Arterial thoracic outlet syndrome

Arterial Thromboembolism Secondary to Thoracic Outlet Syndrome

“…Arterial thoracic outlet syndrome is the least common of the three defined clinical manifestations of thoracic outlet syndrome (TOS), representing only 1-5% of all cases [1,2]. The most common classification of thoracic outlet syndrome is neurogenic, followed by venous, accounting for approximately 95% and 4-5 % of cases respectively [3].…”

Thoracic outlet syndrome: clinical and diagnostic features

“…При продолжительном преходящем сдавлении подключичной артерии развивается хро-ническая ишемия руки, что может проявляться паре-стезиями, онемением, побледнением кожи, асимме-трией температуры кисти, преходящей слабостью в верхней конечности, уменьшением кровенаполне-ния дистальных сосудов вплоть до отсутствия пульса, однако чаще встречается единственный симптом -так называемая перемежающая хромота в верхней конечности [26,27]. Симптомы долгое время могут оставаться маловыраженными и не обращать на себя внимание.…”

Thoracic outlet syndrome: a controversial clinical condition. Part 2: non-surgical and surgical management

“…Surgical management is especially indicated for the vascular forms of TOS because of the debilitating and potentially limb-threatening complications that can result from arterial or venous compromise. 5,31 Surgical management of neurogenic TOS is more controversial, and careful patient selection is required when considering surgical options.…”

“…40 The artery must first be decompressed by removing any cervical ribs or fibrous bands, as well as possible first rib resection and scalene muscle revision. 31 After the decompression, the subclavian artery is inspected for arterial degeneration, dilatation, or aneurysm, which may require resection of the damaged artery and arterial reconstruction with a saphenous vein graft or synthetic prosthesis. 31 Distal thrombosis or embolization, if present, they can lead to ischemia of distal structures and must be surgically corrected.…”

“…31 After the decompression, the subclavian artery is inspected for arterial degeneration, dilatation, or aneurysm, which may require resection of the damaged artery and arterial reconstruction with a saphenous vein graft or synthetic prosthesis. 31 Distal thrombosis or embolization, if present, they can lead to ischemia of distal structures and must be surgically corrected. Surgical options include thrombolytic therapy or balloon thrombolectomy for acute ischemia.…”