Hybrid Paraclavicular Decompression for Venous Thoracic Outlet Syndrome With Primary Endovascular Reconstruction
Venous thoracic outlet syndrome (vTOS) is characterized by severe stenosis and potential thrombosis of the axillary-subclavian vein (effort thrombosis) with significant effects on patient mobility, quality of life, and risks associated with possible anticoagulation. Treatment goals are aimed at symptomatic improvement and freedom from recurrent thrombosis. To date, there exists no clear protocols or recommendations on surgical approach that results in optimal outcomes. We highlight our institution ’s experience with a systematized, paraclavicular approach with intraoperative balloon angioplasty only, if needed. (Source: ...
Source: Annals of Vascular Surgery - April 9, 2023 Category: Surgery Authors: Angela L. Miciura, Jarred A. Napier, Abdulhameed Aziz Tags: Clinical Research Source Type: research

A Single Centre Experience On the Infraclavicular Approach For Venous Thoracic Outlet Syndrome
Objective: Multiple surgical approaches exist in performing a first rib resection to treat venous thoracic outlet syndrome (vTOS). This can incorporate a transaxillary, supraclavicular, or an infraclavicular approach. Many studies published in the medical literature have reported on the advantages of the infraclavicular approach. An audit was performed at the present authors ’ centre looking at the outcomes of the infraclavicular approach for vTOS decompression. (Source: EJVES Extra)
Source: EJVES Extra - April 6, 2023 Category: Surgery Authors: E. Lim, A. Khanafer Source Type: research

Giant Subclavian Artery Aneurysm: a Case Report
Objective: Subclavian artery aneurysms (SAA) are a very uncommon form of aneurysmal disease, being estimated to be around 1% of all peripheral aneurysms. Most of them are due to atherosclerosis, but they can also be related to trauma, thoracic outlet syndrome (TOS), and in rarer cases infections, cystic medial necrosis, fibromuscular dysplasia, or connective tissue disorders. About 70 – 75% of SAA are asymptomatic and discovered incidentally, but they can also be associated with symptoms such as painful mass, compression, haemorrhage, or ischaemic events. (Source: EJVES Extra)
Source: EJVES Extra - April 6, 2023 Category: Surgery Authors: M. Herrero Guti érrez, J.L. Portero García, I. Breteau Agote, J.C. Lodeiro Sanz, S. González Sánchez, C. Abarrategui Soria, F. Ruiz Grande Source Type: research

Venographic classification and long-term surgical treatment outcomes for axillary-subclavian vein thrombosis due to venous thoracic outlet syndrome (Paget-Schroetter syndrome)
Objective We assessed the clinical presentation, operative findings, and surgical treatment outcomes for axillary-subclavian vein (AxSCV) thrombosis due to venous thoracic outlet syndrome (VTOS). (Source: European Journal of Vascular and Endovascular Surgery)
Source: European Journal of Vascular and Endovascular Surgery - March 1, 2023 Category: Surgery Authors: Esmaeel Reza Dadashzadeh, J. Westley Ohman, Pavan K. Kavali, Karen M. Henderson, Danita M. Goestenkors, Robert W. Thompson Source Type: research

The role of computed tomography and magnetic resonance imaging in surgical planning for thoracic outlet syndrome: the experience of a single third level reference center for peripheral nerve surgery
CONCLUSIONS: Prescribing both investigations in selected patients increases the probability of finding anatomic anomalies and facilitates preoperative planning. However, as the radiological images are not completely exhaustive, the surgeon should always actively search and remove any potential source of compression on the nervous vascular bundle along the thoracic outlet.PMID:36789552 | DOI:10.1080/01616412.2023.2177809 (Source: Neurological Research)
Source: Neurological Research - February 15, 2023 Category: Neurology Authors: Alessandra Turrini Carlo Maria De Masi Carlo Sacco Camilla Mencarani Vanni Veronesi Guido Staffa Crescenzo Capone Source Type: research

17 Years' experience of surgical management of thoracic outlet syndrome at a district general hospital
CONCLUSIONS: FRR for TOS can be performed safely and effectively in a district general hospital environment with excellent patient clinical outcomes.PMID:36779445 | DOI:10.1308/rcsann.2023.0002 (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - February 13, 2023 Category: Surgery Authors: BJMc Farquharson J Collis S Jaskani H Bergman B Andrews Source Type: research

17 Years' experience of surgical management of thoracic outlet syndrome at a district general hospital
CONCLUSIONS: FRR for TOS can be performed safely and effectively in a district general hospital environment with excellent patient clinical outcomes.PMID:36779445 | DOI:10.1308/rcsann.2023.0002 (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - February 13, 2023 Category: Surgery Authors: BJMc Farquharson J Collis S Jaskani H Bergman B Andrews Source Type: research

17 Years' experience of surgical management of thoracic outlet syndrome at a district general hospital
CONCLUSIONS: FRR for TOS can be performed safely and effectively in a district general hospital environment with excellent patient clinical outcomes.PMID:36779445 | DOI:10.1308/rcsann.2023.0002 (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - February 13, 2023 Category: Surgery Authors: BJMc Farquharson J Collis S Jaskani H Bergman B Andrews Source Type: research

17 Years' experience of surgical management of thoracic outlet syndrome at a district general hospital
CONCLUSIONS: FRR for TOS can be performed safely and effectively in a district general hospital environment with excellent patient clinical outcomes.PMID:36779445 | DOI:10.1308/rcsann.2023.0002 (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - February 13, 2023 Category: Surgery Authors: BJMc Farquharson J Collis S Jaskani H Bergman B Andrews Source Type: research

17 Years' experience of surgical management of thoracic outlet syndrome at a district general hospital
CONCLUSIONS: FRR for TOS can be performed safely and effectively in a district general hospital environment with excellent patient clinical outcomes.PMID:36779445 | DOI:10.1308/rcsann.2023.0002 (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - February 13, 2023 Category: Surgery Authors: BJMc Farquharson J Collis S Jaskani H Bergman B Andrews Source Type: research