Vascular Thoracic Outlet Syndrome
- PMID: 27568153
- DOI: 10.1053/j.semtcvs.2015.10.008
Vascular Thoracic Outlet Syndrome
Abstract
Two distinct terms are used to describe vascular thoracic outlet syndrome (TOS) depending on which structure is predominantly affected: venous TOS (due to subclavian vein compression) and arterial TOS (due to subclavian artery compression). Although the venous and arterial subtypes of TOS affect only 3% and <1% of all TOS patients respectively, the diagnostic and management approaches to venous and arterial TOS have undergone considerable evolution due to the recent emergence of minimally invasive endovascular techniques such as catheter-directed arterial and venous thrombolysis, and balloon angioplasty. In this review, we discuss the anatomical factors, etiology, pathogenesis and clinical presentation of vascular TOS patients. In addition, we use the most up to date observational evidence available to provide a contemporary approach to the diagnosis and management of venous TOS and arterial TOS patients.
Keywords: Thoracic outlet syndrome; arterial thoracic outlet syndrome; subclavian artery; subclavian vein; venous thoracic outlet syndrome.
Copyright © 2016 Elsevier Inc. All rights reserved.
Comment in
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Searching for Lights at Dusk.Semin Thorac Cardiovasc Surg. 2016 Spring;28(1):158-9. doi: 10.1053/j.semtcvs.2015.10.007. Epub 2015 Oct 30. Semin Thorac Cardiovasc Surg. 2016. PMID: 27568154 No abstract available.
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