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Related Experiment Videos

[The upper thoracic outlet vascular syndrome].

L Davidović1, S Lotina, D Kostić

  • 1Institut za kardiovaskularne bolesti KCS, Beograd.

Acta Chirurgica Iugoslavica
|July 4, 2001
PubMed
Summary

Vascular Thoracic Outlet Syndrome (TOS) often requires surgery. This study evaluated 16 patients, finding surgical decompression and vascular procedures effective for arterial and venous TOS, with low complication rates.

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Area of Science:

  • Vascular Surgery
  • Thoracic Outlet Syndrome
  • Diagnostic Imaging

Context:

  • Thoracic Outlet Syndrome (TOS) encompasses vascular and neurogenic conditions.
  • Vascular TOS, though less common than neurogenic TOS, presents with significant morbidity.
  • Congenital anomalies are a frequent cause of vascular TOS.

Purpose:

  • To evaluate the diagnostic and therapeutic outcomes of vascular TOS patients.
  • To analyze the surgical management strategies for arterial and venous TOS.
  • To assess the early and late complications following surgical intervention for vascular TOS.

Summary:

  • Sixteen patients with vascular TOS (13 arterial, 7 venous) underwent comprehensive imaging (CW-Doppler, Duplex ultrasonography, angiography) and surgical treatment.

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  • Surgical interventions included first rib resection, scalenectomy, and vascular procedures like thrombectomy and aneurysm repair.
  • Postoperative complications were minimal, with one late arterial occlusion observed during a mean 3-year follow-up.

    • Impact:

    • Surgical management, including decompression and vascular procedures, is effective for vascular TOS.
    • Early diagnosis and intervention can prevent severe complications such as hand ischemia and deep venous thrombosis (DVT).
    • This study highlights the importance of surgical intervention for vascular TOS, emphasizing its favorable outcomes and manageable complication profile.