eMedicine Specialties > Radiology > Vascular/Interventional

Thoracic Outlet Syndrome: Multimedia

Author: Meghal Antani, MD, Consulting Staff, Department of Interventional Radiology, Washington Hospital Center
Coauthor(s): Gary P Siskin, MD, Associate Professor, Department of Radiology, Albany Medical College; Chief, Division of Vascular and Interventional Radiology, Department of Radiology, Albany Medical Center
Contributor Information and Disclosures

Updated: Jun 10, 2008

Multimedia

An angiogram in a 35-year-old woman with right ar...
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Media file 1: An angiogram in a 35-year-old woman with right arm ischemia that demonstrates right subclavian artery occlusion from the medial margin of the first rib to the axillary artery at the level of the humeral head. The patient was successfully treated with right first rib resection.
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An angiogram in a 35-year-old woman with right ar...

An angiogram in a 35-year-old woman with right arm ischemia that demonstrates right subclavian artery occlusion from the medial margin of the first rib to the axillary artery at the level of the humeral head. The patient was successfully treated with right first rib resection.

A venogram that was obtained in a 28-year-old man...
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Media file 2: A venogram that was obtained in a 28-year-old man complaining of intermittent right arm swelling, taken with his right arm in the anatomic (neutral) position (same patient as Image 3).
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A venogram that was obtained in a 28-year-old man...

A venogram that was obtained in a 28-year-old man complaining of intermittent right arm swelling, taken with his right arm in the anatomic (neutral) position (same patient as Image 3).

A venogram of a 28-year-old man complaining of in...
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Media file 3: A venogram of a 28-year-old man complaining of intermittent right arm swelling, obtained with the right arm in abduction. High-grade mid-subclavian venous stenosis in the region of the thoracic inlet is depicted (same patient as in Image 2).
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A venogram of a 28-year-old man complaining of in...

A venogram of a 28-year-old man complaining of intermittent right arm swelling, obtained with the right arm in abduction. High-grade mid-subclavian venous stenosis in the region of the thoracic inlet is depicted (same patient as in Image 2).

This venogram (obtained immediately after the ang...
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Media file 4: This venogram (obtained immediately after the angiogram in Image 1) shows occlusion of the right subclavian vein extending to the first rib, with multiple collateral vessels.
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This venogram (obtained immediately after the ang...

This venogram (obtained immediately after the angiogram in Image 1) shows occlusion of the right subclavian vein extending to the first rib, with multiple collateral vessels.

A venogram of a 20-year-old woman with right arm ...
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Media file 5: A venogram of a 20-year-old woman with right arm swelling that shows occlusion of the right subclavian vein as it passes through the thoracic inlet. A wire was advanced across the occlusion into the superior vena cava (same patient as in Image 6).
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A venogram of a 20-year-old woman with right arm ...

A venogram of a 20-year-old woman with right arm swelling that shows occlusion of the right subclavian vein as it passes through the thoracic inlet. A wire was advanced across the occlusion into the superior vena cava (same patient as in Image 6).

A venogram obtained in a 20-year-old woman with r...
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Media file 6: A venogram obtained in a 20-year-old woman with right arm swelling after thrombolysis, venoplasty, and stent placement that demonstrates a patent right subclavian vein. Although venous stent placement remains controversial, this patient was doing well at 1-year follow-up (same patient as in Image 5).
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A venogram obtained in a 20-year-old woman with r...

A venogram obtained in a 20-year-old woman with right arm swelling after thrombolysis, venoplasty, and stent placement that demonstrates a patent right subclavian vein. Although venous stent placement remains controversial, this patient was doing well at 1-year follow-up (same patient as in Image 5).

A 45-year-old woman with symptoms of progressive ...
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Media file 7: A 45-year-old woman with symptoms of progressive right arm ischemia. Occlusion of the right subclavian artery near the junction between the clavicle and first rib is shown (same patient as in Image 8).
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A 45-year-old woman with symptoms of progressive ...

A 45-year-old woman with symptoms of progressive right arm ischemia. Occlusion of the right subclavian artery near the junction between the clavicle and first rib is shown (same patient as in Image 8).

An angiogram obtained in a 45-year-old woman with...
(Enlarge Image)
Media file 8: An angiogram obtained in a 45-year-old woman with progressive symptoms of right arm ischemia after 16 hours of thrombolysis that demonstrates a tight residual stenosis in the right subclavian artery. The patient presented emergently 2 days later with repeat occlusion of the right subclavian artery in the same location and was treated with surgical bypass (same patient as in Image 7).
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An angiogram obtained in a 45-year-old woman with...

An angiogram obtained in a 45-year-old woman with progressive symptoms of right arm ischemia after 16 hours of thrombolysis that demonstrates a tight residual stenosis in the right subclavian artery. The patient presented emergently 2 days later with repeat occlusion of the right subclavian artery in the same location and was treated with surgical bypass (same patient as in Image 7).

More on Thoracic Outlet Syndrome

Overview: Thoracic Outlet Syndrome
Imaging: Thoracic Outlet Syndrome
Follow-up: Thoracic Outlet Syndrome
Multimedia: Thoracic Outlet Syndrome
References
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References

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Further Reading

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Keywords

Paget-von Schrötter syndrome, effort thrombosis, spontaneous thrombosis, traumatic thrombosis

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Contributor Information and Disclosures

Author

Meghal Antani, MD, Consulting Staff, Department of Interventional Radiology, Washington Hospital Center
Meghal Antani, MD is a member of the following medical societies: American College of Radiology, Radiological Society of North America, and Society of Interventional Radiology
Disclosure: Nothing to disclose.

Coauthor(s)

Gary P Siskin, MD, Associate Professor, Department of Radiology, Albany Medical College; Chief, Division of Vascular and Interventional Radiology, Department of Radiology, Albany Medical Center
Gary P Siskin, MD is a member of the following medical societies: American Heart Association and Radiological Society of North America
Disclosure: Nothing to disclose.

Medical Editor

Anthony Watkinson, MD, Professor of Interventional Radiology, The Peninsula Medical School; Consultant and Senior Lecturer, Department of Radiology, The Royal Devon and Exeter Hospital, UK
Anthony Watkinson, MD is a member of the following medical societies: Radiological Society of North America, Royal College of Radiologists, and Royal College of Surgeons of England
Disclosure: Nothing to disclose.

Pharmacy Editor

Bernard D Coombs, MB, ChB, PhD, Consulting Staff, Department of Specialist Rehabilitation Services, Hutt Valley District Health Board, New Zealand
Disclosure: Nothing to disclose.

Managing Editor

Douglas M Coldwell, MD, PhD, Professor and Chief of Interventional Radiology, Professor of Radiology and Surgery, University of Missouri at Columbia
Douglas M Coldwell, MD, PhD is a member of the following medical societies: American Association for Cancer Research, American College of Radiology, American Heart Association, American Physical Society, American Roentgen Ray Society, Society of Cardiovascular and Interventional Radiology, Southwestern Oncology Group, and Special Operations Medical Association
Disclosure: Sirtex, Inc. Consulting fee Speaking and teaching

CME Editor

Robert M Krasny, MD, Consulting Staff, Department of Radiology, The Angeles Clinic and Research Institute
Robert M Krasny, MD is a member of the following medical societies: American Roentgen Ray Society and Radiological Society of North America
Disclosure: Nothing to disclose.

Chief Editor

Kyung J Cho, MD, FACR, William Martel Professor of Radiology, Interventional Radiology Fellowship Director, University of Michigan Health System
Kyung J Cho, MD, FACR is a member of the following medical societies: American College of Radiology, American Heart Association, American Medical Association, American Roentgen Ray Society, Association of University Radiologists, and Radiological Society of North America
Disclosure: Nothing to disclose.

 
 
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