Difference between revisions of "CT of superior vena cava syndrome"
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|author1=[[User:Mikael Häggström|Mikael Häggström]] | |author1=[[User:Mikael Häggström|Mikael Häggström]] | ||
|author2= | |author2= | ||
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==Planning== | ==Planning== | ||
;Indication | ;Indication | ||
| − | The most common symptom is dyspnea, followed by face or arm swelling.<ref name=emedicine>[http://emedicine.medscape.com/article/760301-overview | + | The most common symptom is dyspnea, followed by face or arm swelling.<ref name=emedicine>[http://emedicine.medscape.com/article/760301-overview 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</ref> |
;Technique | ;Technique | ||
| − | [[CT angiography]] with contrast given simultaneously in both arms | + | [[CT angiography]] with contrast given simultaneously in both arms, or regular [[contrast CT]] in venous phase. |
==Look for== | ==Look for== | ||
| − | Whether there is any occlusion of the subclavian veins, the brachiocephalic veins or superior vena cava. | + | [[File:CT of superior vena cava thrombosis.png|thumb|200px|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== | ==Report== | ||
| + | {{Reporting}} | ||
If any of the veins are occluded. If an interventional radiologist is available, stenting of the vein may be recommended in the report. | If any of the veins are occluded. If an interventional radiologist is available, stenting of the vein may be recommended in the report. | ||
| − | + | {{Bottom}} | |
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Latest revision as of 10:15, 15 February 2019
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.
Contents
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
File:CT of superior vena cava thrombosis.png
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
- ↑ 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
- ↑ 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
