Controversies in VTOS: Is Thrombolysis Alone Sufficient Treatment for VTOS?—YES
| Autor: | Kaj H. Johansen |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
musculoskeletal diseases
medicine.medical_specialty business.industry medicine.medical_treatment First rib resection Thrombolysis Extrinsic compression Surgery medicine.anatomical_structure cardiovascular system Medicine business Vein Subclavian vein Internal jugular vein Costoclavicular space Venous thoracic outlet syndrome |
| Zdroj: | Thoracic Outlet Syndrome ISBN: 9783030550721 |
| Popis: | Extrinsic compression of the subclavian vein as it traverses the costoclavicular space is postulated as the cause of venous thoracic outlet syndrome, and many believe that costoclavicular space decompression—by first rib resection or by claviculectomy—is required to treat this condition as well as to prevent its recurrence. Alternative therapeutic approaches include bypass of the obstructed vein, usually to (or utilizing) the ipsilateral internal jugular vein, or, alternatively, withholding operative intervention and instead allowing axillosubclavian vein thrombolysis and recanalization and venous collateralization to decompress the congested ipsilateral upper extremity. |
| Databáze: | OpenAIRE |
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