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. 2022 Oct;12(5):744–755. doi: 10.21037/cdt-22-158

Table 3. Studies comparing CDTL and mechanical thrombectomy for Paget Schroetter syndrome.

Study Year Intervention Clinical outcomes
Schneider et al. (14) 2003 AngioJet debulking followed by CDTL • Average thrombolysis time of 12 hours overall
• 60% of patients found to have post-decompression residual stenosis, successfully managed via PTA
O’Sullivan et al. (21) 2007 Trellis catheter followed by surgical decompression • 50–95% clot removed in 82% of patients
• >95% clot removed in 3 patients
• <50% clot removed in 1 patient
• Average thrombolysis time of 91 minutes
Elman et al. (16) 2006 Mechanical thrombectomy versus CDTL • >50% clot removed in 93% of patients receiving mechanical thrombectomy
• >50% clot removed in 79% of patients receiving CDTL
Zurkiya et al. (10) 2018 CDTL with or without post surgical decompression balloon angioplasty • 86% of patients undergoing CDTL had residual SV stenosis managed with balloon angioplasty
• 4 patients undergoing CDTL had chronic SV occlusion
Wooster et al. (8) 2019 Endovascular intervention with or without surgical decompression • 67% of patients underwent endovascular repair including
• 23 PTA
• 13 Stent
• 18 venous reconstruction
Bashir et al. 2022 CDTL with surgical decompression • Median thrombolysis time of 22 hours (6–46)
• 88% of patients had fully patent SV following decompression
• 100% of patients asymptomatic at follow-up

CDTL, catheter-directed thrombolysis; PTA, percutaneous transluminal angioplasty; SV, subclavian vein.