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Thoracic Outlet Syndrome pp 201–208Cite as

Surgical Techniques: Operative Decompression Using the Transaxillary Approach for NTOS

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Abstract

Most feel that patients with neurogenic thoracic outlet syndrome (NTOS) who are refractory to conservative management should undergo operative decompression. The ideal approach for NTOS should be based on the patient’s symptoms and anatomy, and the surgeon’s operative experience. The transaxillary approach was first described by Roos in 1966, and many surgeons prefer this approach because of its relative ease, low risk, and documented ability to improve patients’ quality of life. This chapter describes the technical aspects of transaxillary first rib resection with attention to factors that influence short- and long-term outcome when performed in patients with NTOS.

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References

  1. Roos DB. Transaxillary approach for first rib resection to relieve thoracic outlet syndrome. Ann Surg. 1966;163(3):354–8.

    Article  PubMed  CAS  Google Scholar 

  2. Chang DC, Lidor AO, Matsen SL, Freischlag JA. Reported in-hospital complications following rib resections for neurogenic thoracic outlet syndrome. Ann Vasc Surg. 2007;21(5):564–70.

    Article  PubMed  Google Scholar 

  3. Chang DC, Rotellini-Coltvet LA, Mukherjee D, De Leon R, Freischlag JA. Surgical intervention for thoracic outlet syndrome improves patient’s quality of life. J Vasc Surg. 2009;49(3):630–5, discussion 5–7.

    Article  PubMed  CAS  Google Scholar 

  4. Sanders RJ, Hammond SL, Rao NM. Diagnosis of thoracic outlet syndrome. J Vasc Surg. 2007;46(3):601–4.

    Article  PubMed  Google Scholar 

  5. Chaikof E, Cambria R, editors. Atlas of vascular and endovascular surgery (in press)

    Google Scholar 

  6. Ambrad-Chalela E, Thomas GI, Johansen KH. Recurrent neurogenic thoracic outlet syndrome. Am J Surg. 2004;187(4):505–10.

    Article  PubMed  Google Scholar 

  7. Sanders RJ, Haug CE, Pearce WH. Recurrent thoracic outlet syndrome. J Vasc Surg. 1990;12(4):390–8, discussion 8–400.

    PubMed  CAS  Google Scholar 

  8. Altobelli GG, Kudo T, Haas BT, Chandra FA, Moy JL, Ahn SS. Thoracic outlet syndrome: pattern of clinical success after operative decompression. J Vasc Surg. 2005;42(1):122–8.

    Article  PubMed  Google Scholar 

  9. Mingoli A, Feldhaus RJ, Farina C, Cavallari N, Sapienza P, di Marzo L, et al. Long-term outcome after transaxillary approach for thoracic outlet syndrome. Surgery. 1995;118(5):840–4.

    Article  PubMed  CAS  Google Scholar 

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Author information

Authors and Affiliations

  1. Department of Surgery, Johns Hopkins Hospital, 600 N. Wolfe Street, Blalock 655, Baltimore, MD, 21287, USA

    George J. Arnaoutakis MD

  2. Department of Surgery, Johns Hopkins Bayview Medical Center, 4940 Eastern Ave. 5fl. A-Bldg, Baltimore, MD, 21224, USA

    Thomas Reifsnyder MD

Authors
  1. George J. Arnaoutakis MD
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  2. Thomas Reifsnyder MD
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Corresponding author

Correspondence to Thomas Reifsnyder MD .

Editor information

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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Arnaoutakis, G.J., Reifsnyder, T. (2013). Surgical Techniques: Operative Decompression Using the Transaxillary Approach for NTOS. 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_28

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  • DOI: https://doi.org/10.1007/978-1-4471-4366-6_28

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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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