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Controversies in VTOS: Is There Ever a Role for Venous Stents in VTOS?

Chapter

Abstract

The bony venous thoracic outlet creates significant extrinsic force upon the subclavian vein, and intravascular stents in this location thus perform very poorly. There is some literature supporting the use of stents after decompression, but no level I evidence exists. At present the use of stents in venous thoracic outlet syndrome should not be considered until the bony thoracic outlet has been decompressed, and even then should be reserved for isolated cases with thorough followup.

Keywords

Stent Placement Subclavian Vein Surgical Decompression Thoracic Outlet Syndrome Venous Outflow Obstruction 
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.

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Copyright information

© Springer-Verlag London 2013

Authors and Affiliations

  1. 1.Department of Vascular SurgeryStrong Memorial HospitalRochesterUSA
  2. 2.Department of SurgeryUniversity of Rochester Medical CenterRochesterUSA

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