| Hypothenar hammer syndrome: Long-term follow-up of selective thrombolysis by 3.0-T MR angiography. | |
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MedLine Citation:
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PMID: 19954914 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: To assess the long-term outcome of selective thrombolysis in patients with hypothenar hammer syndrome by 3.0-T magnetic resonance (MR) angiography. MATERIALS AND METHODS: Seven patients (6 men, 1 woman; mean age, 58.6 +/- 14.4 years) were investigated. Long-term follow-up examinations (9-11 years post-interventional) were based on 3.0-T MR angiography. Pre- versus post-thrombolysis images and post-thrombolysis versus long-term follow-up images were compared with respect to arterial diameter. Additionally, changes in patients' symptoms were assessed. RESULTS: The long-term follow-up examination showed worse contrast filling of the ulnar digits compared to the immediately post-interventional angiographic images only in one patient (14.3%), whereas worse contrast filling of the deep palmar arch or the ulnar artery was registered in three patients (42.9%). Three of seven patients (42.9%) reported worse symptoms, two patients (28.6%) stable symptoms at the long-term follow-up MR angiography. In two patients (28.6%) the change of symptoms could not be observed due to missing post-interventional clinical data. CONCLUSIONS: At the long-term follow-up, clinically, mild progression was found rather often, whereas with respect to imaging findings progression at the ulnar digits was rare. We assume that collateral vessels might play a major role in the post-interventional follow-up. In many instances the patients' symptoms are not in line with the angiographic findings. |
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Authors:
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Klaus M Friedrich; Julia Frühwald-Pallamar; Andreas Stadlbauer; Georg Salem; Erich Salomonowitz |
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Publication Detail:
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Type: Journal Article Date: 2009-12-01 |
Journal Detail:
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Title: European journal of radiology Volume: 75 ISSN: 1872-7727 ISO Abbreviation: Eur J Radiol Publication Date: 2010 Aug |
Date Detail:
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Created Date: 2010-08-13 Completed Date: 2010-12-06 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8106411 Medline TA: Eur J Radiol Country: Ireland |
Other Details:
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Languages: eng Pagination: e27-31 Citation Subset: IM |
Copyright Information:
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Copyright (c) 2009 Elsevier Ireland Ltd. All rights reserved. |
Affiliation:
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Department of Radiology, Medical University Vienna, Waehringer Guertel 18-20, A-1090 Vienna, Austria. klaus.friedrich@meduniwien.ac.at |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Angiography, Digital Subtraction Cumulative Trauma Disorders / complications* Female Fingers / blood supply Follow-Up Studies Hand / blood supply* Humans Ischemia / etiology Magnetic Resonance Angiography* Male Middle Aged Syndrome Thrombolytic Therapy* Thrombosis / diagnosis, drug therapy* Ulnar Artery / injuries* |
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