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Subclavian Vein Thrombosis
T. Gregory Walker, MD, FSIR
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KEY FACTS

  • Terminology

    • Imaging

      • Pathology

        • Clinical Issues

          TERMINOLOGY

          • Definitions

            • Subclavian vein thrombosis: Completely or partially occlusive thrombus formation in subclavian vein
              • Typically has associated extensive venous collaterals
            • Paget-Schroetter syndrome (effort thrombosis): Axillary-subclavian vein thrombosis associated with strenuous and repetitive upper extremity activity
              • Caused by anatomical abnormalities of thoracic outlet and repetitive trauma to subclavian vein

          IMAGING

          • General Features

            • Radiographic Findings

              • Ultrasonographic Findings

                • CT Findings

                  • MR Findings

                    • Angiographic Findings

                      • Imaging Recommendations

                        DIFFERENTIAL DIAGNOSIS

                          PATHOLOGY

                          • General Features

                            CLINICAL ISSUES

                            • Presentation

                              • Demographics

                                • Natural History & Prognosis

                                  • Treatment

                                    DIAGNOSTIC CHECKLIST

                                    • Consider

                                      • Image Interpretation Pearls

                                        Selected References

                                        1. Chin EE et al: Sonographic evaluation of upper extremity deep venous thrombosis. J Ultrasound Med. 24(6):829-38, 2005
                                        2. Baarslag HJ et al: Diagnosis and management of deep vein thrombosis of the upper extremity: a review. Eur Radiol. 14(7):1263-74, 2004
                                        3. Sharafuddin MJ et al: Endovascular management of venous thrombotic diseases of the upper torso and extremities. J Vasc Interv Radiol. 13(10):975-90, 2002
                                        4. Thornton MJ et al: A three-dimensional gadolinium-enhanced MR venography technique for imaging central veins. AJR Am J Roentgenol. 173(4):999-1003, 1999
                                        5. Haire WD et al: Limitations of magnetic resonance imaging and ultrasound-directed (duplex) scanning in the diagnosis of subclavian vein thrombosis. J Vasc Surg. 13(3):391-7, 1991
                                        Related Anatomy
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                                        Related Differential Diagnoses
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                                        References
                                        Tables

                                        Tables

                                        KEY FACTS

                                        • Terminology

                                          • Imaging

                                            • Pathology

                                              • Clinical Issues

                                                TERMINOLOGY

                                                • Definitions

                                                  • Subclavian vein thrombosis: Completely or partially occlusive thrombus formation in subclavian vein
                                                    • Typically has associated extensive venous collaterals
                                                  • Paget-Schroetter syndrome (effort thrombosis): Axillary-subclavian vein thrombosis associated with strenuous and repetitive upper extremity activity
                                                    • Caused by anatomical abnormalities of thoracic outlet and repetitive trauma to subclavian vein

                                                IMAGING

                                                • General Features

                                                  • Radiographic Findings

                                                    • Ultrasonographic Findings

                                                      • CT Findings

                                                        • MR Findings

                                                          • Angiographic Findings

                                                            • Imaging Recommendations

                                                              DIFFERENTIAL DIAGNOSIS

                                                                PATHOLOGY

                                                                • General Features

                                                                  CLINICAL ISSUES

                                                                  • Presentation

                                                                    • Demographics

                                                                      • Natural History & Prognosis

                                                                        • Treatment

                                                                          DIAGNOSTIC CHECKLIST

                                                                          • Consider

                                                                            • Image Interpretation Pearls

                                                                              Selected References

                                                                              1. Chin EE et al: Sonographic evaluation of upper extremity deep venous thrombosis. J Ultrasound Med. 24(6):829-38, 2005
                                                                              2. Baarslag HJ et al: Diagnosis and management of deep vein thrombosis of the upper extremity: a review. Eur Radiol. 14(7):1263-74, 2004
                                                                              3. Sharafuddin MJ et al: Endovascular management of venous thrombotic diseases of the upper torso and extremities. J Vasc Interv Radiol. 13(10):975-90, 2002
                                                                              4. Thornton MJ et al: A three-dimensional gadolinium-enhanced MR venography technique for imaging central veins. AJR Am J Roentgenol. 173(4):999-1003, 1999
                                                                              5. Haire WD et al: Limitations of magnetic resonance imaging and ultrasound-directed (duplex) scanning in the diagnosis of subclavian vein thrombosis. J Vasc Surg. 13(3):391-7, 1991