Document Detail


Axillary and subclavian venous thrombosis: follow-up evaluation with color Doppler flow US and venography.
MedLine Citation:
PMID:  2188295     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Real-time ultrasonography (US) and color Doppler flow mapping were used to determine prospectively whether venous thrombosis in the upper extremity could be imaged as accurately as with conventional contrast venography. Thirteen patients were imaged. The diagnosis of spontaneous (or "effort") thrombosis was made clinically and confirmed initially at venography (n = 11) or at technetium-99m dynamic scintigraphy (n = 2). After therapy, follow-up imaging with color Doppler flow US and venography was performed in all 13 patients for correlation. Absence of flow signals was noted in five patients with complete occlusion of the subclavian vein, and decreased flow signal was seen in two patients with partial obstruction of the subclavian vein. In five patients, findings returned to normal at color Doppler flow US and venography, and patent collateral veins were seen in one patient. The authors conclude that color Doppler flow US is useful in evaluating venous thrombosis in the upper extremity and might be preferable to venography for follow-up because the discomfort of injection and risk of contrast material-induced phlebitis are eliminated.
Authors:
C J Grassi; J F Polak
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Radiology     Volume:  175     ISSN:  0033-8419     ISO Abbreviation:  Radiology     Publication Date:  1990 Jun 
Date Detail:
Created Date:  1990-06-26     Completed Date:  1990-06-26     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0401260     Medline TA:  Radiology     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  651-4     Citation Subset:  AIM; IM    
Affiliation:
Department of Radiology, Harvard Medical School, Brigham and Women's Hospital, Boston, MA 02215.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Axillary Vein* / radiography
Female
Humans
Male
Phlebography*
Prospective Studies
Subclavian Vein / radiography
Thrombosis / diagnosis*,  drug therapy,  radiography
Ultrasonography*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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