FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W2883359243> ?p ?o ?g. }

• W2883359243 endingPage "99" @default.
• W2883359243 startingPage "90" @default.
• W2883359243 abstract "Background The treatment of venous thoracic outlet syndrome (VTOS) requires surgical decompression often combined with catheter-directed thrombolysis and venoplasty. Surgical options include transaxillary, supraclavicular, or infraclavicular approaches to first rib resection. The optimal method, however, has yet to be defined. The purpose of this study is to compare the outcomes of patients who underwent infraclavicular versus supraclavicular surgical decompression for VTOS. Methods A retrospective review of patients who underwent surgical management for VTOS from December 2010 to November 2017 was performed. During the study period, supraclavicular and infraclavicular approaches were chosen according to surgeon preference. Patient demographics, pre- and postdecompression interventions, perioperative outcomes for each group of patients were analyzed. Results Thirty patients underwent surgical management of VTOS, of which 15 (50%) underwent infraclavicular decompression and 15 (50%) supraclavicular decompression. The mean age of patients was 32.1 ± 13.6 years and 80% were male. Twenty-six patients (86.7%) presented with thrombotic VTOS. Acute axillosubclavian vein thrombosis was present in 20 (76.9%) of these patients, 10 patients in each group. Subacute or chronic thrombosis was encountered in the remaining 6 (23%) patients, 2 patients in the infraclavicular group and 4 patients in the supraclavicular group. Preoperative thrombolysis was utilized in 7 (46.7%) and 6 (40%) patients in the infraclavicular and supraclavicular groups, respectively (P = 1.00). Patients without postdecompression venography were removed from analysis and included 1 patient in the infraclavicular group and 5 patients in the supraclavicular group. Initial postdecompression venogram, prior to any endovascular intervention, demonstrated a residual axillosubclavian vein stenosis of greater than 50% in 6 (42.9%) patients in the infraclavicular decompression group and 7 (70%) patients in the supraclavicular decompression group (P = 0.24). Crossing the stenosis after surgical decompression was more easily accomplished in the infraclavicular group, 14 (100%) versus 5 (50%), (P = 0.01). Following endovascular venoplasty, calculated residual stenosis greater than 50% was found in 0 (0%) and 3 (30%) patients in the infraclavicular and supraclavicular approaches, respectively (P = 0.047). Infraclavicular thoracic outlet decompression was associated with fewer patients with postoperative symptoms, 0 of 15 (0%) versus 8 of 15 (53.3%), (P = 0.0022), and infraclavicular thoracic outlet decompression demonstrated improved patency, 15 of 15 (100%) versus 8 of 15 (53.3%), (P = 0.028) at a mean combined follow-up of 8.47 ± 10.8 months. Conclusions Infraclavicular thoracic outlet decompression for the surgical management of VTOS was associated with fewer postoperative symptoms and improved axillosubclavian vein patency compared to the supraclavicular approach. Prospective analysis is warranted to determine long-term outcomes following infraclavicular decompression. The treatment of venous thoracic outlet syndrome (VTOS) requires surgical decompression often combined with catheter-directed thrombolysis and venoplasty. Surgical options include transaxillary, supraclavicular, or infraclavicular approaches to first rib resection. The optimal method, however, has yet to be defined. The purpose of this study is to compare the outcomes of patients who underwent infraclavicular versus supraclavicular surgical decompression for VTOS. A retrospective review of patients who underwent surgical management for VTOS from December 2010 to November 2017 was performed. During the study period, supraclavicular and infraclavicular approaches were chosen according to surgeon preference. Patient demographics, pre- and postdecompression interventions, perioperative outcomes for each group of patients were analyzed. Thirty patients underwent surgical management of VTOS, of which 15 (50%) underwent infraclavicular decompression and 15 (50%) supraclavicular decompression. The mean age of patients was 32.1 ± 13.6 years and 80% were male. Twenty-six patients (86.7%) presented with thrombotic VTOS. Acute axillosubclavian vein thrombosis was present in 20 (76.9%) of these patients, 10 patients in each group. Subacute or chronic thrombosis was encountered in the remaining 6 (23%) patients, 2 patients in the infraclavicular group and 4 patients in the supraclavicular group. Preoperative thrombolysis was utilized in 7 (46.7%) and 6 (40%) patients in the infraclavicular and supraclavicular groups, respectively (P = 1.00). Patients without postdecompression venography were removed from analysis and included 1 patient in the infraclavicular group and 5 patients in the supraclavicular group. Initial postdecompression venogram, prior to any endovascular intervention, demonstrated a residual axillosubclavian vein stenosis of greater than 50% in 6 (42.9%) patients in the infraclavicular decompression group and 7 (70%) patients in the supraclavicular decompression group (P = 0.24). Crossing the stenosis after surgical decompression was more easily accomplished in the infraclavicular group, 14 (100%) versus 5 (50%), (P = 0.01). Following endovascular venoplasty, calculated residual stenosis greater than 50% was found in 0 (0%) and 3 (30%) patients in the infraclavicular and supraclavicular approaches, respectively (P = 0.047). Infraclavicular thoracic outlet decompression was associated with fewer patients with postoperative symptoms, 0 of 15 (0%) versus 8 of 15 (53.3%), (P = 0.0022), and infraclavicular thoracic outlet decompression demonstrated improved patency, 15 of 15 (100%) versus 8 of 15 (53.3%), (P = 0.028) at a mean combined follow-up of 8.47 ± 10.8 months. Infraclavicular thoracic outlet decompression for the surgical management of VTOS was associated with fewer postoperative symptoms and improved axillosubclavian vein patency compared to the supraclavicular approach. Prospective analysis is warranted to determine long-term outcomes following infraclavicular decompression." @default.
• W2883359243 created "2018-08-03" @default.
• W2883359243 creator A5004583225 @default.
• W2883359243 creator A5021553040 @default.
• W2883359243 creator A5029607258 @default.
• W2883359243 creator A5044310926 @default.
• W2883359243 creator A5048764369 @default.
• W2883359243 creator A5054854072 @default.
• W2883359243 creator A5068039106 @default.
• W2883359243 creator A5072493130 @default.
• W2883359243 creator A5082901234 @default.
• W2883359243 date "2020-05-01" @default.
• W2883359243 modified "2023-09-26" @default.
• W2883359243 title "Infraclavicular Thoracic Outlet Decompression Compared to Supraclavicular Thoracic Outlet Decompression for the Management of Venous Thoracic Outlet Syndrome" @default.
• W2883359243 cites W136168306 @default.
• W2883359243 cites W1965821309 @default.
• W2883359243 cites W1977680266 @default.
• W2883359243 cites W1987238969 @default.
• W2883359243 cites W1996305857 @default.
• W2883359243 cites W2008338163 @default.
• W2883359243 cites W2020484175 @default.
• W2883359243 cites W2035463180 @default.
• W2883359243 cites W2036375142 @default.
• W2883359243 cites W2040215110 @default.
• W2883359243 cites W2080440326 @default.
• W2883359243 cites W2084486727 @default.
• W2883359243 cites W2101056181 @default.
• W2883359243 cites W2131389507 @default.
• W2883359243 cites W2146069413 @default.
• W2883359243 cites W2160575948 @default.
• W2883359243 cites W2168460878 @default.
• W2883359243 cites W2219389062 @default.
• W2883359243 cites W2516613092 @default.
• W2883359243 cites W2737829389 @default.
• W2883359243 cites W2755012444 @default.
• W2883359243 cites W2767906805 @default.
• W2883359243 cites W2786564813 @default.
• W2883359243 cites W2792352942 @default.
• W2883359243 cites W2792745912 @default.
• W2883359243 cites W2901555638 @default.
• W2883359243 doi "https://doi.org/10.1016/j.avsg.2019.10.083" @default.
• W2883359243 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/31678546" @default.
• W2883359243 hasPublicationYear "2020" @default.
• W2883359243 type Work @default.
• W2883359243 sameAs 2883359243 @default.
• W2883359243 citedByCount "5" @default.
• W2883359243 countsByYear W28833592432021 @default.
• W2883359243 countsByYear W28833592432022 @default.
• W2883359243 countsByYear W28833592432023 @default.
• W2883359243 crossrefType "journal-article" @default.
• W2883359243 hasAuthorship W2883359243A5004583225 @default.
• W2883359243 hasAuthorship W2883359243A5021553040 @default.
• W2883359243 hasAuthorship W2883359243A5029607258 @default.
• W2883359243 hasAuthorship W2883359243A5044310926 @default.
• W2883359243 hasAuthorship W2883359243A5048764369 @default.
• W2883359243 hasAuthorship W2883359243A5054854072 @default.
• W2883359243 hasAuthorship W2883359243A5068039106 @default.
• W2883359243 hasAuthorship W2883359243A5072493130 @default.
• W2883359243 hasAuthorship W2883359243A5082901234 @default.
• W2883359243 hasConcept C118552586 @default.
• W2883359243 hasConcept C126838900 @default.
• W2883359243 hasConcept C141071460 @default.
• W2883359243 hasConcept C2775836813 @default.
• W2883359243 hasConcept C2779480328 @default.
• W2883359243 hasConcept C2779581417 @default.
• W2883359243 hasConcept C2780011451 @default.
• W2883359243 hasConcept C2780193326 @default.
• W2883359243 hasConcept C2780548207 @default.
• W2883359243 hasConcept C2780868729 @default.
• W2883359243 hasConcept C2781267111 @default.
• W2883359243 hasConcept C2909104349 @default.
• W2883359243 hasConcept C31174226 @default.
• W2883359243 hasConcept C500558357 @default.
• W2883359243 hasConcept C71924100 @default.
• W2883359243 hasConceptScore W2883359243C118552586 @default.
• W2883359243 hasConceptScore W2883359243C126838900 @default.
• W2883359243 hasConceptScore W2883359243C141071460 @default.
• W2883359243 hasConceptScore W2883359243C2775836813 @default.
• W2883359243 hasConceptScore W2883359243C2779480328 @default.
• W2883359243 hasConceptScore W2883359243C2779581417 @default.
• W2883359243 hasConceptScore W2883359243C2780011451 @default.
• W2883359243 hasConceptScore W2883359243C2780193326 @default.
• W2883359243 hasConceptScore W2883359243C2780548207 @default.
• W2883359243 hasConceptScore W2883359243C2780868729 @default.
• W2883359243 hasConceptScore W2883359243C2781267111 @default.
• W2883359243 hasConceptScore W2883359243C2909104349 @default.
• W2883359243 hasConceptScore W2883359243C31174226 @default.
• W2883359243 hasConceptScore W2883359243C500558357 @default.
• W2883359243 hasConceptScore W2883359243C71924100 @default.
• W2883359243 hasLocation W28833592431 @default.
• W2883359243 hasLocation W28833592432 @default.
• W2883359243 hasOpenAccess W2883359243 @default.
• W2883359243 hasPrimaryLocation W28833592431 @default.
• W2883359243 hasRelatedWork W2004426039 @default.
• W2883359243 hasRelatedWork W2045549944 @default.
• W2883359243 hasRelatedWork W2074062192 @default.
• W2883359243 hasRelatedWork W2165111555 @default.
• W2883359243 hasRelatedWork W2313014927 @default.

• next