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Weiss JS, Coletta JM, Hall LD, et al. Vascular Thoracic Outlet Syndrome. Curr Treat Options Cardiovasc Med. 2002;4(3):195-206doi: 10.1007/s11936-002-0001-9.
Weiss, J. S., Coletta, J. M., Hall, L. D., & Murray, J. D. (2002). Vascular Thoracic Outlet Syndrome. Current treatment options in cardiovascular medicine, 4(3), 195-206. https://doi.org/10.1007/s11936-002-0001-9
Weiss, Jeffrey S., et al. "Vascular Thoracic Outlet Syndrome." Current treatment options in cardiovascular medicine vol. 4,3 (2002): 195-206. doi: https://doi.org/10.1007/s11936-002-0001-9
Weiss JS, Coletta JM, Hall LD, Murray JD. Vascular Thoracic Outlet Syndrome. Curr Treat Options Cardiovasc Med. 2002 Jun;4(3):195-206. doi: 10.1007/s11936-002-0001-9. PMID: 12003719.
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Curr Treat Options Cardiovasc Med. 2002 Jun;4(3):195-206. doi: 10.1007/s11936-002-0001-9.

Vascular Thoracic Outlet Syndrome.

Current treatment options in cardiovascular medicine

Jeffrey S. Weiss, Joelle M. Coletta, Lee D. Hall, James D. Murray

Affiliations

  1. Department of General Surgery, Divisions of Vascular Surgery and Interventional Radiology, Naval Medical Center, San Diego, 34800 Bob Wilson Drive, San Diego, CA 92134, USA. [email protected]

PMID: 12003719 DOI: 10.1007/s11936-002-0001-9

Abstract

Vascular thoracic outlet syndrome generally affects young, active, otherwise healthy patients. The diagnosis is suspected by clinical presentation, and can be confirmed with angiography or venography. Conservative management has been associated with significant morbidity and long-term residual disability. We have used a multimodal treatment protocol that includes thrombolysis, anticoagulation, surgical decompression, and interventional procedures. Catheter-directed recombinant tissue-type plasminogen activator and intravenous heparin infusion are instituted at the time of diagnosis to promote recanalization and prevent propagation of thrombus. Surgical decompression of the thoracic outlet can be readily achieved by first rib resection during the same hospitalization. Postoperative venograms are obtained in all patients. Residual stenoses can be managed with angioplasty alone in some patients but more commonly require stent placement. We believe thrombolysis, anticoagulation, surgical decompression, and percutaneous interventions act synergistically to improve results of therapy in patients with vascular thoracic outlet syndrome.

References

  1. Clin Imaging. 2001 Mar-Apr;25(2):133-7 - PubMed
  2. J Vasc Surg. 2001 Feb;33(2 Suppl):S100-5 - PubMed
  3. Arch Surg. 1970 Dec;101(6):792-6 - PubMed
  4. Ann Vasc Surg. 1997 Mar;11(2):149-54 - PubMed
  5. Ann Vasc Surg. 1997 Jul;11(4):442-51 - PubMed
  6. J Vasc Surg. 1989 Dec;10(6):626-34 - PubMed
  7. Hand Clin. 1996 Nov;12(4):705-18 - PubMed
  8. Cardiovasc Surg. 2001 Feb;9(1):11-15 - PubMed
  9. Ann Vasc Surg. 1997 May;11(3):315-23 - PubMed
  10. J Vasc Surg. 1998 Nov;28(5):777-86 - PubMed
  11. Surg Endosc. 1999 Sep;13(9):940-2 - PubMed
  12. Chest. 2001 Jan;119(1 Suppl):176S-193S - PubMed
  13. J Vasc Interv Radiol. 1995 Jul-Aug;6(4):565-9; discussion 569-70 - PubMed
  14. J Vasc Interv Radiol. 2001 Jul;12 (7):795-805 - PubMed
  15. Ann Vasc Surg. 1997 May;11(3):304-6 - PubMed
  16. Semin Vasc Surg. 1996 Jun;9(2):125-33 - PubMed
  17. J Vasc Surg. 2000 Jul;32(1):57-67 - PubMed
  18. Surgery. 1984 Jun;95(6):644-9 - PubMed
  19. J Vasc Surg. 1996 Dec;24(6):974-81; discussion 981-3 - PubMed
  20. Ann Vasc Surg. 1999 May;13(3):268-74 - PubMed
  21. J Vasc Interv Radiol. 2000 Feb;11(2 Pt 1):149-61 - PubMed
  22. J Vasc Surg. 1989 Jun;9(6):778-87 - PubMed
  23. J Vasc Surg. 1989 Feb;9(2):317-27 - PubMed

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