Journal of Ultrasound in Medicine, Vol 7, Issue 11 621-627, Copyright © 1988 by American Institute of Ultrasound in Medicine
High-resolution real-time ultrasonography. Diagnosis and follow-up of jugular and subclavian vein thrombosis
D. Gaitini, J. K. Kaftori, M. Pery and A. Engel
Department of Diagnostic Radiology, Rambam Medical Center, Faculty of Medicine, Haifa, Israel.
Thrombosis of the internal jugular and subclavian veins was demonstrated by
high-resolution real-time ultrasonography in eight patients. The
sonographic findings were an intraluminal mass of low or mild amplitude
echoes, loss of respiratory rhythmicity and venous pulsation, absence of
vein response to respiratory maneuvers (Valsalva and sniff test) and
incompressibility of the thrombotic jugular vein. Follow-up examinations
after anticoagulant and local streptokinase therapy allowed monitoring of
the treatment. High-resolution ultrasonography is a useful noninvasive
technique for the diagnosis and follow-up of therapy in thrombosis of the
jugular and subclavian veins.
