title: Anatomic and functional digital subtraction periangioneurography of the brachial plexus, its terminal branches, and the carotid sheath.
abstract: Correct localization of perineural compressions and adhesions is essential for effective pain relief in the use of local anesthetics, anti-inflammatory drugs, and neurolytic agents for lysis of adhesion by hydraulic distention, blunt dissection, or formal surgery. This article presents a method of entering and navigating the neurovascular sheath of the brachial plexus, the perinueral space of its terminal branches, and the carotid sheath using a catheter/guidewire system for imaging, testing motor function, administering pharmaceuticals, and lysing adhesions.
authors.affiliation: NIDI-Neurociências, Diagnostic and Therapeutic Neuroradiology, Celso Ramos Medical Center, Rua Dom Joaquim 849/885, Primero Andar, Florianópolis/SC CEP 88015-310, Brazil. mmodesto@nidi.com.br
authors.forename: Marco A
authors.initials: MA
authors.lastname: Haberbeck Modesto
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D015901:Angiography, Digital Subtraction / Q000379:methods*; D001917:Brachial Plexus / Q000000981:diagnostic imaging* / Q000293:injuries; D020516:Brachial Plexus Neuropathies / Q000000981:diagnostic imaging / Q000628:therapy; D002277:Carcinoma / Q000556:secondary; D002921:Cicatrix / Q000150:complications; D003287:Contrast Media; D004558:Electric Stimulation; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009046:Motor Neurons / Q000502:physiology; D009119:Muscle Contraction / Q000502:physiology; D009407:Nerve Block; D009437:Neuralgia / Q000000981:diagnostic imaging / Q000628:therapy; D011856:Radiographic Image Enhancement; D013901:Thoracic Outlet Syndrome / Q000000981:diagnostic imaging / Q000628:therapy
chemical_list: D003287:Contrast Media