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[Angiography in thoracic outlet syndrome]
L Bogalho1, I Seixas, J M Martins
1Serviço de Radiologia, Hospital Santa Marta, Lisboa.
Acta Medica Portuguesa
|May 16, 1998
Summary
Selective arteriography aids in diagnosing thoracic outlet syndrome by identifying arterial compression. This imaging technique is valuable for detecting and locating vascular issues in the upper extremity.
Area of Science:
- Vascular Surgery
- Diagnostic Imaging
- Neurology
Background:
- Thoracic outlet syndrome (TOS) is a complex condition resulting from neurovascular bundle compression in the cervicoaxillary region.
- Accurate diagnosis of TOS, particularly arterial TOS, is crucial for effective management.
Purpose of the Study:
- To evaluate the utility of selective arteriography in diagnosing thoracic outlet syndrome.
- To highlight arteriography's role in detecting and localizing arterial compression within the cervicoaxillary channel.
Main Methods:
- A retrospective review of 24 patients with clinical symptoms of thoracic outlet syndrome.
- Selective arteriography was performed on all patients to assess the cervicoaxillary neurovascular bundle.
Main Results:
- Arteriography confirmed the diagnosis in 7 out of 24 patients.
- In 14 patients, arteriography revealed normal arterial findings.
- Three patients were diagnosed with distinct arterial pathologies: subclavian artery occlusion, kinking, and vertebral steal syndrome.
Conclusions:
- Selective arteriography is a highly effective diagnostic tool for thoracic outlet syndrome.
- The procedure is instrumental in identifying and localizing arterial compression and associated vascular abnormalities.