PMC5523535_01
Doppler ultrasound showing absence of blood flow in the subclavian vein.
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A Doppler ultrasound of the right upper limb showed thrombosis of the right axillary, subclavian vein, and brachial veins (Figures 1 and 2), following which he was started on intravenous (IV) unfractionated heparin.
Doppler ultrasound showing noncompressibility of the axillary vein (arrow) due to thrombus.
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A Doppler ultrasound of the right upper limb showed thrombosis of the right axillary, subclavian vein, and brachial veins (Figures 1 and 2), following which he was started on intravenous (IV) unfractionated heparin.
Angiogram showing abrupt cut-off in the contrast flow in the axillary vein (arrow) indicating obstruction.
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Angiography revealed an abrupt cut-off in the contrast flow in the axillary vein (Figure 3).
Fluoroscopic image showing balloon angioplasty being performed.
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Balloon venoplasty was then performed, using a 10 x 20 mm and subsequently using a 10 x 40 mm Charger balloon (Figure 4).
Peripheral angiogram showing residual stenosis at the level of clavicle (arrow) after performing thrombectomy and angioplasty.
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Repeat venography revealed the presence of mild residual stenosis at the level of the first rib (Figure 5).