Scintigraphic assessment of "effort" axillary-subclavian vein thrombosis.
"Effort" axillary-subclavian vein thrombosis (Paget-Schroetter syndrome) is an uncommon deep venous thrombosis due to repetitive activity of the upper limb. Clinical suspicion is usually confirmed by contrast venography. This report describes a case where the diagnosis was made by radionuclide venography (Tc-99m DTPA). The examination was carried out in the acute phase and clearly demonstrated the presence and the site of the obstruction as well as the collateral vessels. Despite a complete clinical recovery, obtained by medical therapy, further examinations performed in the follow-up period showed persistence of the thrombotic obstruction and a rich development of collateral vessels. In the authors' opinion, radionuclide venography is worth considering as a first-choice procedure when an axillary-subclavian vein thrombosis is suspected, and contrast venography should be performed only when surgical treatment is indicated.
Giordano
A
A
Institute of Nuclear Medicine, Catholic University of the Sacred Heart, Rome, Italy.
Muzi
M
M
Massaro
M
M
Rulli
F
F
D000328:Adult; D001367:Axillary Vein / Q000000981:diagnostic imaging*; D012090:Cumulative Trauma Disorders / Q000150:complications*; D006801:Humans; D015994:Incidence; D008297:Male; D009049:Motorcycles; D005082:Physical Exertion; D011877:Radionuclide Imaging; D013350:Subclavian Vein / Q000000981:diagnostic imaging*; D016284:Technetium Tc 99m Pentetate; D013927:Thrombosis / Q000000981:diagnostic imaging* / Q000453:epidemiology / Q000209:etiology
D016284:Technetium Tc 99m Pentetate