Difference between revisions of "CT of superior vena cava syndrome"

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(Or regular in venous phase)
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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>
 
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==

Revision as of 10:04, 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.

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:SVCCT.PNG
Compression of the superior vena cava by a mass.

Whether there is any occlusion 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