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Is the Supraclavicular Approach Effective in Treating Patients with Thoracic Outlet Syndrome?
Nikhil Panda1, Dean M Donahue2
1Division of Thoracic Surgery, Department of Surgery, Massachusetts General Hospital, 55 Fruit Street, Austen 7, Boston, MA 02114, USA. Electronic address: https://twitter.com/NikhilPanda_MD.
Advances in Surgery
|August 1, 2024
Summary
Thoracic outlet syndrome (TOS) management is complex. This review details a multidisciplinary program
Area of Science:
- Vascular Surgery
- Neurosurgery
- Thoracic Surgery
Background:
- Thoracic outlet syndrome (TOS) presents diagnostic and therapeutic challenges.
- Assessing health-related quality of life in TOS patients is difficult.
- A multidisciplinary approach is crucial for effective TOS management.
Purpose of the Study:
- To describe the clinical approach, surgical management, and follow-up for TOS.
- To present data on the safety and efficacy of the supraclavicular approach for TOS decompression.
- To offer clinical care considerations for surgeons managing TOS.
Main Methods:
- Review of experiences from a high-volume, dedicated TOS program.
- Multidisciplinary team treatment of neurogenic, venous, and arterial TOS.
- Surgical decompression primarily via a supraclavicular approach.
Main Results:
- The supraclavicular approach demonstrates safety and efficacy in TOS treatment.
- Longitudinal follow-up data support the described management strategy.
- Multidisciplinary care optimizes patient outcomes in TOS.
Conclusions:
- A structured, multidisciplinary program enhances TOS patient care.
- The supraclavicular approach is a safe and effective surgical option for TOS.
- Detailed clinical considerations aid surgeons in managing TOS effectively.
