Is Routine Postoperative Anticoagulation Necessary In All Patients After First Rib Resection for Paget-Schroetter Syndrome?

Definitive treatment of Paget-Schroetter syndrome (PSS) involves first rib resection (FRR),division of the anterior scalene muscle, and resection of the subclavius muscle. This is a single institution experience with PSS, according to a treatment algorithm of preoperative venogram (accompanied by lysis and percutaneous mechanical thrombectomy as needed) followed by transaxillary FRR. In the later period of this experience, patients have often been discharged on aspirin only, with no plan for anticoagulation postoperatively.
Source: Annals of Vascular Surgery - Category: Surgery Authors: Tags: Clinical Research, Basic Science Source Type: research