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https://www.readbyqxmd.com/read/28006856/the-thoracic-outlet-syndromes-part-2-the-arterial-venous-neurovascular-and-disputed-thoracic-outlet-syndromes
#1
Mark A Ferrante, Nicole D Ferrante
The thoracic outlet syndromes (TOSs) are a group of etiologically and clinically distinct disorders with 1 feature in common: compression of 1 or more neurovascular elements as they traverse the thoracic outlet. The medical literature reflects 5 TOSs: arterial, venous, traumatic neurovascular, true neurogenic, and disputed. Of these, the first 4 demonstrate all of the features expected of a syndrome, whereas disputed TOS does not, causing many experts doubt its existence altogether. Thus, some categorize disputed TOS as cervicoscapular pain syndrome rather than as a type of TOS...
December 22, 2016: Muscle & Nerve
https://www.readbyqxmd.com/read/28006844/the-thoracic-outlet-syndromes-part-1-overview-of-the-thoracic-outlet-syndromes-and-review-of-true-neurogenic-thoracic-outlet-syndrome
#2
Mark A Ferrante, Nicole D Ferrante
The thoracic outlet syndromes (TOSs) are a group of etiologically and clinically distinct disorders with 1 feature in common: compression of 1 or more neurovascular elements as they traverse the thoracic outlet. The medical literature reflects 5 TOSs: arterial, venous, traumatic neurovascular, true neurogenic, and disputed. Of these, the first 4 demonstrate all of the features expected of a syndrome, whereas disputed TOS does not, causing many experts to doubt its existence altogether. Thus, some categorize disputed TOS as a cervicoscapular pain syndrome rather than as a type of TOS...
December 22, 2016: Muscle & Nerve
https://www.readbyqxmd.com/read/27994711/oxidant-status-following-cardiac-surgery-with-phosphorylcholine-coated-extracorporeal-circulation-systems
#3
Ali Can Hatemi, Kadir Çeviker, Aybala Tongut, İlhan Özgöl, Murat Mert, Ayşem Kaya
Introduction. Extracorporeal circulation (ECC) related systemic oxidative stress is a well-known entity but the underlying mechanisms are not clearly described. Our aim was to investigate the relation between the oxidative stress indices, inflammatory markers, and phosphorylcholine-coated (PCC) ECC systems. Patients and Methods. Thirty-two consecutive coronary artery bypass grafting (CABG) cases were randomly assigned to Group I (PCC, n = 18) and Group II (noncoated, n = 14) ECC circuits. Total Antioxidant Status (TAS), Total Oxidant Status (TOS), Tumor Necrosis Factor-α (TNF-α), Interleukin-1β (IL-β), Interleukin-6 (IL-6), Interleukin-8 (IL-8), Interleukin-10 (IL-10), and Procalcitonin (PCT) levels were measured at 5 different time points...
2016: Oxidative Medicine and Cellular Longevity
https://www.readbyqxmd.com/read/27989967/modified-interscalene-approach-for-resection-of-symptomatic-cervical-rib-anatomical-review-and-clinical-study
#4
Walid Abdel Ghany, Mohamed A Nada, Ahmed F Toubar, Ahmed E Desoky, Hesham Ibrahim, Marwa A Nassef, Mostafa G Mahran
BACKGROUND: Cervical ribs have been reported to be present in about 0.5% of the general population, 10% of patients with cervical rib who are symptomatic usually have neurogenic symptoms, but some have arterial symptoms. In 1861, Coote was the first to excise a cervical rib through a supraclavicular approach and relieved the symptoms of thoracic outlet syndrome. OBJECTIVES: in this work we address the efficacy and safety of a modification to the supraclavicular approach for resection of symptomatic cervical ribs...
October 27, 2016: World Neurosurgery
https://www.readbyqxmd.com/read/27979572/a-fourteen-year-experience-with-vascular-anomalies-encountered-during-transaxillary-rib-resection-for-thoracic-outlet-syndrome
#5
Jeniann A Yi, Robert J Johnston, Mark R Nehler, Douglas R Gibula, Kristen Alix, Natalia O Glebova, Charles O Brantigan
OBJECTIVES: Transaxillary approach to first rib resection and scalenectomy (TAFRRS) is a well-established technique for treatment of thoracic outlet syndrome (TOS). Although anatomic features encountered during TAFRRS are in general constant, vascular anomalies may be encountered but have not been described to date. Herein we describe vascular abnormalities encountered during TAFRRS. METHODS: We performed a retrospective review of a prospective practice database of 224 operations for TOS performed in 172 patients from 3/2000 to 3/2014...
December 12, 2016: Annals of Vascular Surgery
https://www.readbyqxmd.com/read/27760981/arterial-thoracic-outlet-syndrome-rare-and-triggering
#6
Umar Sadat, Melissa Loja, Ammara Usman, Julie A Freischlag, Kevin Varty
Arterial thoracic outlet syndrome (TOS) is the least common type of TOS. Patient's symptoms, clinical examination and duplex ultrasonography usually suffice in deciding patient's management. Our proposed treatment strategies are based on the Scher classification. The choice of the procedure and approach should depend on surgeon's experience and need for arterial reconstruction.
December 2016: Minerva Cardioangiologica
https://www.readbyqxmd.com/read/27678264/prediabetes-and-type-2-diabetes-are-associated-with-generalized-microvascular-dysfunction-the-maastricht-study
#7
Ben M Sörensen, Alfons J H M Houben, Tos T J M Berendschot, Jan S A G Schouten, Abraham A Kroon, Carla J H van der Kallen, Ronald M A Henry, Annemarie Koster, Simone J S Sep, Pieter C Dagnelie, Nicolaas C Schaper, Miranda T Schram, Coen D A Stehouwer
BACKGROUND: -Type 2 diabetes (T2DM) is associated with an increased risk of cardiovascular disease (CVD). This can be partly explained by large artery dysfunction, which already occurs in prediabetes ('ticking clock hypothesis'). Whether a similar phenomenon also applies to microvascular dysfunction is not known. We therefore tested the hypothesis that microvascular dysfunction is already present in prediabetes and is more severe in T2DM. To do so, we investigated the associations of prediabetes, T2DM, and measures of hyperglycemia with microvascular function measured as flicker light-induced retinal arteriolar dilation and heat-induced skin hyperemia...
September 27, 2016: Circulation
https://www.readbyqxmd.com/read/27668336/arterial-thoracic-outlet-syndrome-rare-and-triggering
#8
Umar Sadat, Melissa Loja, Ammara Usman, Julie A Freischlag, Kevin Varty
Arterial thoracic outlet syndrome (TOS) is the least common type of TOS. Patient's symptoms, clinical examination and duplex ultrasonography usually suffice in deciding patient's management. Our proposed treatment strategies are based on the Scher classification. The choice of the procedure and approach should depend on surgeon's experience and need for arterial reconstruction.
December 2016: Minerva Cardioangiologica
https://www.readbyqxmd.com/read/27666803/outcome-of-surgical-treatment-for-thoracic-outlet-syndrome-systematic-review-and-meta-analysis
#9
REVIEW
Jesse Peek, Cornelis G Vos, Çağdaş Ünlü, Henricus D W M van de Pavoordt, Peter J van den Akker, Jean-Paul P M de Vries
BACKGROUND: Many publications report outcomes of surgical treatment for thoracic outlet syndrome (TOS); however, high-quality reviews and meta-analyses are lacking. This systematic review and meta-analysis summarizes and compares the outcomes and major complications of the surgical procedures for the 3 types of TOS: arterial, venous, and neurogenic. METHODS: MEDLINE, EMBASE, and CINAHL databases, and the Cochrane Database of Systematic Reviews were searched for papers published between January 1980 and February 2015, using the keywords thoracic outlet syndrome, and treatment and surgical...
September 22, 2016: Annals of Vascular Surgery
https://www.readbyqxmd.com/read/27659601/totally-endoscopic-vats-first-rib-resection-for-thoracic-outlet-syndrome
#10
Robert S George, Richard Milton, Nilanjan Chaudhuri, Emmanuel Kefaloyannis, Kostas Papagiannopoulos
BACKGROUND: Thoracic outlet syndrome (TOS) causes neurologic symptoms in 95% of cases and vascular symptoms in 5% of cases. Surgical resection is curative. Endoscopic-assisted transaxillary first rib resection has been previously reported. In this study we report a totally endoscopic video-assisted thoracoscopic surgery (VATS) approach using tailored endoscopic instruments. METHODS: Ten patients (8 women; average age, 32.3 ± 5.6 years) with TOS underwent VATS first rib resection following failure of symptom improvement with physiotherapy...
January 2017: Annals of Thoracic Surgery
https://www.readbyqxmd.com/read/27568153/vascular-thoracic-outlet-syndrome
#11
Mohamad Anas Hussain, Badr Aljabri, Mohammed Al-Omran
Two distinct terms are used to describe vascular thoracic outlet syndrome (TOS) depending on which structure is predominantly affected: venous TOS (due to subclavian vein compression) and arterial TOS (due to subclavian artery compression). Although the venous and arterial subtypes of TOS affect only 3% and <1% of all TOS patients respectively, the diagnostic and management approaches to venous and arterial TOS have undergone considerable evolution due to the recent emergence of minimally invasive endovascular techniques such as catheter-directed arterial and venous thrombolysis, and balloon angioplasty...
2016: Seminars in Thoracic and Cardiovascular Surgery
https://www.readbyqxmd.com/read/27565607/reporting-standards-of-the-society-for-vascular-surgery-for-thoracic-outlet-syndrome
#12
Karl A Illig, Dean Donahue, Audra Duncan, Julie Freischlag, Hugh Gelabert, Kaj Johansen, Sheldon Jordan, Richard Sanders, Robert Thompson
Thoracic outlet syndrome (TOS) is a group of disorders all having in common compression at the thoracic outlet. Three structures are at risk: the brachial plexus, the subclavian vein, and the subclavian artery, producing neurogenic (NTOS), venous (VTOS), and arterial (ATOS) thoracic outlet syndromes, respectively. Each of these three are separate entities, though they can coexist and possibly overlap. The treatment of NTOS, in particular, has been hampered by lack of data, which in turn is the result of inconsistent definitions and diagnosis, uncertainty with regard to treatment options, and lack of consistent outcome measures...
September 2016: Journal of Vascular Surgery
https://www.readbyqxmd.com/read/27565596/reporting-standards-of-the-society-for-vascular-surgery-for-thoracic-outlet-syndrome-executive-summary
#13
Karl A Illig, Dean Donahue, Audra Duncan, Julie Freischlag, Hugh Gelabert, Kaj Johansen, Sheldon Jordan, Richard Sanders, Robert Thompson
Thoracic outlet syndrome (TOS) is a group of disorders all having in common compression at the thoracic outlet. Three structures are at risk: the brachial plexus, the subclavian vein, and the subclavian artery, producing neurogenic (NTOS), venous (VTOS), and arterial (ATOS) thoracic outlet syndromes, respectively. Each of these three are separate entities, though they can coexist and possibly overlap. The treatment of NTOS, in particular, has been hampered by lack of data, which in turn is the result of inconsistent definitions and diagnosis, uncertainty with regard to treatment options, and lack of consistent outcome measures...
September 2016: Journal of Vascular Surgery
https://www.readbyqxmd.com/read/27546594/an-unusual-cause-of-thoracic-outlet-syndrome
#14
Davide Zampieri, Giuseppe Marulli, Marco Mammana, Francesca Calabrese, Marco Schiavon, Federico Rea
Thoracic outlet syndrome (TOS) is a condition arising from compression of the subclavian vessels and/or brachial plexus. Many factors or diseases may cause compression of the neurovascular bundle at the thoracic outlet. We describe the case of a 41-year-old woman with TOS who presented with vascular venous symptoms. Chest computed tomography (CT) scan showed a cystic mass at the level of cervico-thoracic junction, located between the left subclavian artery and vein, which appeared compressed. The cystic mass was removed through a cervical approach and it was found to be a cyst arising from the thoracic duct compressing and anteriorly dislocating the left subclavian vein...
December 2016: Heart, Lung & Circulation
https://www.readbyqxmd.com/read/27531080/venous-thoracic-outlet-syndrome-as-a-cause-of-intractable-migraines
#15
Veer Chahwala, Jun Tashiro, Xiaoyi Li, Atif Baqai, Jorge Rey, Handel R Robinson
Thoracic outlet syndrome (TOS) refers to the compression of the neurovascular bundle within the thoracic outlet. Cases are classified by primary etiology-arterial, neurogenic, or venous. In addition to the typical symptoms of arm swelling and paresthesias, headaches have been reported as a potential symptom of TOS. In this report, we describe a patient with debilitating migraines, which were consistently preceded by unilateral arm swelling. Resolution of symptoms occurred only after thoracic outlet decompression...
August 12, 2016: Annals of Vascular Surgery
https://www.readbyqxmd.com/read/27489685/subclavian-artery-stenosis-caused-by-a-prominent-first-rib
#16
Isabelle Claus, Kobe Van Bael, Sabrina Speybrouck, Geerhardus Van Der Tempel
Thoracic outlet syndrome is a mechanical space problem in which the brachial plexus and/or subclavian vessels are compressed. Arterial compression is least common and almost always associated with a bony anomaly. We present a case of a 49-year-old woman with a prominent first rib which caused a subclavian artery stenosis. There are many options for subclavian artery repair through open surgery. In high-risk patients, minimal invasive techniques are favorable. To date, few case reports exist on an endovascular artery repair combined with open first rib resection...
2015: SAGE open medical case reports
https://www.readbyqxmd.com/read/27372470/unsuspected-herniated-lung-obstructing-the-right-internal-jugular-vein-and-internal-carotid-artery-in-a-patient-with-thoracic-outlet-syndrome-mri-mra-and-mrv
#17
James D Collins
No abstract text is available yet for this article.
May 2016: Journal of the National Medical Association
https://www.readbyqxmd.com/read/27312464/the-ldl-hdl-ratio-and-atherosclerosis-in-ankylosing-spondylitis
#18
A Kucuk, A Ugur Uslu, A Icli, E Cure, S Arslan, K Turkmen, A Toker, M Kayrak
OBJECTIVES: In ankylosing spondylitis (AS) patients, cardiac and vascular involvement may manifest as atherosclerosis and coronary artery disease. Systemic inflammation, oxidative stress, increased low-density lipoprotein (LDL) cholesterol and decreased high-density lipoprotein (HDL) cholesterol constitute a significant risk for atherosclerosis. This study investigated the relationship between carotid intima-media thickness (CIMT), LDL/HDL ratio, total oxidant status (TOS; an indicator of oxidative stress) and ischemic modified albumin (IMA; an ischemic marker in AS patients)...
June 16, 2016: Zeitschrift Für Rheumatologie
https://www.readbyqxmd.com/read/27229100/effect-of-ukrain-on-ischemia-reperfusion-induced-kidney-injury-in-rats
#19
Bekir Aras, Raziye Akçilar, F Emel Koçak, Havva Koçak, Bircan Savran, Hüseyin Metineren, Yasin Tuğrul Karakuş, Mehmet Yücel
BACKGROUND: The aim of this study was to investigate the potential protective effect of ukrain on an experimental kidney injury model induced by ischemia and reperfusion (IR) in rats. MATERIAL AND METHODS: A total of 24 male Sprague-Dawley rats were equally and randomly separated into three groups as follows: group-1: controls (C; only laparotomy); group 2: renal ischemia-reperfusion (IR; occlusion of the renal artery for 30 min and 2 h of reperfusion); and group 3: ukrain treatment and IR applied group (U + IR; occlusion of the renal artery for 30 min and 2 h of reperfusion; ukrain was intraperitoneally administered 1 h before the IR process)...
May 15, 2016: Journal of Surgical Research
https://www.readbyqxmd.com/read/27136755/the-diagnostic-accuracy-of-clinical-diagnostic-tests-for-thoracic-outlet-syndrome
#20
Krista M Hixson, Hannah B Horris, Tamara C Valovich McLeod, Cailee E Welch Bacon
Thoracic outlet syndrome is comprised of symptoms resulting from a compression of the neurovascular structures that pass through the intra-scalene triangle. This condition poses challenges in diagnosis due to the syndrome's vague definition, which only identifies the location of pathology without identifying which structures are specifically compromised. Thoracic outlet syndrome is categorized into vascular or neurogenic types with vascular cases subcategorized as arterial or venous and neurogenic cases subcategorized as true or disputed...
May 2, 2016: Journal of Sport Rehabilitation
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