Bogalho L, Seixas I, Martins J M, Pisco J M
Serviço de Radiologia, Hospital Santa Marta, Lisboa.
Acta Med Port. 1998 Jan;11(1):33-6.
The thoracic outlet syndrome is a changeable clinical syndrome caused by compression of the neurovascular bundle of the upper extremity, within the cervicoaxillary channel. From April 1980 through May 1995, 24 patients with clinical thoracic outlet syndrome were evaluated by selective arteriography. The diagnosis was confirmed in seven patients, in 14 the exam was normal and in the last three cases another arterial pathology was detected--subclavian artery occlusion, subclavian artery kinking and vertebral steal syndrome. The authors' aim is to emphasize arteriography as a diagnostic exam for thoracic outlet syndrome, very useful in the detection and localization of arterial compression. It also allows the diagnosis of other arterial entities.
胸廓出口综合征是一种可变的临床综合征,由上肢神经血管束在颈腋通道内受压引起。从1980年4月至1995年5月,对24例临床胸廓出口综合征患者进行了选择性动脉造影评估。7例确诊,14例检查正常,最后3例发现了其他动脉病变——锁骨下动脉闭塞、锁骨下动脉扭曲和椎动脉盗血综合征。作者的目的是强调动脉造影作为胸廓出口综合征的诊断检查,对检测和定位动脉压迫非常有用。它还能诊断其他动脉疾病。