Rare Diseases Symptoms Automatic Extraction
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Surgical management of vascular thoracic outlet syndrome: a teaching hospital experience.
[thoracic outlet syndrome]
Thoracic
outlet
syndrome
(
TOS
)
consists
of
a
group
of
distinct
disorders
that
are
caused
by
compression
of
the
brachial
plexus
and
/
or
subclavian
artery
and
vein
.
The
aim
of
this
study
was
to
highlight
the
different
modalities
of
diagnosing
and
treating
vascular
TOS
and
evaluate
outcomes
.
We
conducted
a
retrospective
cohort
study
between
1999
and
2011
using
the
medical
records
database
from
a
teaching
hospital
.
During
the
study
period
,
54
cases
with
vascular
TOS
were
identified
in
38
patients
.
Bilateral
TOS
was
in
16
patients
.
The
median
age
of
the
patients
was
33
years
(
range
12
-
49
)
,
and
the
majority
(
79
%
)
were
female
.
Arterial
TOS
represented
forty-
nine
cases
(
90
.
7
%
)
.
Preoperative
information
derived
from
plain
x-
ray
,
duplex
scanning
and
in
selected
cases
computed
tomography
(
CT
)
and
/
or
angiography
.
Decompression
of
the
TOS
was
performed
through
a
supraclavicular
approach
in
all
cases
with
scalenectomy
coupled
with
either
cervical
rib
excision
(
70
%
)
,
1
st
rib
excision
alone
(
15
%
)
and
excision
of
both
cervical
and
1
st
ribs
(
15
%
)
.
Adjunctive
vascular
reconstructive
procedures
were
done
in
11
cases
(
20
.
3
%
)
;
9
arterial
cases
and
2
venous
cases
.
There
was
no
mortality
;
however
,
postoperative
complications
occurred
in
7
cases
(
13
%
)
.
The
use
of
advanced
radiological
imaging
and
careful
surgical
planning
for
Vascular
TOS
in
a
high
volume
center
resulted
in
good
outcomes
.