Paget-Schroetter disease MRI
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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
Magnetic resonance imaging (MRI) is useful in the presence of atypical symptoms or in the setting of a normal ultrasound in a highly suspected patient.
MRI
- Magnetic resonance venography with 100% sensitivity and 97% specificity is one of the most accurate non-invasive diagnostic tools for Paget-Schroetter disease.[1]
- MR venography is capable of detecting thrombus in the venous system.[2]
- MR venography has some disadvantages which may limit its usage. Such as :
- Limited availability[3]
- High price
- Magnetic resonance imaging (MRI) is helpful to confirm or exclude the diagnosis when Paget-Schroetter disease is highly suspected, but there are no abnormal ultrasound findings. This imaging method could also be used to study other possible etiologies of Subclavian-Axillary vein compression.[4]
- MR angiography is an accurate diagnostic tool capable of :
- Detecting Axillary-Subclavian vein occlusion
- Point stenosis of Axillary-Subclavian vein at level of the first rib[5]
- Determining the presence of dilated collateral veins (could be helpful to determine thrombus chronicity)[6]
- Positional Subclavian vein obstruction (performed at rest with elevated upper limb)[7]
References
- ↑ 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.
- ↑ "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.
- ↑ 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.
- ↑ 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.