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DOI:10.2214/AJR.07.3552
AJR 2008; 191:897-907
© American Roentgen Ray Society


Pictorial Essay

Imaging of the Brachiocephalic Vein

Sheung-Fat Ko1, Chung-Cheng Huang1, Shu-Hang Ng1, Ming-Jeng Hsieh2, Chi-Chia Lee1, Yung-Liang Wan1 and Chi-Di Liang3

1 Department of Radiology, Division of General Radiology, Chang Gung Memorial Hospital–Kaohsiung Medical Center, Chang Gung University, College of Medicine, 123 Ta-Pei Rd., Niao-Sung Hsiang, Kaohsiung, 833, Taiwan.
2 Department of Cardiovascular and Thoracic Surgery, College of Medicine, Chang Gung University, Chang Gung Memorial Hospital–Kaohsiung Medical Center, Kaohsiung, Taiwan.
3 Department of Pediatric Cardiology, College of Medicine, Chang Gung University, Chang Gung Memorial Hospital–Kaohsiung Medical Center, Kaohsiung, Taiwan.

OBJECTIVE. The purpose of this study was to review the imaging features of congenital variants of and pathologic conditions affecting the brachiocephalic vein.

CONCLUSION. CT and MRI are excellent for visualizing developmental anomalies and mediastinal tumors that involve the brachiocephalic vein. Although they affect this vein less commonly than do developmental anomalies and tumors, trauma, aneurysm formation, stenosis related to dialysis or other conditions, and various complications related to central venous catheters do occur, and familiarity with the imaging findings is helpful for diagnosis.

Keywords: brachiocephalic vein • chest radiography • CT • interventional radiology • MRI


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