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Color doppler imaging in the subclavian axillary region and upper extremity

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      Abstract

      Thirty-three patients were examined by color-coded Doppler ultrasound of the thoracoaxillary region or upper arm to review the utility of the method in this local area. The subclavian artery and vein were identified in all but one patient, in whom the subclavian vein was occluded and collateral vessels had developed. Masses and foreign bodies were easily distinguished from vascular abnormalities. Sonographic cephalic/basilic vein mapping was effective in seven patients. Carotid subclavian grafts were noted and evaluated appropriately in two patients. Color-coded sonography offered advantages in speed of localization of vessels and visual assessment of vessel location, direction of flow, turbulence, relationship to adjacent soft tissues, and detection of collateralization. Foreign body detection was not enhanced by color coding.

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      References

        • Hallam M.J.
        • Reid J.M.
        • Cooperberg P.L.
        Color-flow Doppler and conventional duplex scanning of the carotid bifurcation: prospective, double-blind, correlative study.
        AJR. 1989; 152: 1101-1105
        • Middleton W.D.
        • Foley W.D.
        • Lawson T.L.
        Color-flow Doppler imaging of carotid artery abnormalities.
        AJR. 1988; 150: 419-425
        • Ralls P.W.
        • Mayekswa D.S.
        • Lee K.R.
        • et al.
        Color-flow Doppler sonography in Graves disease: “thyroid inferno.”.
        AJR. 1988; 150: 781-784
        • Erickson S.J.
        • Mewissen M.W.
        • Foley W.D.
        • et al.
        Color Doppler evaluation of arterial stenoses and occlusions involving the neck and thoracic inlet.
        Radiographics. 1989; 9: 389-406
        • Gaitini D.
        • Kaftori J.K.
        • Pery M.
        • Engel A.
        High-resolution realtime ultrasonography: diagnosis and follow-up of jugular and subclavian vein thrombosis.
        J Ultrasound Med. 1988; 7: 621-627
        • Weissleder R.
        • Elizondo G.
        • Stark D.D.
        Sonographic diagnosis of subclavian and internal jugular vein thrombosis.
        J Ultrasound Med. 1987; 6: 577-587
        • Ackermann H.
        • Diener H.C.
        • Dichgans J.
        Stenosis and occlusion of the subclavian artery: ultrasonographic and clinical findings.
        J Neurol. 1987; 234: 396-400
        • Ackerman H.
        • Diener H.C.
        • Seboldt H.
        • Huth C.
        Ultrasonographic follow-up of subclavian stenosis and occlusion: natural history and surgical treatment.
        Stroke. 1988; 19: 431-435
        • Koman L.A.
        • Bond M.G.
        • Carter R.E.
        • Poehling G.G.
        Evaluation of upper extremity vasculature with high-resolution ultrasound.
        J Hand Surg [Am]. 1985; 10: 249-255
        • Falk R.L.
        • Smith D.F.
        Thrombosis of upper extremity thoracic inlet veins: diagnosis with duplex Doppler sonography.
        AJR. 1987; 149: 677-682
        • Hightower D.R.
        • Gooding G.A.W.
        Sonographic evaluation of the normal response of subclavian veins to respiratory maneuvers.
        Invest Radiol. 1985; 20: 517-520
        • Gooding G.A.W.
        • Hightower D.R.
        • Moore E.H.
        • Dillon W.P.
        • Lipton M.J.
        Obstruction of the superior vena cava or subclavian veins. Sonographic diagnosis.
        Radiology. 1986; 159: 663-665
        • Mitchell D.G.
        • Merton D.A.
        • Liu J.B.
        • Goldberg B.B.
        Superficial masses with color flow Doppler imaging.
        J Clin Ultrasound. 1991; 19: 555-560
        • Reading C.C.
        • Charboneau J.W.
        • Allison J.W.
        • Cooperberg P.L
        Color and spectral Doppler mirror-image artifact to the subclavian artery.
        Radiology. 1990; 174: 41-42
        • Taylor K.J.
        • Ramos I.
        • Carter D.
        • Morse S.S.
        • Snower D.
        • Fortune K.
        Correlation of Doppler US tumor signals with neovascular morphologic features.
        Radiology. 1988; 166: 57-62
        • Kotval P.S.
        • Fitzpatrick J.
        • Fakhry J.
        • Babu S.C.
        • Barakat K.
        Doppler diagnosis of intermittent subclavian steal during systole caused by axillary-axillary bypass graft.
        J Ultrasound Med. 1988; 7: 593-595
        • Glanz S.
        • Gordon D.H.
        • Lipkowitz G.S.
        • et al.
        Axillary and subclavian vein stenosis: percutaneous angioplasty.
        Radiology. 1988; 168: 371-373
        • Seeger J.M.
        • Schmidt J.H.
        • Flynn T.C.
        Preoperative saphenous and cephalic vein mapping as an adjunct to reconstructive arterial surgery.
        Ann Surg. 1987; 205: 733-739
        • Knudson G.J.
        • Wiedmeyer D.A.
        • Erickson S.J.
        • et al.
        Color Doppler sonographic imaging in the assessment of upper-extremity deep venous thrombosis.
        AJR. 1990; 154: 399-403
        • Grassi C.J.
        • Polak J.F.
        Axillary and subclavian venous thrombosis: follow-up evaluation with color Doppler flow US and venography.
        Radiology. 1990; 175: 651-654
        • Hübsch P.J.S.
        • Stiglbauer R.L.
        • Schwaighofer B.W.A.M.
        • Kainberger F.M.
        • Barton P.P.
        Internal jugular and subclsvian vein thrombosis caused by central venous catheters: evaluation using Dop pler blood flow imaging.
        J Ultrasound Med. 1988; 7: 629-636
        • Haire W.D.
        • Lynch T.G.
        • Lund G.B.
        • Lieberman R.P.
        • Edney J.A.
        Limitations of magnetic resonance imaging and ultrasound-directed (duplex) scanning in the diagnosis of subclavian vein thrombosis.
        J Vasc Surg. 1991; 13: 391-397
        • Kawamura R.
        • Okabe M.
        • Namikawa K.
        Subclavian vein puncture under ultrasonic guidance.
        J Parenter Enter Nutr. 1987; 11: 505-506
        • Machi J.
        • Takeda J.
        • Kakegawa T.
        Safe jugular and subclavian venipuncture under ultrasonographic guidance.
        Am J Surg. 1987; 153: 321-323