Reply

We appreciate the letter from Schropp et  al regarding our recent study on venous thoracic outlet syndrome (VTOS).1 Although the authors suggest a potential selection bias in our treatment of patients with upper extremity deep vein thrombosis (UEDVT), our approach to the recognition of VTOS is clearly stated in the article: “VTOS should be suspected with the presentation of any otherwise young healthy person with abrupt spontaneous arm swelling, with or without cyanotic discoloration, in the absence of a known central venous catheter, pacemaker, recent arm injury, malignancy, thromboembolic disorder, or history of DVT.” Our pati ent population included all patients referred with UEDVT and VTOS, ranging from those with acute thrombosis treated promptly by contrast venography and catheter-directed therapy (CDT) to those with chronic venous thrombosis treated solely with long-term anticoagulation.

Source: Journal of Vascular Surgery - August 18, 2023 Category: Surgery Authors: Esmaeel Reza Dadashzadeh, J. Westley Ohman, Pavan K. Kavali, Karen M. Henderson, Danita M. Goestenkors, Robert W. Thompson Tags: Letter to the Editor Source Type: research