McCleery syndrome: Etiology and outcome

Kendall Likes, Danielle H. Rochlin, Diana Call, Julie A. Freischlag

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Objectives: Patients presenting with swelling of the upper extremity without thrombosis have McCleery syndrome or intermittent compression of the subclavian vein. The purpose of this study was to determine outcomes in these patients who underwent first rib resection and scalenectomy (FRRS). Methods: Using a prospectively maintained database from 2003 to 2011, patients were retrospectively reviewed for presentation, diagnosis, treatment, and clinical outcomes. Results: Of the patients presenting with venous thoracic outlet syndrome, 19 (11%; 13 F/6 M; mean age 26 [10-44]) presented with intermittent arm swelling, of which 3 were identified as having chronic thrombus. A total of 20 FRRS operations were performed. Conclusions: First rib resection and scalenectomy is effective in relieving symptoms in patients with McCleery syndrome. These patients do not generally need a postoperative venogram unless they experience continuing symptoms. In patients with chronic thrombus, routine postoperative venography at 2 weeks is indicated. Patients can present with intermittent compression if an acute episode of deep vein thrombosis is not aggressively treated.

Original languageEnglish (US)
Pages (from-to)106-110
Number of pages5
JournalVascular and Endovascular Surgery
Volume48
Issue number2
DOIs
StatePublished - 2014
Externally publishedYes

Fingerprint

Ribs
Thrombosis
Thoracic Outlet Syndrome
Subclavian Vein
Phlebography
Upper Extremity
Venous Thrombosis
Arm
Databases

Keywords

  • chronic disease
  • decompression
  • Doppler
  • duplex
  • retrospective studies
  • ribs/surgery
  • subclavian vein/ultrasonography
  • surgical
  • treatment outcome
  • ultrasonography
  • vascular patency

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Surgery

Cite this

Likes, K., Rochlin, D. H., Call, D., & Freischlag, J. A. (2014). McCleery syndrome: Etiology and outcome. Vascular and Endovascular Surgery, 48(2), 106-110. https://doi.org/10.1177/1538574413512380

McCleery syndrome : Etiology and outcome. / Likes, Kendall; Rochlin, Danielle H.; Call, Diana; Freischlag, Julie A.

In: Vascular and Endovascular Surgery, Vol. 48, No. 2, 2014, p. 106-110.

Research output: Contribution to journalArticle

Likes, K, Rochlin, DH, Call, D & Freischlag, JA 2014, 'McCleery syndrome: Etiology and outcome', Vascular and Endovascular Surgery, vol. 48, no. 2, pp. 106-110. https://doi.org/10.1177/1538574413512380
Likes, Kendall ; Rochlin, Danielle H. ; Call, Diana ; Freischlag, Julie A. / McCleery syndrome : Etiology and outcome. In: Vascular and Endovascular Surgery. 2014 ; Vol. 48, No. 2. pp. 106-110.
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