Arm Swelling

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Sharon L. Hammond - One of the best experts on this subject based on the ideXlab platform.

  • Subclavian vein obstruction without thrombosis.
    Journal of Vascular Surgery, 2005
    Co-Authors: Richard J. Sanders, Sharon L. Hammond
    Abstract:

    Background Unilateral Arm Swelling caused by subclavian vein obstruction without thrombosis is an uncommon form of venous thoracic outlet syndrome (TOS). In 87 patients with venous TOS, only 21 patients had no thrombosis. We describe the diagnosis and treatment of these patients. Material and methods Twenty-one patients with Arm Swelling, cyanosis, and venograms demonstrating partial subclavian vein obstruction were treated with transaxillary first rib resection and venolysis. Results Eighteen (86%) of 21 patients had good-to-excellent improvement of symptoms. There were two failures (9%). Conclusions Unilateral Arm Swelling without thrombosis, when not caused by lymphatic obstruction, may be due to subclavian vein compression at the costoclavicular ligament because of compression either by that ligament or the subclavius tendon most often because of congenital close proximity of the vein to the ligament. Arm symptoms of neurogenic TOS, pain, and paresthesia often accompany venous TOS while neck pain and headache, other common symptoms of neurogenic TOS, are infrequent. Diagnosis was made by dynamic venography. First rib resection, which included the anterior portion of rib and cartilage plus division of the costoclavicular ligament and subclavius tendon, proved to be effective treatment.

  • Venous thoracic outlet syndrome.
    Hand Clinics, 2004
    Co-Authors: Richard J. Sanders, Sharon L. Hammond
    Abstract:

    Venous thoracic outlet syndrome is caused by subclavian vein obstruction with or without thrombosis. The primary symptom is Arm Swelling, frequently accompanied by cyanosis, pain, and occasionally paresthesias. Venography is the only reliable diagnostic tool. Therapy has three goals: (1) remove the thrombus (in thrombotic cases), (2) remove the extrinsic compression, and in a minority of cases, (3) remove the intrinsic stenosis.

Peter Mortimer - One of the best experts on this subject based on the ideXlab platform.

  • The psychological morbidity of breast cancer–related Arm Swelling. Psychological morbidity of lymphoedema
    Cancer, 1993
    Co-Authors: Marie B. Tobin, Hubert J. Lacey, Lesley Meyer, Peter Mortimer
    Abstract:

    Background. The psychological morbidity, functional impairment, and disturbance in psychosocial adjustment to illness was evaluated in relation to breast cancer-related Arm Swelling. Methods. Fifty women with breast cancer-related Arm Swelling were matched with 50 control subjects for age, duration since treatment, and type of treatment received. All study participants were free from active disease and had been treated more than 1 year ago. Results. Patients with Arm Swelling showed greater psychological morbidity at formal psychiatric interview, impaired adjustment to illness as evaluated by the Psychosocial Adjustment to Illness Scale, and greater impairment of physical functioning. Conclusions. Patients with Arm Swelling in relation to breast cancer experienced functional impairment, psychosocial maladjustment, and increased psychological morbidity. These findings have implications for management of breast cancer.

  • the psychological morbidity of breast cancer related Arm Swelling psychological morbidity of lymphoedema
    Cancer, 1993
    Co-Authors: Marie Tobin, Hubert J. Lacey, Lesley Meyer, Peter Mortimer
    Abstract:

    Background. The psychological morbidity, functional impairment, and disturbance in psychosocial adjustment to illness was evaluated in relation to breast cancer-related Arm Swelling. Methods. Fifty women with breast cancer-related Arm Swelling were matched with 50 control subjects for age, duration since treatment, and type of treatment received. All study participants were free from active disease and had been treated more than 1 year ago. Results. Patients with Arm Swelling showed greater psychological morbidity at formal psychiatric interview, impaired adjustment to illness as evaluated by the Psychosocial Adjustment to Illness Scale, and greater impairment of physical functioning. Conclusions. Patients with Arm Swelling in relation to breast cancer experienced functional impairment, psychosocial maladjustment, and increased psychological morbidity. These findings have implications for management of breast cancer.

Richard J. Sanders - One of the best experts on this subject based on the ideXlab platform.

  • Subclavian vein obstruction without thrombosis.
    Journal of Vascular Surgery, 2005
    Co-Authors: Richard J. Sanders, Sharon L. Hammond
    Abstract:

    Background Unilateral Arm Swelling caused by subclavian vein obstruction without thrombosis is an uncommon form of venous thoracic outlet syndrome (TOS). In 87 patients with venous TOS, only 21 patients had no thrombosis. We describe the diagnosis and treatment of these patients. Material and methods Twenty-one patients with Arm Swelling, cyanosis, and venograms demonstrating partial subclavian vein obstruction were treated with transaxillary first rib resection and venolysis. Results Eighteen (86%) of 21 patients had good-to-excellent improvement of symptoms. There were two failures (9%). Conclusions Unilateral Arm Swelling without thrombosis, when not caused by lymphatic obstruction, may be due to subclavian vein compression at the costoclavicular ligament because of compression either by that ligament or the subclavius tendon most often because of congenital close proximity of the vein to the ligament. Arm symptoms of neurogenic TOS, pain, and paresthesia often accompany venous TOS while neck pain and headache, other common symptoms of neurogenic TOS, are infrequent. Diagnosis was made by dynamic venography. First rib resection, which included the anterior portion of rib and cartilage plus division of the costoclavicular ligament and subclavius tendon, proved to be effective treatment.

  • Venous thoracic outlet syndrome.
    Hand Clinics, 2004
    Co-Authors: Richard J. Sanders, Sharon L. Hammond
    Abstract:

    Venous thoracic outlet syndrome is caused by subclavian vein obstruction with or without thrombosis. The primary symptom is Arm Swelling, frequently accompanied by cyanosis, pain, and occasionally paresthesias. Venography is the only reliable diagnostic tool. Therapy has three goals: (1) remove the thrombus (in thrombotic cases), (2) remove the extrinsic compression, and in a minority of cases, (3) remove the intrinsic stenosis.

Zia Ur Rehman - One of the best experts on this subject based on the ideXlab platform.

  • Recurrent Brachiocephalic Vein Stenosis as a Cause for Persistent Left-sided Transudative Pleural Effusion in a Hemodialysis Patient
    Annals of Vascular Surgery, 2016
    Co-Authors: Muhammad Abdul Mabood Khalil, Muhammad Sharoz Rabbani, Noor Rehman Chima, Jackson Tan, Muhammad Ashhad Ullah Khalil, Zia Ur Rehman
    Abstract:

    Background Effusion is common in dialysis patients. The most common causes include fluid overload due to renal failure and nonrenal causes like congestive heart failure and infection. We here report a case of left side transudative effusion due to brachiocephalic venous stenosis. Methods A 34-year-old female who had chronic kidney disease V during transplant work-up was found to be having left Arm Swelling and left transudative effusion. Work-up for transudative effusion did not show any cardiac cause or liver problem. Her dialysis duration was optimized from 2 times a week to 3 times a week for 4 hr and her dry weight was adjusted. Despite adequate dialysis for 1 month, effusion on the left side persisted. She had a previous venoplasty for a stenosis in brachiocephalic vein but restenosis occurred again. Results Brachiocephalic vein stenting was performed which successfully lead to resolution of left Arm Swelling and left effusion. She was later on successfully transplanted. Conclusions Brachiocephalic stenosis can cause ipsilateral transudative effusion. Venoplasty and stenting of the brachiocephalic vein lead to complete resolution of effusion.

  • Recurrent Brachiocephalic Vein Stenosis as a Cause for Persistent Left-sided Transudative Pleural Effusion in a Hemodialysis Patient.
    Annals of Vascular Surgery, 2016
    Co-Authors: Muhammad Abdul Mabood Khalil, Muhammad Sharoz Rabbani, Noor Rehman Chima, Jackson Tan, Muhammad Ashhad Ullah Khalil, Zia Ur Rehman
    Abstract:

    Effusion is common in dialysis patients. The most common causes include fluid overload due to renal failure and nonrenal causes like congestive heart failure and infection. We here report a case of left side transudative effusion due to brachiocephalic venous stenosis. A 34-year-old female who had chronic kidney disease V during transplant work-up was found to be having left Arm Swelling and left transudative effusion. Work-up for transudative effusion did not show any cardiac cause or liver problem. Her dialysis duration was optimized from 2 times a week to 3 times a week for 4 hr and her dry weight was adjusted. Despite adequate dialysis for 1 month, effusion on the left side persisted. She had a previous venoplasty for a stenosis in brachiocephalic vein but restenosis occurred again. Brachiocephalic vein stenting was performed which successfully lead to resolution of left Arm Swelling and left effusion. She was later on successfully transplanted. Brachiocephalic stenosis can cause ipsilateral transudative effusion. Venoplasty and stenting of the brachiocephalic vein lead to complete resolution of effusion. Copyright © 2016 Elsevier Inc. All rights reserved.

Suto H - One of the best experts on this subject based on the ideXlab platform.

  • A case of venous thoracic outlet syndrome recognized by Arm Swelling.
    Radiation Medicine, 2002
    Co-Authors: Yoshiyuki Suzuki, Jun Shinozaki, Masahide Fukushima, Suto H
    Abstract:

    : Most cases of thoracic outlet syndrome are detected by neulogical symptoms, and most of the other symptoms are caused by arterial stenosis. It is rare for the syndrome to be recognized by venous symptoms. We report a 56-year-old woman with thoracic outlet syndrome recognized by Arm Swelling. She was admitted for radiation therapy of a recurrent tumor of lung cancer at the left apex. Her right Arm gradually became swollen. We performed venography from the right median cubital vein because of suspected venous thrombosis. Venography revealed stenosis of the right subclavian vein at the costoclavicular space, and this finding was confirmed by helical CT. These findings strongly support our diagnosis of thoracic outlet syndrome.