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__NOTOC__ | __NOTOC__ | ||
{{ Paget-Schroetter disease }} | {{ Paget-Schroetter disease }} | ||
{{CMG}}; {{AE}} | {{CMG}}; {{AE}} {{Anahita}} | ||
== Overview == | == Overview == | ||
[[Venography|Contrast Venography]] as an invasive diagnostic tool that is usually used when non-invasive methods are indecisive or intervention is required. | [[Venography|Contrast Venography]] as an [[Invasive (medical)|invasive]] diagnostic tool that is usually used when [[Non-invasive (medical)|non-invasive]] methods are indecisive or intervention is required. | ||
== Other Diagnostic Studies == | == Other Diagnostic Studies == | ||
=== Contrast Venography === | === Contrast Venography === | ||
* Historically contrast [[venography]] was considered as the [[Gold standard (test)|gold standard]] for [[Paget-Schroetter disease]]. | * Historically contrast [[venography]] was considered as the [[Gold standard (test)|gold standard]] for [[Paget-Schroetter disease]]. | ||
*However, contrast [[venography]] is expensive and invasive method has been saved for patients with indecisive imaging findings or when intervention is required.<ref name="HanggeRotellini-Coltvet2017">{{cite journal|last1=Hangge|first1=Patrick|last2=Rotellini-Coltvet|first2=Lisa |last3=Deipolyi|first3=Amy R. |last4=Albadawi|first4=Hassan |last5=Oklu|first5=Rahmi |title=Paget-Schroetter syndrome: treatment of venous thrombosis and outcomes|journal=Cardiovascular Diagnosis and Therapy|volume=7|issue=S3|year=2017|pages=S285–S290|issn=22233652|doi=10.21037/cdt.2017.08.15}}</ref> | *However, contrast [[venography]] is expensive and [[Invasive (medical)|invasive]] method has been saved for patients with indecisive imaging findings or when intervention is required.<ref name="HanggeRotellini-Coltvet2017">{{cite journal|last1=Hangge|first1=Patrick|last2=Rotellini-Coltvet|first2=Lisa |last3=Deipolyi|first3=Amy R. |last4=Albadawi|first4=Hassan |last5=Oklu|first5=Rahmi |title=Paget-Schroetter syndrome: treatment of venous thrombosis and outcomes|journal=Cardiovascular Diagnosis and Therapy|volume=7|issue=S3|year=2017|pages=S285–S290|issn=22233652|doi=10.21037/cdt.2017.08.15}}</ref> | ||
*[[Venography]] is capable to be used as a diagnostic tool and a therapeutic intervention at the same time.<ref name="IlligDoyle2010">{{cite journal|last1=Illig|first1=Karl A.|last2=Doyle|first2=Adam J.|title=A comprehensive review of Paget-Schroetter syndrome|journal=Journal of Vascular Surgery|volume=51|issue=6|year=2010|pages=1538–1547|issn=07415214|doi=10.1016/j.jvs.2009.12.022}}</ref> | *[[Venography]] is capable to be used as a diagnostic tool and a therapeutic intervention at the same time.<ref name="IlligDoyle2010">{{cite journal|last1=Illig|first1=Karl A.|last2=Doyle|first2=Adam J.|title=A comprehensive review of Paget-Schroetter syndrome|journal=Journal of Vascular Surgery|volume=51|issue=6|year=2010|pages=1538–1547|issn=07415214|doi=10.1016/j.jvs.2009.12.022}}</ref> | ||
*[[Catheter]] directed contrast [[venography]] can provide accurate anatomical details regarding [[vein]] and [[thrombus]] extension. | *[[Catheter]] directed contrast [[venography]] can provide accurate anatomical details regarding [[vein]] and [[thrombus]] extension. | ||
* | *Contrast [[venography]] is also capable of detecting [[collateral]] [[Vein|veins]]. Due to these features, [[catheter]] directed contrast [[venography]] is a definitive diagnostic tool to confirm the diagnosis.<ref name="Thompson2012">{{cite journal|last1=Thompson|first1=Robert|title=Comprehensive Management of Subclavian Vein Effort Thrombosis|journal=Seminars in Interventional Radiology|volume=29|issue=01|year=2012|pages=044–051|issn=0739-9529|doi=10.1055/s-0032-1302451}}</ref> | ||
*[[Catheter]] directed contrast [[venography]] is an essential tool for [[Thrombolytic drug|thrombolytic]] therapy.<ref name="Thompson20122">{{cite journal|last1=Thompson|first1=Robert|title=Comprehensive Management of Subclavian Vein Effort Thrombosis|journal=Seminars in Interventional Radiology|volume=29|issue=01|year=2012|pages=044–051|issn=0739-9529|doi=10.1055/s-0032-1302451}}</ref> | *[[Catheter]] directed [[contrast]] [[venography]] is an essential tool for [[Thrombolytic drug|thrombolytic]] therapy.<ref name="Thompson20122">{{cite journal|last1=Thompson|first1=Robert|title=Comprehensive Management of Subclavian Vein Effort Thrombosis|journal=Seminars in Interventional Radiology|volume=29|issue=01|year=2012|pages=044–051|issn=0739-9529|doi=10.1055/s-0032-1302451}}</ref> | ||
*In patients with history of [[renal insufficiency]] or [[Dye allergy|allergic reaction to contrast]] agents, [[carbon dioxide]] and [[Gadolinium|gadolinium-based contrast]] agents are better tolerated. | *In patients with history of [[renal insufficiency]] or [[Dye allergy|allergic reaction to contrast]] agents, [[carbon dioxide]] and [[Gadolinium|gadolinium-based contrast]] agents are better tolerated. | ||
Latest revision as of 20:21, 23 June 2020
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Anahita Deylamsalehi, M.D.[2]
Overview
Contrast Venography as an invasive diagnostic tool that is usually used when non-invasive methods are indecisive or intervention is required.
Other Diagnostic Studies
Contrast Venography
- Historically contrast venography was considered as the gold standard for Paget-Schroetter disease.
- However, contrast venography is expensive and invasive method has been saved for patients with indecisive imaging findings or when intervention is required.[1]
- Venography is capable to be used as a diagnostic tool and a therapeutic intervention at the same time.[2]
- Catheter directed contrast venography can provide accurate anatomical details regarding vein and thrombus extension.
- Contrast venography is also capable of detecting collateral veins. Due to these features, catheter directed contrast venography is a definitive diagnostic tool to confirm the diagnosis.[3]
- Catheter directed contrast venography is an essential tool for thrombolytic therapy.[4]
- In patients with history of renal insufficiency or allergic reaction to contrast agents, carbon dioxide and gadolinium-based contrast agents are better tolerated.
References
- ↑ Hangge, Patrick; Rotellini-Coltvet, Lisa; Deipolyi, Amy R.; Albadawi, Hassan; Oklu, Rahmi (2017). "Paget-Schroetter syndrome: treatment of venous thrombosis and outcomes". Cardiovascular Diagnosis and Therapy. 7 (S3): S285–S290. doi:10.21037/cdt.2017.08.15. ISSN 2223-3652.
- ↑ Illig, Karl A.; Doyle, Adam J. (2010). "A comprehensive review of Paget-Schroetter syndrome". Journal of Vascular Surgery. 51 (6): 1538–1547. doi:10.1016/j.jvs.2009.12.022. ISSN 0741-5214.
- ↑ Thompson, Robert (2012). "Comprehensive Management of Subclavian Vein Effort Thrombosis". Seminars in Interventional Radiology. 29 (01): 044–051. doi:10.1055/s-0032-1302451. ISSN 0739-9529.
- ↑ Thompson, Robert (2012). "Comprehensive Management of Subclavian Vein Effort Thrombosis". Seminars in Interventional Radiology. 29 (01): 044–051. doi:10.1055/s-0032-1302451. ISSN 0739-9529.
- ↑ "A case of Paget-Schroetter syndrome (PSS) in a young judo tutor: a case report".
- ↑ "A case of Paget-Schroetter syndrome (PSS) in a young judo tutor: a case report".