Computed tomography angiography to evaluate thoracic outlet neurovascular compression. Vasc Endovascular Surg 2007;41(4):316-21
Date
08/21/2007Pubmed ID
17704334DOI
10.1177/1538574407302844Scopus ID
2-s2.0-34547864993 (requires institutional sign-in at Scopus site) 27 CitationsAbstract
The objective was to evaluate the efficacy of computed tomography angiography with upper extremity hyperabduction to diagnose thoracic outlet syndrome. Over 5 years, 21 patients were treated surgically for neurogenic symptoms of thoracic outlet syndrome. For patients whose diagnosis was unclear after history and physical examination, adjunctive tests (duplex, magnetic resonance angiography, or computed tomography angiography) were performed to help establish the diagnosis. Five of the 6 computed tomography angiograms were positive. The sixth computed tomography was deemed to be an incomplete study. With mean follow-up of 9.4 months, 95% (n = 19) of patients with a positive hyperabduction test on physical examination were free of symptoms postoperatively. All patients with a positive computed tomography angiogram, with their neurovascular compression localized to the thoracic outlet, had successful operative decompression. Computed tomography angiogram with abduction of the arm can be used as an adjunct to confirm the diagnosis of neurovascular compression and then predict successful operative decompression.
Author List
Hasanadka R, Towne JB, Seabrook GR, Brown KR, Lewis BD, Foley WDAuthors
Kellie R. Brown MD Professor in the Surgery department at Medical College of WisconsinBrian D. Lewis MD Professor in the Surgery department at Medical College of Wisconsin
MESH terms used to index this publication - Major topics in bold
AdolescentAdult
Angiography
Chi-Square Distribution
Contrast Media
Decompression, Surgical
Female
Humans
Iopamidol
Male
Middle Aged
Thoracic Outlet Syndrome
Tomography, X-Ray Computed
Treatment Outcome
Ultrasonography, Doppler
