Paget-Schroetter Disease I82.729 453.72

 

synonyms:Paget-Schroetter Disease, axillo-subclavian vein thrombosis

ICD-10

  • I82.729:    Chronic embolism and thrombosis of deep veins of unspecified upper extremity

ICD-9

  • 453.82 Acute venous embolism and thrombosis of the deep veins of upper extremity
  • 453.72 Chronic venous embolism and thrombosis of the deep veins of upper extremity

Etiology / Epidemiology / Natural History

  • Associated with weight lifting, throwing athletes

Anatomy

Clinical Evaluation

  • Diffuse upper extremity swelling/edema from the hand to the axilla. May be painful or painfree.
  • Examine for signs of cellulitis / infection (erythema, axillary lymph adenopathy)

Xray / Diagnositc Tests

  • Diagnosed with upper extremity ultrasound which demonstrates thrombus in the subclavian and axillary veins.

Classification / Treatment

  • Venogram / angiojet thrombolysis

Associated Injuries / Differential Diagnosis

  • Cellulitis / infections
  • Lung tumor; Pancoast tumor
  • Thoracic Outlet

Complications

Follow-up Care

Review References