Ferumoxytol-enhanced MR venography for diagnosis of venous thoracic outlet syndrome.

Ferumoxytol 增强 MR 静脉造影诊断静脉胸腔出口综合征。

• 发表时间: 2023 Jul
• 来源期刊: Radiol Case Rep
• DOI: 10.1016/j.radcr.2023.03.052
• PMID: 37179805
• 文章类型: Case Reports
• 作者列表: Lan C,Madani MH,Pawar A,Nardo L,Ghasemiesfe A

关键词: Contrast; Ferumoxytol; Outlet; Thoracic; Venography; Venous

Abstract

Venous thoracic outlet syndrome commonly results in arm swelling and pain as the subclavian vein is obstructed within the thoracic inlet. We report the use of ferumoxytol-enhanced contrast MRI in the diagnosis of venous thoracic outlet syndrome in a male adolescent. In this patient who presented with right upper extremity thrombosis, ferumoxytol-enhanced MRI of the chest was able to show both chronic subclavian vein thromboses and dynamic occlusion of the subclavian veins with arm abduction consistent with Paget-Schroetter syndrome.

摘要

胸腔静脉出口综合征通常会导致手臂肿胀和疼痛，因为锁骨下静脉在胸腔入口内被阻塞。我们报告了阿魏酚增强对比剂MRI在男性青少年静脉胸腔出口综合征的诊断中的应用。在这位出现右上肢血栓的患者中，阿魏霉素增强的胸部MRI能够显示慢性锁骨下静脉血栓形成和锁骨下静脉动态闭塞，并伴有手臂外展，与Paget-Schroetter综合征一致。