Surgical Techniques: Medial Claviculectomy for VTOS

Chapter
First Online:

Abstract

Removal of the clavicle yields superb exposure of the entire axillary-­subclavian-inominate vein complex, and leads to the most complete exposure possible for venous reconstruction, bypass, or replacement. At least two-thirds of the clavicle should be resected to avoid problems from the residual lateral segment; if this is done, long-term functional outcome is excellent.

Keywords

Subclavian Vein Thoracic Outlet Syndrome Innominate Vein Venous Resection Venous Reconstruction 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.
This is a preview of subscription content, log in to check access.

Notes

Conflicts of Interest

None

References

  1. 1.
    Molina JE, Hunter DW, Dietz CA. Protocols for Paget-Schroetter syndrome and late treatment of chronic subclavian vein obstruction. Ann Thor Surg. 2009;87:416–22.CrossRefGoogle Scholar
  2. 2.
    Thompson RW, Schneider PA, Nelkin NA, Skioldebrand CG, Stoney RJ. Circumferential venolysis and paraclavicular thoracic outlet decompression for “effort thrombosis” of the subclavian vein. J Vasc Surg. 1992;16:723–32.PubMedCrossRefGoogle Scholar
  3. 3.
    Green RM, Waldman D, Ouriel K, Riggs P, DeWeese JA. Claviculectomy for subclavian venous repair: long-term functional results. J Vasc Surg. 2000;32:315–21.PubMedCrossRefGoogle Scholar
  4. 4.
    Sanders RJ, Haug CE. Thoracic outlet syndrome: a common sequela of neck injuries. Philadelphia: Lippincott; 1991. p. 255.Google Scholar
  5. 5.
    Lord JW, Wright IS. Total claviculectomy for neurovascular compression in the thoracic outlet. Surg Gynecol Obstet. 1993;176:609–12.PubMedGoogle Scholar
  6. 6.
    Wood VE. The results of total claviculectomy. Clin Orthop Relat Res. 1986;207:186–90.PubMedGoogle Scholar
  7. 7.
    Gurd FB. Surplus parts of the skeleton, a recommendation for excision of certain portions as a means of shortening the period of disability following trauma. Am J Surg. 1947;74:705–20.PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag London 2013

Authors and Affiliations

  1. 1.Department of Surgery, Division of Vascular SurgeryUniversity of South FloridaTampaUSA

Personalised recommendations