Turoglu H T, Elmquist T, Abdel-Dayem H M
Department of Radiology, St. Vincent's Hospital and Medical Center of New York, NY 10011, USA.
J Nucl Med. 1997 Jan;38(1):101-3.
A 79-yr-old woman with asymptomatic subclavian vein thrombosis associated with transvenous pacemaker electrode and congestive heart failure is reported. The subclavian thrombosis was discovered accidentally from the first-pass radionuclide angiogram that is routinely performed with the intravenous bolus injection of the radiopharmaceutical for a gated blood-pool study. It demonstrated venous obstruction at the level of the subclavian vein and abnormal collateral circulation over the chest wall consistent with subclavian thrombosis. This case report and literature review demonstrates the importance of performing first-pass radionuclide cardioangiography routinely before multigated blood-pool studies in patients with pacemakers.
本文报道了一位79岁女性患者，其患有与经静脉起搏器电极相关的无症状锁骨下静脉血栓形成及充血性心力衰竭。锁骨下静脉血栓是在首次通过放射性核素血管造影时偶然发现的，该检查是在静脉推注放射性药物进行门控心血池显像时常规进行的。检查显示锁骨下静脉水平存在静脉阻塞，且胸壁有异常侧支循环，符合锁骨下静脉血栓形成。本病例报告及文献综述表明，对于有起搏器的患者，在进行多门控心血池显像之前常规进行首次通过放射性核素心血管造影具有重要意义。
