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Experience of Supraclavicular Exploration and Decompression for Treatment of Thoracic Outlet Syndrome

Experience of Supraclavicular Exploration and Decompression for Treatment of Thoracic Outlet... Experience of Supraclavicular Exploration and Decompression for Treatment of Thoracic Outlet Syndrome M.J. McCarthy, MB, ChB, FRCS, K. Varty, MD, FRCS, N.J.M. London, MD, FRCS, and P.R.F. Bell, MD, FRCS, Leicester, United Kingdom The purpose of this study was to assess the symptomatic outcome of patients with thoracic outlet syndrome who underwent decompression of the thoracic outlet. In our unit we prefer the supraclavicular approach, performing anterior scalenectomy with excision of fibrous bands or cervical ribs if present. Operative details were gained by theater logbook and case note review. Over a 6-year period, 31 patients (37 limbs) underwent thoracic outlet decompression. Of the 37 affected limbs, the indications for surgery were a combination of both neurological and vascular symptoms in 24 patients (65%), neurological symptoms in 24 (65%), and 4 patients (11%) had vascular symptoms alone. All patients were assessed for postoperative outcome either at out- patient clinics or by personal contact. From the results of this study we concluded that supra- clavicular scalenectomy and cervical rib excision with selective first rib excision is a safe and effective procedure for most patients with thoracic outlet syndrome. (Ann Vasc Surg 1999;13: 268-274.) many advocates for routine first rib resection in http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Annals of Vascular Surgery Springer Journals

Experience of Supraclavicular Exploration and Decompression for Treatment of Thoracic Outlet Syndrome

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References (38)

Publisher
Springer Journals
Copyright
Copyright © 1999 by Annals of Vascular Surgery Inc.
Subject
Medicine & Public Health; Abdominal Surgery
ISSN
0890-5096
eISSN
1615-5947
DOI
10.1007/s100169900256
pmid
10347259
Publisher site
See Article on Publisher Site

Abstract

Experience of Supraclavicular Exploration and Decompression for Treatment of Thoracic Outlet Syndrome M.J. McCarthy, MB, ChB, FRCS, K. Varty, MD, FRCS, N.J.M. London, MD, FRCS, and P.R.F. Bell, MD, FRCS, Leicester, United Kingdom The purpose of this study was to assess the symptomatic outcome of patients with thoracic outlet syndrome who underwent decompression of the thoracic outlet. In our unit we prefer the supraclavicular approach, performing anterior scalenectomy with excision of fibrous bands or cervical ribs if present. Operative details were gained by theater logbook and case note review. Over a 6-year period, 31 patients (37 limbs) underwent thoracic outlet decompression. Of the 37 affected limbs, the indications for surgery were a combination of both neurological and vascular symptoms in 24 patients (65%), neurological symptoms in 24 (65%), and 4 patients (11%) had vascular symptoms alone. All patients were assessed for postoperative outcome either at out- patient clinics or by personal contact. From the results of this study we concluded that supra- clavicular scalenectomy and cervical rib excision with selective first rib excision is a safe and effective procedure for most patients with thoracic outlet syndrome. (Ann Vasc Surg 1999;13: 268-274.) many advocates for routine first rib resection in

Journal

Annals of Vascular Surgery – Springer Journals

Published: Jan 28, 2014

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