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(Radiology. 1999;211:579-583.)
© RSNA, 1999


Technical Developments

Subclavian and Internal Jugular Veins at Doppler US: Abnormal Cardiac Pulsatility and Respiratory Phasicity as a Predictor of Complete Central Occlusion1

Maneesh C. Patel, MRCP, FRCR, Laurence H. Berman, FRCP, FRCR, Hilary A. Moss, MRCP, FRCR and Simon J. McPherson, MRCP, FRCR

1 From Addenbrooke Hospital, Cambridge, England. Received June 2, 1998; revision requested July 27; revision received September 8; accepted November 20. Address reprint requests to M.C.P., Department of Neuroradiology, Manchester Royal Infirmary, Oxford Rd, Manchester, England M13 9WL.

In 21 consecutive patients, the authors analyzed changes in venous Doppler waveforms of damped or diminished cardiac pulsatility and respiratory phasicity. Each patient was suspected of having upper limb venous thrombosis, but thrombus was not visible at gray-scale ultrasonography (US) in the subclavian and brachiocephalic veins. US findings were compared with phlebographic findings. The results show that US can be used to establish the presence or absence of thrombosis in the distal portion of the brachiocephalic or subclavian veins, which are inaccessible to direct insonation.

Index terms: Thrombosis, US, 94.12984, 907.12984 • Veins, innominate, 9461.751 • Veins, jugular, 907.751 • Veins, subclavian, 9462.751 • Veins, thrombosis, 94.751, 907.751




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