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Controversies in VTOS: Is Lysis Always Required in Patient with Effort Thrombosis?

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Thoracic Outlet Syndrome

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Abstract

The treatment of subclavian venous thrombosis due to thoracic outlet compression has been significantly altered over the past few decades due to the advent of percutaneous therapies. Most believe that the combination of venous thrombolysis followed by thoracic outlet decompression is safe and effective, and best for most patients. The only cases that thrombolysis is not used are those with subacute or chronic occlusions, those patients with limited symptoms and functional needs, and those with significant medical contraindications.

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Authors and Affiliations

  1. Department of Surgery, Lenox Hill Hospital, 130 East 77th Street, New York, NY, 10075, USA

    Richard M. Green MD

Authors
  1. Richard M. Green MD
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Correspondence to Richard M. Green MD .

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Editors and Affiliations

  1. , Division of Vascular Surgery, University of South Florida, Tampa General Circle, STC 7016 2, Tampa, 33606, Florida, USA

    Karl A. Illig

  2. Barnes-Jewish Hospital, Department of Surgery, Washington University, Queeny Tower Campus Box, St. Louis, 63110, Missouri, USA

    Robert W. Thompson

  3. , Department of Surgery, John Hopkins Medical Institutions, Rutland Avenue - Ross 759 729, Baltimore, 21205, Maryland, USA

    Julie Ann Freischlag

  4. , Department of Thoracic Surgery, Blake 15, Massachusetts General Hospital, Fruit Street 55, Boston, 02114, Massachusetts, USA

    Dean M. Donahue

  5. Neurological Associates of West LA, Wilshire Blvd, Suite 790 2811, Santa Monica, 90403, California, USA

    Sheldon E. Jordan

  6. , Graduate Program in Physical Therapy, UCSF/SFSU, Balmoral Street 2429, Union City, 94587, California, USA

    Peter I. Edgelow

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© 2013 Springer-Verlag London

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Green, R.M. (2013). Controversies in VTOS: Is Lysis Always Required in Patient with Effort Thrombosis?. In: Illig, K., Thompson, R., Freischlag, J., Donahue, D., Jordan, S., Edgelow, P. (eds) Thoracic Outlet Syndrome. Springer, London. https://doi.org/10.1007/978-1-4471-4366-6_70

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  • DOI: https://doi.org/10.1007/978-1-4471-4366-6_70

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  • Publisher Name: Springer, London

  • Print ISBN: 978-1-4471-4365-9

  • Online ISBN: 978-1-4471-4366-6

  • eBook Packages: MedicineMedicine (R0)

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