A 33-year-old male developed acute symptomatic effort thrombosis following increased weightlifting. He presented with right upper extremity swelling and venous engorgement. Duplex Doppler and venography confirmed axillosubclavian vein thrombosis and stenosis. Thrombolysis with urokinase failed to resolve the stenosis. Surgical thoracic outlet release was performed, followed by placement of a Wallstent to relieve the stenosis. Postoperative follow-up showed resolution of the thrombosis and stenosis. The patient remained symptom-free for 10 months and is on anticoagulation. Effort thrombosis, or Paget-von Schroetter syndrome, is caused by compression of the subclavian vein by the subclavius muscle or costocoracoid ligament, often during physical activities. Treatment typically involves thrombolysis, anticoagulation, and surgical release. In this case, due to persistent stenosis, a vascular stent was placed after surgical release. The Wallstent was chosen for its flexibility and ability to maintain radial force, effectively resolving the eccentric stenosis. The patient resumed physical activity with modified weight training and no significant complications. Follow-up duplex sonography is performed every 3 months. The case highlights the effectiveness of vascular stenting after surgical release in managing chronic stenosis associated with effort thrombosis.A 33-year-old male developed acute symptomatic effort thrombosis following increased weightlifting. He presented with right upper extremity swelling and venous engorgement. Duplex Doppler and venography confirmed axillosubclavian vein thrombosis and stenosis. Thrombolysis with urokinase failed to resolve the stenosis. Surgical thoracic outlet release was performed, followed by placement of a Wallstent to relieve the stenosis. Postoperative follow-up showed resolution of the thrombosis and stenosis. The patient remained symptom-free for 10 months and is on anticoagulation. Effort thrombosis, or Paget-von Schroetter syndrome, is caused by compression of the subclavian vein by the subclavius muscle or costocoracoid ligament, often during physical activities. Treatment typically involves thrombolysis, anticoagulation, and surgical release. In this case, due to persistent stenosis, a vascular stent was placed after surgical release. The Wallstent was chosen for its flexibility and ability to maintain radial force, effectively resolving the eccentric stenosis. The patient resumed physical activity with modified weight training and no significant complications. Follow-up duplex sonography is performed every 3 months. The case highlights the effectiveness of vascular stenting after surgical release in managing chronic stenosis associated with effort thrombosis.