Thoracic Outlet Syndrome Surgery: Long-Term Functional Results View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2004-09

AUTHORS

Renaud Degeorges, Catherine Reynaud, Jean-Pierre Becquemin

ABSTRACT

The treatment of thoracic outlet syndrome (TOS) is controversial and long-term results are poorly documented. This retrospective study was carried out to assess clinical outcome 2 years after TOS surgery and to determine predictive factors of outcome. Between 1979 and 1999, 155 patients underwent TOS surgery. Of these patients, 140 (90.3%) had a minimum follow-up of 2 years. Thirty-six (25.7%) patients underwent bilateral procedures. A total of 176 procedures were reviewed and served as a basis for study. Presenting symptoms were neurologic in 15 cases (8.5%), arm or hand ischemia occurred in 38 cases (21.6%), and venous compression or thrombosis in 27 cases (15.4%). In 96 cases (54.5%), symptoms were mixed. A transaxillary approach (107 cases) was chosen to address venous symptoms and minor arterial dysfunction. A supraclavicular approach (69 cases) was used when there were large abnormal bony structures, neurologic symptoms, and/or severe limb ischemia. The first rib was resected either extensively from its neck to the sternal attachment (54 cases) or partially, including the mid-rib and neck or the mid-rib and sternal attachment (121 cases), depending on symptoms, approach, and surgeon's choice. Whenever present, cervical ribs, anterior scalenus muscle, and various fibrous or muscular compressive structures were also removed. The 2-year functional outcome according to Derkash's classification was assessed by means of a phone survey. Pre-, per-, and immediate postoperative data were recorded and compared to functional outcomes. Mean follow-up was 7.5 A+/- 3.4 years (2a"19 years). Functional results were excellent, good, fair, and poor in 87 (49.4%), 61 (34.6%), 14 (8%),and 14 (8%) procedures respectively. Predictive factors of negative outcomes were acute ischemia ( p < 0.01), sensory or motor deficit ( p < 0.01), and poorly systematized neurological symptoms as presenting symptoms ( p < 0.05), and extended resection of the first rib ( p < 0.01) and severe postoperative complications ( p < 0.01). This series showed that the 2-year results of TOS surgery were satisfactory in the majority of cases. Patients suffering from poorly systematized neurological symptoms in the arm had poor results. This subset of patients should be denied surgery or at least informed that postoperative results might be disappointing. Partial first-rib resection and a careful technique avoiding postoperative complications were also factors in long-term success. More... »

PAGES

558-565

References to SciGraph publications

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s10016-004-0078-6

DOI

http://dx.doi.org/10.1007/s10016-004-0078-6

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1010554825

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/15534735


Indexing Status Check whether this publication has been indexed by Scopus and Web Of Science using the SN Indexing Status Tool
Incoming Citations Browse incoming citations for this publication using opencitations.net

JSON-LD is the canonical representation for SciGraph data.

TIP: You can open this SciGraph record using an external JSON-LD service: JSON-LD Playground Google SDTT

[
  {
    "@context": "https://springernature.github.io/scigraph/jsonld/sgcontext.json", 
    "about": [
      {
        "id": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/1103", 
        "inDefinedTermSet": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/", 
        "name": "Clinical Sciences", 
        "type": "DefinedTerm"
      }, 
      {
        "id": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/11", 
        "inDefinedTermSet": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/", 
        "name": "Medical and Health Sciences", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Adult", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Arm", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Decompression, Surgical", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Female", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Follow-Up Studies", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Humans", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Ischemia", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Male", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Nervous System Diseases", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Retrospective Studies", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Ribs", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Subclavian Artery", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Subclavian Vein", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Thoracic Outlet Syndrome", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Time Factors", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Treatment Outcome", 
        "type": "DefinedTerm"
      }
    ], 
    "author": [
      {
        "affiliation": {
          "alternateName": "H\u00f4pitaux Universitaires Henri Mondor", 
          "id": "https://www.grid.ac/institutes/grid.412116.1", 
          "name": [
            "Department of Vascular Surgery, Henri Mondor Hospital, Cr\u00c3\u00a9teil, France"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Degeorges", 
        "givenName": "Renaud", 
        "id": "sg:person.01353622043.17", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01353622043.17"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "H\u00f4pitaux Universitaires Henri Mondor", 
          "id": "https://www.grid.ac/institutes/grid.412116.1", 
          "name": [
            "Department of Vascular Surgery, Henri Mondor Hospital, Cr\u00c3\u00a9teil, France"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Reynaud", 
        "givenName": "Catherine", 
        "id": "sg:person.01106434536.38", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01106434536.38"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "H\u00f4pitaux Universitaires Henri Mondor", 
          "id": "https://www.grid.ac/institutes/grid.412116.1", 
          "name": [
            "Department of Vascular Surgery, Henri Mondor Hospital, Cr\u00c3\u00a9teil, France"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Becquemin", 
        "givenName": "Jean-Pierre", 
        "id": "sg:person.01035025141.51", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01035025141.51"
        ], 
        "type": "Person"
      }
    ], 
    "citation": [
      {
        "id": "https://doi.org/10.1177/153857440103500305", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1010065916"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1177/153857440103500305", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1010065916"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "sg:pub.10.1007/bf02693797", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1014187624", 
          "https://doi.org/10.1007/bf02693797"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1067/mva.2001.117883", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1014787164"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "sg:pub.10.1007/s002680020079", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1015249206", 
          "https://doi.org/10.1007/s002680020079"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1067/mva.2002.123750", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1024628048"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1067/mva.2001.117882", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1030128588"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/0266-7681(94)90174-0", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1031202651"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/0266-7681(94)90174-0", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1031202651"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/0266-7681(94)90174-0", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1031202651"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/s0370-4475(80)80032-3", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1033141423"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/0266-7681(94)90203-8", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1035342841"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/0266-7681(94)90203-8", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1035342841"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/0266-7681(94)90203-8", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1035342841"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/0266-7681(94)90203-8", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1035342841"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1067/mva.2001.113484", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1037168198"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1067/mva.1991.33158", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1037318033"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/0741-5214(90)90040-h", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1037805457"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/s0950-821x(89)80047-7", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1049358739"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "sg:pub.10.1007/bf02000592", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1050430298", 
          "https://doi.org/10.1007/bf02000592"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "sg:pub.10.1007/bf02000592", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1050430298", 
          "https://doi.org/10.1007/bf02000592"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1067/mva.1990.23498", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1058150626"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/00000658-199810000-00017", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1060134884"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/00000658-199810000-00017", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1060134884"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/00000658-199810000-00017", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1060134884"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/00003086-199911000-00009", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1060168001"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/00003086-199911000-00009", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1060168001"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/00003086-199911000-00009", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1060168001"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1177/153857447901300503", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1064042617"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1177/153857447901300503", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1064042617"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.2106/00004623-199072010-00014", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1068890329"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://app.dimensions.ai/details/publication/pub.1074780896", 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://app.dimensions.ai/details/publication/pub.1074845750", 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://app.dimensions.ai/details/publication/pub.1079496747", 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://app.dimensions.ai/details/publication/pub.1079660514", 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://app.dimensions.ai/details/publication/pub.1079693012", 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://app.dimensions.ai/details/publication/pub.1081902236", 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://app.dimensions.ai/details/publication/pub.1082913783", 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://app.dimensions.ai/details/publication/pub.1083166983", 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://app.dimensions.ai/details/publication/pub.1083293529", 
        "type": "CreativeWork"
      }
    ], 
    "datePublished": "2004-09", 
    "datePublishedReg": "2004-09-01", 
    "description": "The treatment of thoracic outlet syndrome (TOS) is controversial and long-term results are poorly documented. This retrospective study was carried out to assess clinical outcome 2 years after TOS surgery and to determine predictive factors of outcome. Between 1979 and 1999, 155 patients underwent TOS surgery. Of these patients, 140 (90.3%) had a minimum follow-up of 2 years. Thirty-six (25.7%) patients underwent bilateral procedures. A total of 176 procedures were reviewed and served as a basis for study. Presenting symptoms were neurologic in 15 cases (8.5%), arm or hand ischemia occurred in 38 cases (21.6%), and venous compression or thrombosis in 27 cases (15.4%). In 96 cases (54.5%), symptoms were mixed. A transaxillary approach (107 cases) was chosen to address venous symptoms and minor arterial dysfunction. A supraclavicular approach (69 cases) was used when there were large abnormal bony structures, neurologic symptoms, and/or severe limb ischemia. The first rib was resected either extensively from its neck to the sternal attachment (54 cases) or partially, including the mid-rib and neck or the mid-rib and sternal attachment (121 cases), depending on symptoms, approach, and surgeon's choice. Whenever present, cervical ribs, anterior scalenus muscle, and various fibrous or muscular compressive structures were also removed. The 2-year functional outcome according to Derkash's classification was assessed by means of a phone survey. Pre-, per-, and immediate postoperative data were recorded and compared to functional outcomes. Mean follow-up was 7.5 A+/- 3.4 years (2a\"19 years). Functional results were excellent, good, fair, and poor in 87 (49.4%), 61 (34.6%), 14 (8%),and 14 (8%) procedures respectively. Predictive factors of negative outcomes were acute ischemia ( p < 0.01), sensory or motor deficit ( p < 0.01), and poorly systematized neurological symptoms as presenting symptoms ( p < 0.05), and extended resection of the first rib ( p < 0.01) and severe postoperative complications ( p < 0.01). This series showed that the 2-year results of TOS surgery were satisfactory in the majority of cases. Patients suffering from poorly systematized neurological symptoms in the arm had poor results. This subset of patients should be denied surgery or at least informed that postoperative results might be disappointing. Partial first-rib resection and a careful technique avoiding postoperative complications were also factors in long-term success.", 
    "genre": "research_article", 
    "id": "sg:pub.10.1007/s10016-004-0078-6", 
    "inLanguage": [
      "en"
    ], 
    "isAccessibleForFree": false, 
    "isPartOf": [
      {
        "id": "sg:journal.1097002", 
        "issn": [
          "0890-5096", 
          "1615-5947"
        ], 
        "name": "Annals of Vascular Surgery", 
        "type": "Periodical"
      }, 
      {
        "issueNumber": "5", 
        "type": "PublicationIssue"
      }, 
      {
        "type": "PublicationVolume", 
        "volumeNumber": "18"
      }
    ], 
    "name": "Thoracic Outlet Syndrome Surgery: Long-Term Functional Results", 
    "pagination": "558-565", 
    "productId": [
      {
        "name": "readcube_id", 
        "type": "PropertyValue", 
        "value": [
          "3248944eabe1b20d74247358a5a90b024b6be11e17b006877a92f09d98e1bb3a"
        ]
      }, 
      {
        "name": "pubmed_id", 
        "type": "PropertyValue", 
        "value": [
          "15534735"
        ]
      }, 
      {
        "name": "nlm_unique_id", 
        "type": "PropertyValue", 
        "value": [
          "8703941"
        ]
      }, 
      {
        "name": "doi", 
        "type": "PropertyValue", 
        "value": [
          "10.1007/s10016-004-0078-6"
        ]
      }, 
      {
        "name": "dimensions_id", 
        "type": "PropertyValue", 
        "value": [
          "pub.1010554825"
        ]
      }
    ], 
    "sameAs": [
      "https://doi.org/10.1007/s10016-004-0078-6", 
      "https://app.dimensions.ai/details/publication/pub.1010554825"
    ], 
    "sdDataset": "articles", 
    "sdDatePublished": "2019-04-11T01:19", 
    "sdLicense": "https://scigraph.springernature.com/explorer/license/", 
    "sdPublisher": {
      "name": "Springer Nature - SN SciGraph project", 
      "type": "Organization"
    }, 
    "sdSource": "s3://com-uberresearch-data-dimensions-target-20181106-alternative/cleanup/v134/2549eaecd7973599484d7c17b260dba0a4ecb94b/merge/v9/a6c9fde33151104705d4d7ff012ea9563521a3ce/jats-lookup/v90/0000000001_0000000264/records_8697_00000582.jsonl", 
    "type": "ScholarlyArticle", 
    "url": "http://link.springer.com/10.1007%2Fs10016-004-0078-6"
  }
]
 

Download the RDF metadata as:  json-ld nt turtle xml License info

HOW TO GET THIS DATA PROGRAMMATICALLY:

JSON-LD is a popular format for linked data which is fully compatible with JSON.

curl -H 'Accept: application/ld+json' 'https://scigraph.springernature.com/pub.10.1007/s10016-004-0078-6'

N-Triples is a line-based linked data format ideal for batch operations.

curl -H 'Accept: application/n-triples' 'https://scigraph.springernature.com/pub.10.1007/s10016-004-0078-6'

Turtle is a human-readable linked data format.

curl -H 'Accept: text/turtle' 'https://scigraph.springernature.com/pub.10.1007/s10016-004-0078-6'

RDF/XML is a standard XML format for linked data.

curl -H 'Accept: application/rdf+xml' 'https://scigraph.springernature.com/pub.10.1007/s10016-004-0078-6'


 

This table displays all metadata directly associated to this object as RDF triples.

225 TRIPLES      21 PREDICATES      73 URIs      37 LITERALS      25 BLANK NODES

Subject Predicate Object
1 sg:pub.10.1007/s10016-004-0078-6 schema:about N12e2281ac7544bf8b2ab13b2a78f1aef
2 N13787e4111e140d6bdc2129755fbd82e
3 N1f9b808be0ad48d1b4bb49e1240b7d00
4 N2231d8c979634d5fa6887296144486a1
5 N3687042276f74414aa3ee81bb0f06306
6 N41a40ccc466949ea9c419c52994273ce
7 N52e65adc8efe48d78264a61549f8f553
8 N54dd45ad190d432a9e7de8f71e986318
9 N5a1a48f2b3214825bb310f26e51559e4
10 N5d35f58510ea49608fc8b49af3120c37
11 N75d55594f04446a7acb6633eb3783b37
12 N852d3575561c4959811964e08375e60d
13 Nb1f99ea61296450ab95160387f0db079
14 Nb34b9765edf348be8a6f38806bf413e1
15 Nbbd3043996a14b738602eaf1e0ec3383
16 Nbd9c3f60ee0041a2974a001858bbeb7f
17 anzsrc-for:11
18 anzsrc-for:1103
19 schema:author Nb5f2b28da5d24194979d47a3bb52ca43
20 schema:citation sg:pub.10.1007/bf02000592
21 sg:pub.10.1007/bf02693797
22 sg:pub.10.1007/s002680020079
23 https://app.dimensions.ai/details/publication/pub.1074780896
24 https://app.dimensions.ai/details/publication/pub.1074845750
25 https://app.dimensions.ai/details/publication/pub.1079496747
26 https://app.dimensions.ai/details/publication/pub.1079660514
27 https://app.dimensions.ai/details/publication/pub.1079693012
28 https://app.dimensions.ai/details/publication/pub.1081902236
29 https://app.dimensions.ai/details/publication/pub.1082913783
30 https://app.dimensions.ai/details/publication/pub.1083166983
31 https://app.dimensions.ai/details/publication/pub.1083293529
32 https://doi.org/10.1016/0266-7681(94)90174-0
33 https://doi.org/10.1016/0266-7681(94)90203-8
34 https://doi.org/10.1016/0741-5214(90)90040-h
35 https://doi.org/10.1016/s0370-4475(80)80032-3
36 https://doi.org/10.1016/s0950-821x(89)80047-7
37 https://doi.org/10.1067/mva.1990.23498
38 https://doi.org/10.1067/mva.1991.33158
39 https://doi.org/10.1067/mva.2001.113484
40 https://doi.org/10.1067/mva.2001.117882
41 https://doi.org/10.1067/mva.2001.117883
42 https://doi.org/10.1067/mva.2002.123750
43 https://doi.org/10.1097/00000658-199810000-00017
44 https://doi.org/10.1097/00003086-199911000-00009
45 https://doi.org/10.1177/153857440103500305
46 https://doi.org/10.1177/153857447901300503
47 https://doi.org/10.2106/00004623-199072010-00014
48 schema:datePublished 2004-09
49 schema:datePublishedReg 2004-09-01
50 schema:description The treatment of thoracic outlet syndrome (TOS) is controversial and long-term results are poorly documented. This retrospective study was carried out to assess clinical outcome 2 years after TOS surgery and to determine predictive factors of outcome. Between 1979 and 1999, 155 patients underwent TOS surgery. Of these patients, 140 (90.3%) had a minimum follow-up of 2 years. Thirty-six (25.7%) patients underwent bilateral procedures. A total of 176 procedures were reviewed and served as a basis for study. Presenting symptoms were neurologic in 15 cases (8.5%), arm or hand ischemia occurred in 38 cases (21.6%), and venous compression or thrombosis in 27 cases (15.4%). In 96 cases (54.5%), symptoms were mixed. A transaxillary approach (107 cases) was chosen to address venous symptoms and minor arterial dysfunction. A supraclavicular approach (69 cases) was used when there were large abnormal bony structures, neurologic symptoms, and/or severe limb ischemia. The first rib was resected either extensively from its neck to the sternal attachment (54 cases) or partially, including the mid-rib and neck or the mid-rib and sternal attachment (121 cases), depending on symptoms, approach, and surgeon's choice. Whenever present, cervical ribs, anterior scalenus muscle, and various fibrous or muscular compressive structures were also removed. The 2-year functional outcome according to Derkash's classification was assessed by means of a phone survey. Pre-, per-, and immediate postoperative data were recorded and compared to functional outcomes. Mean follow-up was 7.5 A+/- 3.4 years (2a<euro>"19 years). Functional results were excellent, good, fair, and poor in 87 (49.4%), 61 (34.6%), 14 (8%),and 14 (8%) procedures respectively. Predictive factors of negative outcomes were acute ischemia ( p < 0.01), sensory or motor deficit ( p < 0.01), and poorly systematized neurological symptoms as presenting symptoms ( p < 0.05), and extended resection of the first rib ( p < 0.01) and severe postoperative complications ( p < 0.01). This series showed that the 2-year results of TOS surgery were satisfactory in the majority of cases. Patients suffering from poorly systematized neurological symptoms in the arm had poor results. This subset of patients should be denied surgery or at least informed that postoperative results might be disappointing. Partial first-rib resection and a careful technique avoiding postoperative complications were also factors in long-term success.
51 schema:genre research_article
52 schema:inLanguage en
53 schema:isAccessibleForFree false
54 schema:isPartOf N4ecab8f5a59a47279acfdcd73a1c6a32
55 Nde386a931a1f44fd8d06aa464e9c9d8e
56 sg:journal.1097002
57 schema:name Thoracic Outlet Syndrome Surgery: Long-Term Functional Results
58 schema:pagination 558-565
59 schema:productId N3fa86037e17d4d39958aede78d944217
60 N81675a327e574daeacbeb1857c706a18
61 N99d16d387e954eaea15a7b724ba4319e
62 Ncb9da5ce587445f5b91b5a792fb7eaea
63 Ne16fb8f3923f4806b14d025846b4ce4b
64 schema:sameAs https://app.dimensions.ai/details/publication/pub.1010554825
65 https://doi.org/10.1007/s10016-004-0078-6
66 schema:sdDatePublished 2019-04-11T01:19
67 schema:sdLicense https://scigraph.springernature.com/explorer/license/
68 schema:sdPublisher N0d0733d98eb2409686ff5bfd019d1e29
69 schema:url http://link.springer.com/10.1007%2Fs10016-004-0078-6
70 sgo:license sg:explorer/license/
71 sgo:sdDataset articles
72 rdf:type schema:ScholarlyArticle
73 N0d0733d98eb2409686ff5bfd019d1e29 schema:name Springer Nature - SN SciGraph project
74 rdf:type schema:Organization
75 N12e2281ac7544bf8b2ab13b2a78f1aef schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
76 schema:name Thoracic Outlet Syndrome
77 rdf:type schema:DefinedTerm
78 N13787e4111e140d6bdc2129755fbd82e schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
79 schema:name Treatment Outcome
80 rdf:type schema:DefinedTerm
81 N1f9b808be0ad48d1b4bb49e1240b7d00 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
82 schema:name Ribs
83 rdf:type schema:DefinedTerm
84 N2231d8c979634d5fa6887296144486a1 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
85 schema:name Humans
86 rdf:type schema:DefinedTerm
87 N254960a725ed4277a1a1471694e10881 rdf:first sg:person.01106434536.38
88 rdf:rest N69a98f2bcd624ede840218c6b39f5b1a
89 N3687042276f74414aa3ee81bb0f06306 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
90 schema:name Nervous System Diseases
91 rdf:type schema:DefinedTerm
92 N3fa86037e17d4d39958aede78d944217 schema:name nlm_unique_id
93 schema:value 8703941
94 rdf:type schema:PropertyValue
95 N41a40ccc466949ea9c419c52994273ce schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
96 schema:name Decompression, Surgical
97 rdf:type schema:DefinedTerm
98 N4ecab8f5a59a47279acfdcd73a1c6a32 schema:issueNumber 5
99 rdf:type schema:PublicationIssue
100 N52e65adc8efe48d78264a61549f8f553 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
101 schema:name Female
102 rdf:type schema:DefinedTerm
103 N54dd45ad190d432a9e7de8f71e986318 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
104 schema:name Ischemia
105 rdf:type schema:DefinedTerm
106 N5a1a48f2b3214825bb310f26e51559e4 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
107 schema:name Arm
108 rdf:type schema:DefinedTerm
109 N5d35f58510ea49608fc8b49af3120c37 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
110 schema:name Adult
111 rdf:type schema:DefinedTerm
112 N69a98f2bcd624ede840218c6b39f5b1a rdf:first sg:person.01035025141.51
113 rdf:rest rdf:nil
114 N75d55594f04446a7acb6633eb3783b37 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
115 schema:name Retrospective Studies
116 rdf:type schema:DefinedTerm
117 N81675a327e574daeacbeb1857c706a18 schema:name dimensions_id
118 schema:value pub.1010554825
119 rdf:type schema:PropertyValue
120 N852d3575561c4959811964e08375e60d schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
121 schema:name Subclavian Vein
122 rdf:type schema:DefinedTerm
123 N99d16d387e954eaea15a7b724ba4319e schema:name pubmed_id
124 schema:value 15534735
125 rdf:type schema:PropertyValue
126 Nb1f99ea61296450ab95160387f0db079 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
127 schema:name Subclavian Artery
128 rdf:type schema:DefinedTerm
129 Nb34b9765edf348be8a6f38806bf413e1 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
130 schema:name Time Factors
131 rdf:type schema:DefinedTerm
132 Nb5f2b28da5d24194979d47a3bb52ca43 rdf:first sg:person.01353622043.17
133 rdf:rest N254960a725ed4277a1a1471694e10881
134 Nbbd3043996a14b738602eaf1e0ec3383 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
135 schema:name Follow-Up Studies
136 rdf:type schema:DefinedTerm
137 Nbd9c3f60ee0041a2974a001858bbeb7f schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
138 schema:name Male
139 rdf:type schema:DefinedTerm
140 Ncb9da5ce587445f5b91b5a792fb7eaea schema:name readcube_id
141 schema:value 3248944eabe1b20d74247358a5a90b024b6be11e17b006877a92f09d98e1bb3a
142 rdf:type schema:PropertyValue
143 Nde386a931a1f44fd8d06aa464e9c9d8e schema:volumeNumber 18
144 rdf:type schema:PublicationVolume
145 Ne16fb8f3923f4806b14d025846b4ce4b schema:name doi
146 schema:value 10.1007/s10016-004-0078-6
147 rdf:type schema:PropertyValue
148 anzsrc-for:11 schema:inDefinedTermSet anzsrc-for:
149 schema:name Medical and Health Sciences
150 rdf:type schema:DefinedTerm
151 anzsrc-for:1103 schema:inDefinedTermSet anzsrc-for:
152 schema:name Clinical Sciences
153 rdf:type schema:DefinedTerm
154 sg:journal.1097002 schema:issn 0890-5096
155 1615-5947
156 schema:name Annals of Vascular Surgery
157 rdf:type schema:Periodical
158 sg:person.01035025141.51 schema:affiliation https://www.grid.ac/institutes/grid.412116.1
159 schema:familyName Becquemin
160 schema:givenName Jean-Pierre
161 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01035025141.51
162 rdf:type schema:Person
163 sg:person.01106434536.38 schema:affiliation https://www.grid.ac/institutes/grid.412116.1
164 schema:familyName Reynaud
165 schema:givenName Catherine
166 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01106434536.38
167 rdf:type schema:Person
168 sg:person.01353622043.17 schema:affiliation https://www.grid.ac/institutes/grid.412116.1
169 schema:familyName Degeorges
170 schema:givenName Renaud
171 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01353622043.17
172 rdf:type schema:Person
173 sg:pub.10.1007/bf02000592 schema:sameAs https://app.dimensions.ai/details/publication/pub.1050430298
174 https://doi.org/10.1007/bf02000592
175 rdf:type schema:CreativeWork
176 sg:pub.10.1007/bf02693797 schema:sameAs https://app.dimensions.ai/details/publication/pub.1014187624
177 https://doi.org/10.1007/bf02693797
178 rdf:type schema:CreativeWork
179 sg:pub.10.1007/s002680020079 schema:sameAs https://app.dimensions.ai/details/publication/pub.1015249206
180 https://doi.org/10.1007/s002680020079
181 rdf:type schema:CreativeWork
182 https://app.dimensions.ai/details/publication/pub.1074780896 schema:CreativeWork
183 https://app.dimensions.ai/details/publication/pub.1074845750 schema:CreativeWork
184 https://app.dimensions.ai/details/publication/pub.1079496747 schema:CreativeWork
185 https://app.dimensions.ai/details/publication/pub.1079660514 schema:CreativeWork
186 https://app.dimensions.ai/details/publication/pub.1079693012 schema:CreativeWork
187 https://app.dimensions.ai/details/publication/pub.1081902236 schema:CreativeWork
188 https://app.dimensions.ai/details/publication/pub.1082913783 schema:CreativeWork
189 https://app.dimensions.ai/details/publication/pub.1083166983 schema:CreativeWork
190 https://app.dimensions.ai/details/publication/pub.1083293529 schema:CreativeWork
191 https://doi.org/10.1016/0266-7681(94)90174-0 schema:sameAs https://app.dimensions.ai/details/publication/pub.1031202651
192 rdf:type schema:CreativeWork
193 https://doi.org/10.1016/0266-7681(94)90203-8 schema:sameAs https://app.dimensions.ai/details/publication/pub.1035342841
194 rdf:type schema:CreativeWork
195 https://doi.org/10.1016/0741-5214(90)90040-h schema:sameAs https://app.dimensions.ai/details/publication/pub.1037805457
196 rdf:type schema:CreativeWork
197 https://doi.org/10.1016/s0370-4475(80)80032-3 schema:sameAs https://app.dimensions.ai/details/publication/pub.1033141423
198 rdf:type schema:CreativeWork
199 https://doi.org/10.1016/s0950-821x(89)80047-7 schema:sameAs https://app.dimensions.ai/details/publication/pub.1049358739
200 rdf:type schema:CreativeWork
201 https://doi.org/10.1067/mva.1990.23498 schema:sameAs https://app.dimensions.ai/details/publication/pub.1058150626
202 rdf:type schema:CreativeWork
203 https://doi.org/10.1067/mva.1991.33158 schema:sameAs https://app.dimensions.ai/details/publication/pub.1037318033
204 rdf:type schema:CreativeWork
205 https://doi.org/10.1067/mva.2001.113484 schema:sameAs https://app.dimensions.ai/details/publication/pub.1037168198
206 rdf:type schema:CreativeWork
207 https://doi.org/10.1067/mva.2001.117882 schema:sameAs https://app.dimensions.ai/details/publication/pub.1030128588
208 rdf:type schema:CreativeWork
209 https://doi.org/10.1067/mva.2001.117883 schema:sameAs https://app.dimensions.ai/details/publication/pub.1014787164
210 rdf:type schema:CreativeWork
211 https://doi.org/10.1067/mva.2002.123750 schema:sameAs https://app.dimensions.ai/details/publication/pub.1024628048
212 rdf:type schema:CreativeWork
213 https://doi.org/10.1097/00000658-199810000-00017 schema:sameAs https://app.dimensions.ai/details/publication/pub.1060134884
214 rdf:type schema:CreativeWork
215 https://doi.org/10.1097/00003086-199911000-00009 schema:sameAs https://app.dimensions.ai/details/publication/pub.1060168001
216 rdf:type schema:CreativeWork
217 https://doi.org/10.1177/153857440103500305 schema:sameAs https://app.dimensions.ai/details/publication/pub.1010065916
218 rdf:type schema:CreativeWork
219 https://doi.org/10.1177/153857447901300503 schema:sameAs https://app.dimensions.ai/details/publication/pub.1064042617
220 rdf:type schema:CreativeWork
221 https://doi.org/10.2106/00004623-199072010-00014 schema:sameAs https://app.dimensions.ai/details/publication/pub.1068890329
222 rdf:type schema:CreativeWork
223 https://www.grid.ac/institutes/grid.412116.1 schema:alternateName Hôpitaux Universitaires Henri Mondor
224 schema:name Department of Vascular Surgery, Henri Mondor Hospital, Créteil, France
225 rdf:type schema:Organization
 




Preview window. Press ESC to close (or click here)


...