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Related Experiment Videos

Thoracic outlet syndrome: a comprehensive evaluation.

P E Stanton1, N M Vo, T Haley

  • 1Department of Surgery, Quillen-Dishner College of Medicine, East Tennessee State University, Johnson City 37614.

The American Surgeon
|March 1, 1988
PubMed
Summary
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This study evaluated 480 patients for thoracic outlet compression syndrome (TOCS). Surgical decompression for TOCS yielded good or fair long-term results in over 87% of properly selected patients.

Area of Science:

  • Vascular Surgery
  • Neurology
  • Diagnostic Imaging

Background:

  • Thoracic outlet compression syndrome (TOCS) affects numerous patients.
  • Accurate diagnosis and effective treatment are crucial for patient outcomes.

Purpose of the Study:

  • To evaluate the diagnostic utility of various modalities for TOCS.
  • To assess the efficacy of surgical decompression for TOCS.

Main Methods:

  • Retrospective analysis of 480 patients evaluated for TOCS.
  • Diagnosis confirmed in 300 patients.
  • Nerve conduction velocities and directional Doppler studies utilized.
  • Surgical decompression performed in 90 patients (103 procedures).

Main Results:

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  • Nerve conduction velocities and directional Doppler studies were key diagnostic adjuncts.
  • Surgical therapy in properly selected patients resulted in 80.6% "good" and 6.9% "fair" long-term operative results.
  • Follow-up extended to 12 years.

Conclusions:

  • Proper patient selection is vital for successful surgical decompression of TOCS.
  • Surgical intervention offers significant long-term benefits for carefully chosen patients with TOCS.