Evidence map›Paper›PMID 41881255›Full record

ArticleJournal of vascular surgery. Venous and lymphatic disorders2026

Endovascular treatment of acute upper extremity deep vein thrombosis in Paget-Schroetter syndrome: A longitudinal analysis of three endovascular techniques.

Naomi Elbaranes, Anja Ulrich, Simon Wolf, Leonie Rimann, Benedetta Madaro, Nils Kucher, Stefano Barco

Abstract readComparative Study
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of vascular surgery. Venous and lymphatic disorders, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Balancing early thrombus removal with durable decompression in Paget-Schroetter syndrome.Journal of vascular surgery. Venous and lymphatic disorders · 2026
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Naomi ElbaranesDepartment of Vascular Medicine, University Hospital Zurich, Zurich, Switzerland; Medical Department, University of Zurich, Zurich, Switzerland. Electronic address: nelbaranes@gmail.com.
Anja UlrichMedical Department, University of Zurich, Zurich, Switzerland.
Simon WolfDepartment of Vascular Medicine, University Hospital Zurich, Zurich, Switzerland.
Leonie RimannDepartment of Vascular Medicine, University Hospital Zurich, Zurich, Switzerland; Medical Department, University of Zurich, Zurich, Switzerland.
Benedetta MadaroDepartment of Vascular Medicine, University Hospital Zurich, Zurich, Switzerland; Internal Medicine Residency Program, School of Medicine, University of Insubria, Varese, Italy.
Nils KucherDepartment of Vascular Medicine, University Hospital Zurich, Zurich, Switzerland; Medical Department, University of Zurich, Zurich, Switzerland.
Stefano BarcoDepartment of Vascular Medicine, University Hospital Zurich, Zurich, Switzerland; Centre for Thrombosis and Hemostasis, Academic Medical Centre of the Johannes Gutenberg University Mainz, Mainz, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveOptimal procedural strategies for the management of acute upper extremity deep vein thrombosis (UEDVT) due to Paget-Schroetter syndrome are poorly studied due to its rarity. The aim of this study was to compare short-term patency, complication rates, and course after endovascular therapy of acute UEDVT due to Paget-Schroetter syndrome.

methodsIn this single-center retrospective longitudinal study, data of consecutive patients with acute Paget-Schroetter syndrome treated with interventional thrombectomy at the University Hospital Zurich with any available device: computer assisted vacuum thrombectomy (CAVT), AngioJet/Zelante catheter, or catheter-directed thrombolysis (CDT) was collected. We studied the need for reintervention, primary and secondary patency, and course of symptoms at 2 weeks, 3 months, and 6 months.

resultsWe included 41 patients with acute UEDVT treated between 2017 and 2025. The median age was 34 years; 61% were men, and 41% were athletes. After a median symptom duration of 4 days, they received thrombectomy with AngioJet/Zelante (61%), CAVT (17%), and CDT (22%). Sixteen patients (39%) required reintervention, mostly within 48 hours (62.5%). Primary patency was 60% (24/40) at 2 weeks, 52.6% (20/38) at 3 months, and 54.1% (20/37) at 6 months (P = .08 for between-group difference). Secondary patency was 72%, 76%, and 86%, respectively. Kaplan-Meier analysis showed higher freedom from reintervention after CAVT (P = .04). Symptom relief occurred mainly within the first 2 weeks: swelling (98% to 17%), pain (60% to 14%). Cyanosis resolved by 6 months, whereas paresthesia slightly increased (15% to 23%). Only one major and one minor bleeding event occurred.

conclusionsCatheter-directed therapies appeared to be safe and effective for UEDVT due to Paget-Schroetter syndrome. In this exploratory study, bearing the small sample size, the data suggest that single-session thrombectomy (especially CAVT) may be associated with fewer reinterventions and higher primary patency.

Indexed as

Endovascular ProceduresThrombectomyThrombolytic TherapyUpper Extremity Deep Vein ThrombosisAcute DiseaseAdultFemaleHumansLongitudinal StudiesMaleMiddle AgedRetrospective StudiesTime FactorsTreatment OutcomeVascular PatencyYoung AdultCatheter-directed thrombolysisClinical outcomesComputer-assisted vacuum thrombectomyPaget-Schroetter syndromePatencyUpper extremity deep vein thrombosis

Identifiers

PMID41881255
PMCPMC13129431

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.