How I do it. Thoracic outlet syndrome and the transaxillary approach

Thoracic outlet syndrome (TOS) is a disease pattern that involves compression of neurologic venous or arterial structures as they pass through the thoracic outlet. TOS was first described as a vascular complication arising from the presence of a cervical rib. Over time, a better understanding of TOS...

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Main Authors: Matthew Vuoncino, MD, Misty D. Humphries, MD
Format: Article
Language:English
Published: Elsevier 2023-06-01
Series:Journal of Vascular Surgery Cases and Innovative Techniques
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2468428723000370
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author Matthew Vuoncino, MD
Misty D. Humphries, MD
author_facet Matthew Vuoncino, MD
Misty D. Humphries, MD
author_sort Matthew Vuoncino, MD
collection DOAJ
description Thoracic outlet syndrome (TOS) is a disease pattern that involves compression of neurologic venous or arterial structures as they pass through the thoracic outlet. TOS was first described as a vascular complication arising from the presence of a cervical rib. Over time, a better understanding of TOS has led to its wide range of presenting symptoms being divided into three distinct groups: arterial, venous, and neurogenic. Of the known cases, the current estimates of the incidence of neurogenic TOS, venous TOS, and arterial TOS are 95%, 3%, and 1%, respectively. The different types of TOS have completely different presentations, requiring expertise in the diagnosis, management, and treatment unique to each. We present our evaluation, diagnosis, and management method of TOS patients, with specific attention paid to the transaxillary approach.
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spelling doaj.art-0f09cf57c1124f7d8dea5806b7f22a912023-06-23T04:43:36ZengElsevierJournal of Vascular Surgery Cases and Innovative Techniques2468-42872023-06-0192101128How I do it. Thoracic outlet syndrome and the transaxillary approachMatthew Vuoncino, MD0Misty D. Humphries, MD1Division of Vascular Surgery, Department of Surgery, University of California Davis Health, Sacramento, CACorrespondence: Misty D. Humphries, MD, Division of Vascular Surgery, Department of Surgery, University of California Davis Health, 2335 Stockton Blvd, NAOB 5001, Sacramento, CA 95811; Division of Vascular Surgery, Department of Surgery, University of California Davis Health, Sacramento, CAThoracic outlet syndrome (TOS) is a disease pattern that involves compression of neurologic venous or arterial structures as they pass through the thoracic outlet. TOS was first described as a vascular complication arising from the presence of a cervical rib. Over time, a better understanding of TOS has led to its wide range of presenting symptoms being divided into three distinct groups: arterial, venous, and neurogenic. Of the known cases, the current estimates of the incidence of neurogenic TOS, venous TOS, and arterial TOS are 95%, 3%, and 1%, respectively. The different types of TOS have completely different presentations, requiring expertise in the diagnosis, management, and treatment unique to each. We present our evaluation, diagnosis, and management method of TOS patients, with specific attention paid to the transaxillary approach.http://www.sciencedirect.com/science/article/pii/S2468428723000370Axillosubclavian thrombosisCervical ribsPaget-Schroetter syndromeSubclavian vein thrombosisThoracic outlet syndrome
spellingShingle Matthew Vuoncino, MD
Misty D. Humphries, MD
How I do it. Thoracic outlet syndrome and the transaxillary approach
Journal of Vascular Surgery Cases and Innovative Techniques
Axillosubclavian thrombosis
Cervical ribs
Paget-Schroetter syndrome
Subclavian vein thrombosis
Thoracic outlet syndrome
title How I do it. Thoracic outlet syndrome and the transaxillary approach
title_full How I do it. Thoracic outlet syndrome and the transaxillary approach
title_fullStr How I do it. Thoracic outlet syndrome and the transaxillary approach
title_full_unstemmed How I do it. Thoracic outlet syndrome and the transaxillary approach
title_short How I do it. Thoracic outlet syndrome and the transaxillary approach
title_sort how i do it thoracic outlet syndrome and the transaxillary approach
topic Axillosubclavian thrombosis
Cervical ribs
Paget-Schroetter syndrome
Subclavian vein thrombosis
Thoracic outlet syndrome
url http://www.sciencedirect.com/science/article/pii/S2468428723000370
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