Vascular Thoracic Outlet Syndrome: Protocol Design and Diagnostic Value of Contrast-Enhanced 3D MR Angiography and Equilibrium Phase Imaging on 1.5- and 3-T MRI Scanners

Ersoy, Hale; Steigner, Michael L.; Coyner, Karl B.; Gerhard‐Herman, Marie; Rybicki, Frank J.; Bueno, Raphael; Nguyen, Louis L.

doi:10.2214/ajr.11.6417

Cited by 55 publications

(30 citation statements)

References 22 publications

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“…35,36 With the arm(s) up, localization of stenotic lesions during provocative arm positioning is helpful for differentiation between positional and static causes (Fig. 5).…”

Section: Thoracic Outlet Syndromementioning

confidence: 99%

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Magnetic Resonance Angiography of the Upper Extremity

Bannas

François

Reeder

2015

Magnetic Resonance Imaging Clinics of North America

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“…35,36 With the arm(s) up, localization of stenotic lesions during provocative arm positioning is helpful for differentiation between positional and static causes (Fig. 5).…”

Section: Thoracic Outlet Syndromementioning

confidence: 99%

“…The arms are then repositioned next to the torso, and delayed venous-phase images are obtained. 35 If an intravascular contrast agent is used, a second injection during the arms-down phase is not necessary.…”

Section: Thoracic Outlet Syndromementioning

confidence: 99%

Magnetic Resonance Angiography of the Upper Extremity

Bannas

François

Reeder

2015

Magnetic Resonance Imaging Clinics of North America

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“…Provokatif pozisyonlarda nabız azalması asemptomatik kontrol hastalarında da %9 ila 53 oranında gözlenebilen bir durumdur. Nörojenik TOS tanısı dikkatli bir öykü, fizik muayene (provokatif testler), radyografi, elektrodiagnostik testler ve brakial pleksus nörografileri ile konurken şüpheli bir vasküler komponent varlığında tanıda görüntüleme yöntemlerinden yararlanılmalıdır (1). Doppler ve duplex ultrasonografi hem arteriyel hem de venöz TOS tanısında oldukça yararlı bir testtir.…”

Section: Arteriyel Torasik çıKış Sendromuunclassified

“…bir çalışmada Ersoy ve ark. klinik olarak vasküler TOS şüphesi olan 85 hastada provokatif kol pozisyonları ile birlikte kullanılan 3 boyutlu kontrastlı MR anjiografi ile her iki taraftaki arter ve venlerin mükemmel bir şekilde görüntülendiğini ve bu yöntemin arteriografi ve venografiye iyi bir alternatif olup cerrahi sonrası restenoz ve rezidü vasküler kompresyonun takibinde de oldukça başarılı olduğunu bildirdiler (1).…”

Section: Arteriyel Torasik çıKış Sendromuunclassified

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Vascular thoracic outlet syndrome

Günal¹,

Dural²

2014

Toraks Cer Bult

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Vascular TOS occurs as a result of chronic compression of subclavian artery and vein in the thoracic outlet area. Although vascular TOS is less common than neurogenic TOS, it's associated with serious complications. The late onset of significiant symptoms and findings may cause delay in diagnosis, and acute arterial occlusion and venous trombosis can occur. Despite neurogenic TOS, diagnosis of vascular TOS should be done by using imaging modalities. While the role of conservative treatment is limited, outcomes of surgical decompression and appropriate vascular repair are satisfactory.

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Neurogenic thoracic outlet syndrome in the overhead and throwing athlete: A narrative review

Troyer

Gardner

Bowers

2022

PM&R

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Thoracic outlet syndrome is an important cause of shoulder pain and dysfunction due to compression of neurovascular structures as they traverse the thoracic outlet. Symptoms are most commonly due to compression of the brachial plexus called neurogenic thoracic outlet syndrome (nTOS). Throwing athletes are at increased risk of nTOS because of a variety of biomechanical factors. However, because nTOS symptoms are often nonspecific, delayed diagnosis is common. Neurogenic thoracic outlet largely remains a diagnosis of exclusion with advanced imaging ruling out vascular involvement and diagnostic injections gaining favor in helping localize sites of compression. Although rehabilitation alone may improve symptoms in some athletes, many require surgical treatment for long-term relief. This generally entails decompression of the thoracic outlet by some combination of muscle release, brachial plexus neurolysis, and first rib resection. Outcomes tend to be successful in athletes with most achieving resolution of symptoms and return to athletic activity. NTOS is an important cause of shoulder pain and dysfunction in throwing athletes. The history and physical examination should focus on activities that exacerbate symptoms. Treatment of nTOS generally requires surgical intervention and allows throwing athletes to return to sport.

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Vascular Thoracic Outlet Syndrome: Protocol Design and Diagnostic Value of Contrast-Enhanced 3D MR Angiography and Equilibrium Phase Imaging on 1.5- and 3-T MRI Scanners

Cited by 55 publications

References 22 publications

Magnetic Resonance Angiography of the Upper Extremity

Magnetic Resonance Angiography of the Upper Extremity

Vascular thoracic outlet syndrome

Neurogenic thoracic outlet syndrome in the overhead and throwing athlete: A narrative review

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