Thoracic Outlet Syndrome, An Issue of Thoracic Surgery Clinics

1st Edition, Volume 31-1 - December 1, 2020
Editors: Dean Donahue, Hugh Auchincloss
Language: English
Hardback ISBN:
9 7 8 - 0 - 3 2 3 - 7 9 0 9 0 - 1
eBook ISBN:
9 7 8 - 0 - 3 2 3 - 7 9 0 9 1 - 8

This issue of Thoracic Surgery Clinics, guest edited by Drs. Dean Donahue and Hugh G. Auchincloss, is devoted to Thoracic Outlet Syndrome. Drs. Donahue and Auchincloss have… Read more

Thoracic Outlet Syndrome, An Issue of Thoracic Surgery Clinics

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This issue of Thoracic Surgery Clinics, guest edited by Drs. Dean Donahue and Hugh G. Auchincloss, is devoted to Thoracic Outlet Syndrome. Drs. Donahue and Auchincloss have assembled expert authors to review the following topics: Embryology and Anatomy of the Thoracic Outlet; Evaluation of Patients with Neurogenic Thoracic Outlet Syndrome; Reoperation for Persistent or Recurrent Neurogenic Thoracic Outlet Syndrome; Surgical Technique: Supraclavicular First Rib Resection; Evaluation and Management of Venous Thoracic Outlet Syndrome; How Common is Thoracic Outlet Syndrome?; Surgical Technique: Minimally Invasive First Rib Resection; Radiographic Evaluation of Thoracic Outlet Syndrome; Evaluation and Management of Arterial Thoracic Outlet Syndrome; and more!

Cover image
Title page
Table of Contents
Copyright
Contributors
Forthcoming Issues
Anatomy and Embryology of the Thoracic Outlet
Key points
Introduction
Neurovascular anatomy and embryology
Bony anatomy and embryology
Fibromuscular
Thoracic duct
Summary
How Common Is Thoracic Outlet Syndrome?
Key points
Background
The University of South Florida experience
So what is the scope of the problem?
Putting this into context
Summary
Imaging Assessment of Thoracic Outlet Syndrome
Key points
Introduction
Thoracic outlet syndrome imaging protocols
MRI protocol
Ultrasound-guided botulinum toxin injection
Classification of thoracic outlet syndrome and imaging manifestations
Discussion
Summary
Clinics care points
Evaluation and Management of Venous Thoracic Outlet Syndrome
Key points
Introduction
Patient evaluation overview
Pharmacologic or medical treatment options
Interventional assessment and treatment
Surgical treatment
Potential complications of treatment and special circumstances
Evaluation of outcomes
Summary
Clinics care points
Evaluation and Management of Arterial Thoracic Outlet Syndrome
Key points
Introduction/History/Definitions/Background
Epidemiology/Prevalence/Incidence
Presentation
Evaluation
Imaging
Chest radiography
Hemodynamic studies
Ultrasound
Computed tomography angiography
MR angiography
Angiography
Therapeutic options
Asymptomatic patient
Symptomatic patient
Ischemic patient
Complications
Summary
Clinics care points
Evaluation of Patients with Neurogenic Thoracic Outlet Syndrome
Key points
Introduction
Discussion
Summary
Clinics care points
Physical Therapy Management of Neurogenic Thoracic Outlet Syndrome
Key points
Introduction
Interview
Physical examination
Functional testing
Treatment approaches
External support
Stretching
Function and ergonomics
Neural glides
Psychologically informed physical therapy
Treatment progression
Summary
Clinical care points
Surgical Technique: Supraclavicular First Rib Resection
Key points
Introduction/history/definitions/background
Anatomy
Nature of the problem/diagnosis
Preoperative/preprocedure planning
Preparation and patient positioning
Procedural approach
Recovery and rehabilitation
Outcomes
Summary
Clinics care points
Surgical Technique: Minimally Invasive First-Rib Resection
Key points
Introduction
Summary
Clinical care points
Reoperation for Persistent or Recurrent Neurogenic Thoracic Outlet Syndrome
Key points
Introduction
Nature of the problem
Patient evaluation overview
Nonoperative management
Surgical management
Supraclavicular approach for reoperative first rib resection
Transaxillary approach for pectoralis minor tenotomy
Complications of reoperative surgery
Evaluation of reoperative surgical outcomes
Summary
Clinics care points