Paget-Schroetter disease other diagnostic studies: Difference between revisions
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* Historically contrast [[venography]] was considered as the [[Gold standard (test)|gold standard]] for [[Paget-Schroetter disease]]. However, this expensive and invasive method has been saved for patients with indecisive imaging findings or when intervention is required.<ref name="HanggeRotellini-Coltvet2017">{{cite journal|last1=Hangge|first1=Patrick|last2=Rotellini-Coltvet|first2=Lisa |last3=Deipolyi|first3=Amy R. |last4=Albadawi|first4=Hassan |last5=Oklu|first5=Rahmi |title=Paget-Schroetter syndrome: treatment of venous thrombosis and outcomes|journal=Cardiovascular Diagnosis and Therapy|volume=7|issue=S3|year=2017|pages=S285–S290|issn=22233652|doi=10.21037/cdt.2017.08.15}}</ref> | * Historically contrast [[venography]] was considered as the [[Gold standard (test)|gold standard]] for [[Paget-Schroetter disease]]. However, this expensive and invasive method has been saved for patients with indecisive imaging findings or when intervention is required.<ref name="HanggeRotellini-Coltvet2017">{{cite journal|last1=Hangge|first1=Patrick|last2=Rotellini-Coltvet|first2=Lisa |last3=Deipolyi|first3=Amy R. |last4=Albadawi|first4=Hassan |last5=Oklu|first5=Rahmi |title=Paget-Schroetter syndrome: treatment of venous thrombosis and outcomes|journal=Cardiovascular Diagnosis and Therapy|volume=7|issue=S3|year=2017|pages=S285–S290|issn=22233652|doi=10.21037/cdt.2017.08.15}}</ref> | ||
* [[Venography]] is capable to be used as a diagnostic tool and a therapeutic intervention at the same time. <ref name="IlligDoyle2010">{{cite journal|last1=Illig|first1=Karl A.|last2=Doyle|first2=Adam J.|title=A comprehensive review of Paget-Schroetter syndrome|journal=Journal of Vascular Surgery|volume=51|issue=6|year=2010|pages=1538–1547|issn=07415214|doi=10.1016/j.jvs.2009.12.022}}</ref> | * [[Venography]] is capable to be used as a diagnostic tool and a therapeutic intervention at the same time. <ref name="IlligDoyle2010">{{cite journal|last1=Illig|first1=Karl A.|last2=Doyle|first2=Adam J.|title=A comprehensive review of Paget-Schroetter syndrome|journal=Journal of Vascular Surgery|volume=51|issue=6|year=2010|pages=1538–1547|issn=07415214|doi=10.1016/j.jvs.2009.12.022}}</ref> It could be done | ||
* [[Catheter]] directed contrast [[venography]] can provide accurate anatomical details regarding [[vein]] and [[thrombus]] extension. It is also capable of detecting collateral veins. Due to these features, [[catheter]] directed contrast [[venography]] is a definitive diagnostic tool to confirm the diagnosis.<ref name="Thompson2012">{{cite journal|last1=Thompson|first1=Robert|title=Comprehensive Management of Subclavian Vein Effort Thrombosis|journal=Seminars in Interventional Radiology|volume=29|issue=01|year=2012|pages=044–051|issn=0739-9529|doi=10.1055/s-0032-1302451}}</ref> | * [[Catheter]] directed contrast [[venography]] can provide accurate anatomical details regarding [[vein]] and [[thrombus]] extension. It is also capable of detecting collateral veins. Due to these features, [[catheter]] directed contrast [[venography]] is a definitive diagnostic tool to confirm the diagnosis.<ref name="Thompson2012">{{cite journal|last1=Thompson|first1=Robert|title=Comprehensive Management of Subclavian Vein Effort Thrombosis|journal=Seminars in Interventional Radiology|volume=29|issue=01|year=2012|pages=044–051|issn=0739-9529|doi=10.1055/s-0032-1302451}}</ref> | ||
* [[Catheter]] directed contrast [[venography]] is an essential tool for [[Thrombolytic drug|thrombolytic]] therapy.<ref name="Thompson20122">{{cite journal|last1=Thompson|first1=Robert|title=Comprehensive Management of Subclavian Vein Effort Thrombosis|journal=Seminars in Interventional Radiology|volume=29|issue=01|year=2012|pages=044–051|issn=0739-9529|doi=10.1055/s-0032-1302451}}</ref> | * [[Catheter]] directed contrast [[venography]] is an essential tool for [[Thrombolytic drug|thrombolytic]] therapy.<ref name="Thompson20122">{{cite journal|last1=Thompson|first1=Robert|title=Comprehensive Management of Subclavian Vein Effort Thrombosis|journal=Seminars in Interventional Radiology|volume=29|issue=01|year=2012|pages=044–051|issn=0739-9529|doi=10.1055/s-0032-1302451}}</ref> | ||
*In patients with history of [[renal insufficiency]] or [[Dye allergy|allergic reaction to contrast]] agents, [[carbon dioxide]] and [[Gadolinium|gadolinium-based contrast]] agents are better tolerated. | |||
== References == | == References == |
Revision as of 07:16, 8 June 2020
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Overview
Contrast Venography as an invasive diagnostic tool which is usually used when non-invasive methods are indecisive or intervention is required.
Other Diagnostic Studies : Contrast Venography
- Historically contrast venography was considered as the gold standard for Paget-Schroetter disease. However, this expensive and invasive method has been saved for patients with indecisive imaging findings or when intervention is required.[1]
- Venography is capable to be used as a diagnostic tool and a therapeutic intervention at the same time. [2] It could be done
- Catheter directed contrast venography can provide accurate anatomical details regarding vein and thrombus extension. It is also capable of detecting collateral veins. Due to these features, catheter directed contrast venography is a definitive diagnostic tool to confirm the diagnosis.[3]
- Catheter directed contrast venography is an essential tool for thrombolytic therapy.[4]
- In patients with history of renal insufficiency or allergic reaction to contrast agents, carbon dioxide and gadolinium-based contrast agents are better tolerated.
References
- ↑ 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.
- ↑ Illig, Karl A.; Doyle, Adam J. (2010). "A comprehensive review of Paget-Schroetter syndrome". Journal of Vascular Surgery. 51 (6): 1538–1547. doi:10.1016/j.jvs.2009.12.022. ISSN 0741-5214.
- ↑ 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.