Results of a Flexible Patient-Centered Approach to the Timing of Thoracic Outlet Decompression in Paget-Schroetter Syndrome

Treatment algorithms for subclavian vein (SCV) effort thrombosis (Paget-Schroetter syndrome [PSS]) are multiple, ranging from thrombolysis (TL) with immediate or delayed thoracic outlet decompression (TOD) to conservative treatment with anticoagulation alone. We follow a regimen of TL/pharmacomechanical thrombectomy (PMT), followed by TOD with first rib resection, scalenectomy, venolysis, and selective venoplasty (open or endovascular) performed...