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[The costoclavicular neurovascular compression syndrome]
Khirurgiia
|January 1, 1995
Summary
Thoracic outlet syndrome involves compression of nerves and blood vessels at the base of the neck. This study reviews diagnosis and surgical treatment, including the transaxillary approach for rib resection.
Area of Science:
- Vascular Surgery
- Neurosurgery
- Thoracic Surgery
Background:
- Thoracic outlet syndrome (TOS) encompasses various neurovascular compressions at the thoracic inlet.
- Common causes include cervical ribs, abnormal ligaments, and scalene muscle hypertrophy.
- Multiple terms describe TOS, with thoracic outlet syndrome gaining prevalence.
Purpose of the Study:
- To review global experiences in diagnosing and treating TOS.
- To analyze the authors' experience with 13 surgical interventions for costoclavicular groove decompression.
- To evaluate the efficacy of the transaxillary approach for TOS management.
Main Methods:
- Review of worldwide accumulated experience in TOS diagnosis and treatment.
- Analysis of 13 operative interventions for neurovascular costoclavicular syndrome.
- Surgical management using the transaxillary approach for first rib resection and thoracic sympathectomy.
Main Results:
- Early and long-term outcomes of 13 patients (7 female) treated via transaxillary access over 10 years.
- Discussion of complications, their management, and comparative assessment with other surgical procedures.
- Successful introduction and application of the transaxillary approach in Bulgaria.
Conclusions:
- The transaxillary approach is an effective surgical method for thoracic outlet syndrome.
- Comprehensive management strategies are crucial for optimizing patient outcomes.
- Further comparative studies can refine surgical techniques for TOS.