CT of superior vena cava syndrome

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Author: Mikael Häggström [notes 1]
Superior vena cava syndrome usually occurs where a lung cancer or lymphoma compresses or grows into central veins of the thorax.

Planning

Indication

The most common symptom is dyspnea, followed by face or arm swelling.[1]

Technique

CT angiography with contrast given simultaneously in both arms, or regular contrast CT in venous phase.

Look for

Thrombosis of the superior vena cava.

Whether there is any occlusion or external compression of the subclavian veins, the brachiocephalic veins or superior vena cava.

Report

See also: General notes on reporting

If any of the veins are occluded. If an interventional radiologist is available, stenting of the vein may be recommended in the report.

Notes

  1. For a full list of contributors, see article history. Creators of images are attributed at the image description pages, seen by clicking on the images. See Radlines:Authorship for details.

References

  1. Emedicine > Superior Vena Cava Syndrome. Author: Michael S Beeson, MD, MBA, FACEP, Professor of Emergency Medicine, Northeastern Ohio Universities College of Medicine and Pharmacy; Attending Faculty, Summa Health System. Updated: Dec 3, 2009