Zusammenfassung
Bei einem Thoracic-Outlet-Syndrom (TOS) können 3 unterschiedliche Strukturen betroffen sein: der Plexus brachialis (neurogenes TOS, NTOS), die V. subclavia (venöses TOS, VTOS) oder am seltensten die A. subclavia (arterielles TOS, ATOS). Die Therapie richtet sich nach dieser Lokalisation, ist aber äußerst umstritten, was an einem Mangel an Daten liegt. Dieser Mangel wiederum ist auf die bis dato inkonsistente Definition des Krankheitsbildes und seiner Diagnostik zurückzuführen. Die neuen Standards der Society for Vascular Surgery zur Berichterstattung sollen hier Klarheit schaffen, um in Zukunft die Ergebnisse besser vergleichbar zu machen.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Literatur
Caputo FJ, Wittenberg AM, Vemuri C, Driskill MR, Earley JA, Rastogi R, Emery VB, Thompson RW (2013) Supraclavicular decompression for neurogenic thoracic outlet syndrome in adolescent and adult populations. J Vasc Surg 57:149–157
Chang KZ, Likes K, Davis K, Demos J, Freischlag JA (2013) The significance of cervical ribs in thoracic outlet syndrome. J Vasc Surg 57:771–775
Finlayson HC, O’Connor RJ, Brasher PM, Travlos A (2011) Botulinum toxin injection for management of thoracic outlet syndrome: a double-blind, randomized, controlled trial. Pain 152:2023–2028
Gelabert HA, Rigberg DA, O’Connell JB, Jabori S, Jimenez JC, Farley S (2018) Transaxillary decompression of thoracic outlet syndrome patients presenting with cervical ribs. J Vasc Surg 68:1143–1149
Illig KA, Donahue D, Duncan A, Freischlag J, Gelabert H, Johansen K, Jordan S, Sanders R, Thompson R (2016a) Reporting standards of the Society for Vascular Surgery for thoracic outlet syndrome. J Vasc Surg 64:e23–35
Illig KA, Donahue D, Duncan A, Freischlag J, Gelabert H, Johansen K, Jordan S, Sanders R, Thompson R (2016b) Reporting standards of the Society for Vascular Surgery for thoracic outlet syndrome: executive summary. J Vasc Surg 64:797–802
Kocher GJ, Zehnder A, Lutz JA, Schmidli J, Schmid RA (2018) First rib resection for thoracic outlet syndrome: the robotic approach. World J Surg 42:3250–3255
Likes KC, Orlando MS, Salditch Q, Mirza S, Cohen A, Reifsnyder T, Lum YW, Freischlag JA (2015) Lessons learned in the surgical treatment of neurogenic thoracic outlet syndrome over 10 years. Vasc Endovascular Surg 49:8–11
Lugo J, Tanious A, Armstrong P, Back M, Johnson B, Shames M, Moudgill N, Nelson P, Illig KA (2015) Acute Paget-Schroetter syndrome: does the first rib routinely need to be removed after thrombolysis? Ann Vasc Surg 29:1073–1077
Nejim B, Alshaikh HN, Arhuidese I, Obeid T, Lum YW, Canner J, Locham SS, Malas M (2017) Perioperative outcomes of thoracic outlet syndrome surgical repair in a nationally validated database. Angiology 68:502–507
Orlando MS, Likes KC, Mirza S, Cao Y, Cohen A, Lum YW, Reifsnyder T, Freischlag JA (2015) A decade of excellent outcomes after surgical intervention in 538 patients with thoracic outlet syndrome. J Am Coll Surg 220:934–939
Povlsen B, Hansson T, Povlsen SD (2014) Treatment for thoracic outlet syndrome. Cochrane Database Syst Rev 11:CD007218
Rinehardt EK, Scarborough JE, Bennett KM (2017) Current practice of thoracic outlet decompression surgery in the United States. J Vasc Surg 66:858–865
Rochlin DH, Orlando MS, Likes KC, Jacobs C, Freischlag JA (2014) Bilateral first rib resection and scalenectomy is effective for treatment of thoracic outlet syndrome. J Vasc Surg 60:185–190
Sheth RN, Campbell JN (2005) Surgical treatment of thoracic outlet syndrome: a randomized trial comparing two operations. J Neurosurg Spine 3:355–363
Vemuri C, McLaughlin LN, Abuirqeba AA, Thompson RW (2017) Clinical presentation and management of arterial thoracic outlet syndrome. J Vasc Surg 65:1429–1439
Vemuri C, Wittenberg AM, Caputo FJ, Earley JA, Driskill MR, Rastogi R, Emery VB, Thompson RW (2013) Early effectiveness of isolated pectoralis minor tenotomy in selected patients with neurogenic thoracic outlet syndrome. J Vasc Surg 57:345–1352
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
Copyright information
© 2019 Springer-Verlag Berlin Heidelberg
About this chapter
Cite this chapter
Debus, E.S., Grundmann, R.T. (2019). Thoracic-Outlet-Syndrom. In: Evidenzbasierte Gefäßchirurgie. Evidenzbasierte Chirurgie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-57709-7_2
Download citation
DOI: https://doi.org/10.1007/978-3-662-57709-7_2
Published:
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-662-57708-0
Online ISBN: 978-3-662-57709-7
eBook Packages: Medicine (German Language)