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Updated: Feb 9, 2026

Transaxillary First Rib Resection for Treatment of the Thoracic Outlet Syndrome
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Functional Short-Term Outcomes After Transaxillary First Rib Resection in Thoracic Outlet Syndrome.

Eva Deveze1, Myriam Ammi1, Mickael Daligault1

  • 1Vascular and Thoracic Surgery, University Hospital, Angers, France.

Annals of Vascular Surgery
|February 7, 2026
PubMed
Summary
This summary is machine-generated.

First rib resection via the transaxillary approach significantly improves outcomes for thoracic outlet syndrome patients. Female sex is identified as a predictor of better surgical success in this patient group.

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Area of Science:

  • Surgical Outcomes
  • Orthopedics
  • Vascular Surgery

Background:

  • Thoracic outlet syndrome (TOS) is a debilitating condition often requiring surgical intervention when conservative treatments fail or vascular complications arise.
  • First rib resection is a common surgical approach for TOS management.

Purpose of the Study:

  • To evaluate the outcomes of first rib resection using the transaxillary approach for TOS.
  • To identify predictors of surgical success using patient-reported outcome measures.

Main Methods:

  • A single-center prospective study included 88 patients undergoing transaxillary first rib resection for TOS.
  • Patient-reported outcomes were assessed using the QuickDASH and SF-36 questionnaires preoperatively and postoperatively.
  • Multivariate analysis was performed to identify predictors of favorable outcomes.

Main Results:

  • Significant improvement in QuickDASH scores was observed postoperatively (61 to 44.3, p<0.05).
  • All SF-36 domains improved except for physical functioning.
  • Female sex was an independent predictor of favorable surgical outcomes (RR 1.6291, p=0.046).

Conclusions:

  • Transaxillary first rib resection leads to functional improvement in TOS patients at 3-month follow-up.
  • Female sex is associated with better outcomes following this surgical procedure.