Early results of interventions in patients with venous thoracic outlet syndrome.
Elsabbagh, Mohammed A El Sayed Salem, Mohamed Mabrouk, Monir Kamel El-Emam, Ali Ahmed Gaweesh, Ahmed Tiwari, Alok
Elsabbagh, Mohammed A
El Sayed Salem, Mohamed
Mabrouk, Monir Kamel
El-Emam, Ali Ahmed
Gaweesh, Ahmed
Tiwari, Alok
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2024-10-16
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Abstract
Background: To determine the freedom from major complications and the efficacy, in the form of technical and clinical success, of different interventions in venous thoracic outlet syndrome (VTOS).
Methods: Data from 3 centers regarding patients aged between (18 and 60 years) with symptoms and signs of upper limb venous outflow obstruction was collected and analyzed to monitor outcome of different interventions.
Results: 23 patients (16 males) with mean age of 35 ± 9.33 years (range 23-54 years) were recruited. 17.4% of the patients were thrombotic, 56.5% were nonthrombotic, and 26.1% were postthrombotic. 73.9% had right side presentation with pain and swelling. Two techniques of thrombus removal, 2 techniques for first rib resection, and venoplasty were all used with 100% technical, 87% over all clinical success, and no major perioperative complications. The mean follow-up duration was 9.9 months.
Conclusions: Interventions in VTOS are both safe and effective in the short- and mid-term.
Citation
Elsabbagh MA, El Sayed Salem M, Mabrouk MK, El-Emam AA, Gaweesh A, Tiwari A. Early Results of Interventions in Patients with Venous Thoracic Outlet Syndrome. Ann Vasc Surg. 2024 Oct 16;110(Pt A):323-328. doi: 10.1016/j.avsg.2024.08.030.
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