagulant). All patients were relieved from symptoms and returned to social life without any complications. We constructed our protocol to treat Paget-Schroetter syndrome.