High-definition video-assisted transaxillary first rib resection for thoracic outlet syndrome

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Video assisted transaxillary first rib resection in treatment of thoracic outlet syndrome (TOS).

A 24-year-old woman presented with a history of swelling and heaviness in her right upper extremity following swimming or any prolonged physical activity involving overhead arm abduction. She noted occasional numbness and paresthesia. Electromyography (EMG) and nerve conduction velocity (NCV) results were normal. Venogram demonstrated high-grade narrowing of the subclavian vein at the thoracic ...

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Transaxillary approach in thoracic outlet syndrome: the importance of resection of the first-rib.

OBJECTIVE The aim of this study was to analyze the transaxillary surgical approach and results of thoracic outlet cases in our clinic in the light of the recent literature data. METHODS Between 1996 and 2002 a series of 35 cases diagnosed as thoracic outlet syndrome (TOS) hospitalized and surgically treated in our clinic have been studied retrospectively. RESULTS Twenty-six of our cases wer...

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Endoscopic assisted transaxillary first rib resection.

OBJECTIVES Endoscopic assisted transaxillary first rib resection is a novel approach in the management of thoracic outlet syndrome. It allows safe identification of the different structures. The objective of our study is to assess the outcome of surgical treatment of thoracic outlet syndrome using this technique. METHODS Between May 1999 and October 2005, 28 endoscopic assisted transaxillary ...

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First rib resection for neurovascular syndromes of the thoracic outlet.

During the first half of this century, various syndromes attributed to compression of neural and vascular structures in the anatomic area of the thoracic outlet have been described. These include the cervical rib, scalene anticus, costoclavicular, first dorsal rib, and hyperabduction syndromes. This complex array of subdivisions has engendered some confusion in diagnosis and treatment. Although...

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Arterial Thoracic Outlet Syndrome Treated Successfully with Totally Endoscopic First Rib Resection

Thoracic outlet syndrome (TOS) is a constellation of signs and symptoms caused by compression of the neurovascular structures in the thoracic outlet. TOS may be classified as either neurogenic TOS (NTOS) or vascular TOS: venous TOS (VTOS) or arterial TOS (ATOS), depending on the specific structure being affected. The basis for the surgical treatment of TOS is resection of the first rib, and it ...

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ژورنال

عنوان ژورنال: Journal of Vascular Surgery

سال: 2013

ISSN: 0741-5214

DOI: 10.1016/j.jvs.2012.10.089