Document Detail


Hypothenar hammer syndrome: Long-term follow-up of selective thrombolysis by 3.0-T MR angiography.
MedLine Citation:
PMID:  19954914     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
Klaus M Friedrich; Julia Frühwald-Pallamar; Andreas Stadlbauer; Georg Salem; Erich Salomonowitz
Related Documents :
17097254 - Candidate image processing for real-time volumetric ct subtraction angiography.
22615174 - An electron paramagnetic resonance spectroscopic investigation on the growth mechanism ...
9107654 - Value of abdominal sonography and mr imaging at 0.5 t in preoperative detection of panc...
11847044 - Contrast-enhanced 3d mr angiography of the carotid artery: comparison with conventional...
17200864 - Perfusion mri before and after acetazolamide administration for assessment of cerebrova...
23682524 - The results of comparisons between ct-guided and fluoroscopic-guided spinal biopsy.
Publication Detail:
Type:  Journal Article     Date:  2009-12-01
Journal Detail:
Title:  European journal of radiology     Volume:  75     ISSN:  1872-7727     ISO Abbreviation:  Eur J Radiol     Publication Date:  2010 Aug 
Date Detail:
Created Date:  2010-08-13     Completed Date:  2010-12-06     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8106411     Medline TA:  Eur J Radiol     Country:  Ireland    
Other Details:
Languages:  eng     Pagination:  e27-31     Citation Subset:  IM    
Copyright Information:
Copyright (c) 2009 Elsevier Ireland Ltd. All rights reserved.
Affiliation:
Department of Radiology, Medical University Vienna, Waehringer Guertel 18-20, A-1090 Vienna, Austria. klaus.friedrich@meduniwien.ac.at
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
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*

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


Previous Document:  Radiation injury of the lung after stereotactic body radiation therapy (SBRT) for lung cancer: A tim...
Next Document:  Simultaneous HPLC analysis of pseudophedrine hydrochloride, codeine phosphate, and triprolidine hydr...