Paget-Schroetter disease CT
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Anahita Deylamsalehi, M.D.[2]
Overview
Computed tomography (CT) is useful in the presence of atypical symptoms or in the setting of a normal ultrasound in a highly suspected patient.
CT
- Computed tomography (CT) is helpful to confirm or exclude the diagnosis whenever Paget-Schroetter disease is highly suspected, but there are no abnormal ultrasound findings. CT imaging method could also be used to study other possible etiologies of Subclavian-Axillary vein compression.[1][2]
- CT angiography is an accurate diagnostic tool capable of detecting valuable findings suggestive of Paget-Schroetter disease, such as:
- Axillary-Subclavian vein occlusion
- Point stenosis of Axillary-Subclavian vein at level of the first rib[3]
- Determining the presence of dilated collateral veins[4]
- Positional subclavian vein obstruction (when performed at rest with elevated upper limb)[5]
- CT venography can detect thrombus in venous system.[6]
- CT venography is associated with radio contrast related side effects.[7]
References
- ↑ Rosa Salazar, Vladimir; Otálora Valderrama, Sonia del Pilar; Hernández Contreras, María Encarnación; García Pérez, Bartolomé; Arroyo Tristán, Andrés del Amor; García Méndez, María del Mar (2015). "Multidisciplinary Management of Paget-Schroetter Syndrome. A Case Series of Eight Patients". Archivos de Bronconeumología (English Edition). 51 (8): e41–e43. doi:10.1016/j.arbr.2015.05.026. ISSN 1579-2129.
- ↑ Hangge, Patrick; Rotellini-Coltvet, Lisa; Deipolyi, Amy R.; Albadawi, Hassan; Oklu, Rahmi (2017). "Paget-Schroetter syndrome: treatment of venous thrombosis and outcomes". Cardiovascular Diagnosis and Therapy. 7 (S3): S285–S290. doi:10.21037/cdt.2017.08.15. ISSN 2223-3652.
- ↑ Thompson, Robert (2012). "Comprehensive Management of Subclavian Vein Effort Thrombosis". Seminars in Interventional Radiology. 29 (01): 044–051. doi:10.1055/s-0032-1302451. ISSN 0739-9529.
- ↑ Thompson, Robert (2012). "Comprehensive Management of Subclavian Vein Effort Thrombosis". Seminars in Interventional Radiology. 29 (01): 044–051. doi:10.1055/s-0032-1302451. ISSN 0739-9529.
- ↑ Thompson, Robert (2012). "Comprehensive Management of Subclavian Vein Effort Thrombosis". Seminars in Interventional Radiology. 29 (01): 044–051. doi:10.1055/s-0032-1302451. ISSN 0739-9529.
- ↑ "StatPearls". 2020. PMID 29494023.
- ↑ Alla VM, Natarajan N, Kaushik M, Warrier R, Nair CK (2010). "Paget-schroetter syndrome: review of pathogenesis and treatment of effort thrombosis". West J Emerg Med. 11 (4): 358–62. PMC 2967689. PMID 21079709.
- ↑ "Thoracic Outlet Syndrome with Secondary Paget Schröetter Syndrome: A Rare Case of Effort-Induced Thrombosis of the Upper Extremity".