scholarly journals Venous Thoracic Outlet Syndrome: The Role of Early Rib Resection

2016 ◽  
Vol 181 (11) ◽  
pp. e1706-e1710 ◽  
Author(s):  
Vienna G. Katana ◽  
Jeffrey S. Weiss
2021 ◽  
Vol 13 (1) ◽  
Author(s):  
Renato Farina ◽  
Pietro Valerio Foti ◽  
Andrea Conti ◽  
Francesco Aldo Iannace ◽  
Isabella Pennisi ◽  
...  

AbstractVascular compression syndromes are rare alterations that have in common the compression of an arterial and/or venous vessel by contiguous structures and can be congenital or acquired. The best known are the Thoracic Outlet Syndrome, Nutcracker Syndrome, May–Thurner Syndrome, and Dunbar Syndrome. The incidence of these pathologies is certainly underestimated due to the non-specific clinical signs and their frequent asymptomaticity. Being a first-level method, Ultrasound plays a very important role in identifying these alterations, almost always allowing a complete diagnostic classification. If in expert hands, this method can significantly contribute to the reduction of false negatives, especially in the asymptomatic population, where the finding of the aforementioned pathologies often happens randomly following routine checks. In this review, we briefly discuss the best known vascular changes, the corresponding ultrasound anatomy, and typical ultrasound patterns.


Hand ◽  
2018 ◽  
Vol 14 (5) ◽  
pp. 636-640 ◽  
Author(s):  
Kevin T. Jubbal ◽  
Dmitry Zavlin ◽  
Joshua D. Harris ◽  
Shari R. Liberman ◽  
Anthony Echo

Background: Thoracic outlet syndrome (TOS) is a complex entity resulting in neurogenic or vascular manifestations. A wide array of procedures has evolved, each with its own benefits and drawbacks. The authors hypothesized that treatment of TOS with first rib resection (FRR) may lead to increased complication rates. Methods: A retrospective case control study was performed on the basis of the National Surgical Quality Improvement Program database from 2005 to 2014. All cases involving the operative treatment of TOS were extracted. Primary outcomes included surgical and medical complications. Analyses were primarily stratified by FRR and secondarily by other procedure types. Results: A total of 1853 patients met inclusion criteria. The most common procedures were FRR (64.0%), anterior scalenectomy with cervical rib resection (32.9%), brachial plexus decompression (27.2%), and anterior scalenectomy without cervical rib resection (AS, 8.9%). Factors associated with increased medical complications included American Society of Anesthesiologists (ASA) classification of 3 or greater and increased operative time. The presence or absence of FRR did not influence complication rates. Conclusions: FRR is not associated with an increased risk of medical or surgical complications. Medical complications are associated with increased ASA scores and longer operative time.


2021 ◽  
Vol 74 (6) ◽  
pp. 2115
Author(s):  
R. Sorber ◽  
M.L. Weaver ◽  
J.K. Canner ◽  
B. Campbell ◽  
J.H. Black ◽  
...  

2006 ◽  
Vol 22 (1) ◽  
pp. 87-87
Author(s):  
E Krishnan ◽  
PR Murugesan ◽  
P Ram Sankar ◽  
KS Ganesan ◽  
C Ganesan ◽  
...  

2018 ◽  
Vol 42 (10) ◽  
pp. 3250-3255 ◽  
Author(s):  
Gregor J. Kocher ◽  
Adrian Zehnder ◽  
Jon A. Lutz ◽  
Juerg Schmidli ◽  
Ralph A. Schmid

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