Abstract
The swift and accurate diagnosis of acute arterial occlusion and limb ischemia is critical to prevent morbidity from this vascular emergency as reported by Bettman et al. (Radiology 215:101–105, 2000). There are a number of imaging modalities available to the diagnosing physician. However, the most appropriate modality may vary according to the clinical presentation. We present an atypical case of acute thrombosis of the brachial artery, which could not be diagnosed by conventional angiography, but was identified successfully with Doppler ultrasound. We also briefly discuss the issues surrounding vascular imaging in this case and overview the strengths and weaknesses of available imaging modalities.
References
Wigley FM (2002) Clinical practice. Raynaud’s phenomenon. N Engl J Med 347:1001–1008
Bettmann MA, Levin DC, Gomes AS et al (2000) Sudden onset of cold, painful leg. American College of Radiology. ACR Appropriateness Criteria. Radiology 215:101–105
Walker TG (2009) Acute limb ischemia. Tech Vasc Interv Radiol 12:117–129
Wall BF, Hart D (1997) Revised radiation doses for typical X-ray examinations. Br J Radiol 70:437–439
Schmidt WA, Krause A, Schicke B, Wernicke D (2008) Color Doppler ultrasonography of hand and finger arteries to differentiate primary from secondary forms of Raynaud’s phenomenon. J Rheumatol 35(8):1591–1598
Disclosures
None.
Funding
None.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Baker, J.F., Nazarian, L.N., Olin, J.W. et al. Case report: acute thrombotic occlusion and pseudoaneurysm of the brachial artery diagnosed by Doppler ultrasound after nondiagnostic angiography. Clin Rheumatol 32 (Suppl 1), 29–31 (2013). https://doi.org/10.1007/s10067-010-1419-1
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10067-010-1419-1