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Updated: Jun 10, 2025

Transaxillary First Rib Resection for Treatment of the Thoracic Outlet Syndrome
Published on: September 13, 2020
Early Results of Interventions in Patients with Venous Thoracic Outlet Syndrome
Mohammed A Elsabbagh1, Mohamed El Sayed Salem2, Monir Kamel Mabrouk2
1Vascular Surgery Unit, Faculty of Medicine, General Surgery Department, Alexandria University, Alexandria City, Alexandria Governorate, Egypt; Vascular Surgery Department, University Hospitals Birmingham NHS Foundation Trust, Birmingham City, West Midlands, UK.
Background:
To determine the freedom from major complications and the efficacy, in the form of technical and clinical success, of different interventions in venous thoracic outlet syndrome (VTOS).
Methods:
Data from 3 centers regarding patients aged between (18 and 60 years) with symptoms and signs of upper limb venous outflow obstruction was collected and analyzed to monitor outcome of different interventions.
Results:
23 patients (16 males) with mean age of 35 ± 9.33 years (range 23-54 years) were recruited. 17.4% of the patients were thrombotic, 56.5% were nonthrombotic, and 26.1% were postthrombotic. 73.9% had right side presentation with pain and swelling. Two techniques of thrombus removal, 2 techniques for first rib resection, and venoplasty were all used with 100% technical, 87% over all clinical success, and no major perioperative complications. The mean follow-up duration was 9.9 months.
Conclusions:
Interventions in VTOS are both safe and effective in the short- and mid-term.
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