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- W949526714 abstract "This chapter deals with subclavian vein obstruction. Subclavian vein obstruction, also called venous thoracic outlet syndrome (venous TOS), can be partial or complete. Partial obstruction is due to stenosis; complete obstruction is usually due to thrombosis. Swelling of the entire arm is the primary symptom. Swelling limited to the fingers and hand can occur with neurogenic thoracic outlet syndrome, and is not indicative of venous obstruction unless the whole arm is involved. Other symptoms are cyanosis, a feeling of fullness, aching, or pain. Some patients have mild paresthesia. Physical examination confirms swelling and cyanosis. The only other significant finding is dilated subcutaneous veins over the shoulder and upper chest wall of the affected side. The two diagnostic tools in use today are duplex scanning and venography. Venous pressure measurements can also be used, but these are cumbersome and unreliable unless there is obvious arm swelling. Finally, the approach to managing subclavian vein obstruction is three-fold—removing the thrombus, removing the extrinsic cause, and removing the intrinsic obstruction." @default.
- W949526714 created "2016-06-24" @default.
- W949526714 creator A5089816112 @default.
- W949526714 date "2007-01-01" @default.
- W949526714 modified "2023-09-25" @default.
- W949526714 title "Subclavian Vein Obstruction: Techniques for Repair and Bypass" @default.
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- W949526714 doi "https://doi.org/10.1016/b978-012369515-4/50056-9" @default.
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