open access
Is there something new in the diagnosis and treatment of TOS and Paget-Schroetter syndrome ?


- Department of Internal Diseases, Oncology, with Department of Gastroenterology, Cardiology, and Angiology. Hospital MSWiA in Katowice, Poland
- Students Research Group, Department of Internal Medicine, Angiology and Physical Medicine in Bytom, Faculty od Medical Sciences in Zabrze, Medical University of Silesia in Katowice, Poland, Bytom, ul. Batorego 15, 41-902 Bytom, Poland
- The Traumatology and Orthopedic Ward, The Urban Hospital in Ruda Śląska, Poland
- 4Faculty of Health Sciences. Jan Dlugosz University in Czestochowa. Poland
- Department of Internal Diseases, Oncology, with Department of Gastroenterology, Cardiology, and Angiology. Hospital MSWiA in Katowice, Poland
open access
Abstract
Thoracic outlet syndrome is a syndrome of pathologic neurologic and vascular symptoms involving the upper limb. Its most serious complication, Paget-Schroetter Syndrome, is a major clinical problem, posing a significant diagnostic and therapeutic challenge to specialists not only in angiology and vascular surgery but also in neurology and physiotherapy. There is a need for in-depth examination and differentiation of patients with suspected compression syndrome. We present a review paper covering the diagnosis and treatment of thoracic outlet syndrome.
Abstract
Thoracic outlet syndrome is a syndrome of pathologic neurologic and vascular symptoms involving the upper limb. Its most serious complication, Paget-Schroetter Syndrome, is a major clinical problem, posing a significant diagnostic and therapeutic challenge to specialists not only in angiology and vascular surgery but also in neurology and physiotherapy. There is a need for in-depth examination and differentiation of patients with suspected compression syndrome. We present a review paper covering the diagnosis and treatment of thoracic outlet syndrome.
Keywords
Paget-Schroetter Syndrome, thoracic outlet syndrome, venous thrombosis, compression syndrome


Title
Is there something new in the diagnosis and treatment of TOS and Paget-Schroetter syndrome ?
Journal
Issue
Article type
Review paper
Pages
30-34
Published online
2022-05-02
Page views
4652
Article views/downloads
457
DOI
Bibliographic record
Acta Angiologica 2022;28(1):30-34.
Keywords
Paget-Schroetter Syndrome
thoracic outlet syndrome
venous thrombosis
compression syndrome
Authors
Sebastian Kwiatek
Karolina Cesarz
Ewa Mańka
Maciej Krupowies
Marcin Hachuła
Aleksander Sieroń
Karolina Sieroń


- Adamski S. Zespoły naczyniowo-nerwowe. In: Rykowski H. ed. Choroby naczyń. PZWL, Warszawa 1990: 442–454.
- Sieroń A, Cierpka L, Rybak Z, Stanek A. Podręcznik angiologii. Alfa-medica Press 2009.
- Craeger MA, Dzau V, Loscalzo J. Choroby naczyń. Elsevier 2006: Elsevier.
- Mackinnon SE, Novak CB. Thoracic outlet syndrome. Curr Probl Surg. 2002; 39(11): 1070–1145.
- Mackinnon SE, Novak CB. Thoracic outlet syndrome. Curr Probl Surg. 2002; 39(11): 1070–1145.
- Davidovic L, Kostic D, Jakovljevic N, et al. Vascular thoracic outlet syndrome. World J Surg. 2003; 27(5): 545–550.
- Novak C. Thoracic outlet syndrome. Clinics in Plastic Surgery. 2003; 30(2): 175–188.
- Schneider D, Curry T, Eichler C, et al. Percutaneous Mechanical Thrombectomy for the Management of Venous Thoracic Outlet Syndrome. Journal of Endovascular Therapy. 2003; 10(2): 336–340, doi: 10.1583/1545-1550(2003)010<0336:pmtftm>2.0.co;2.
- Edwards DP, Mulkern E, Raja AN, et al. Trans-axillary first rib excision for thoracic outlet syndrome. J R Coll Surg Edinb. 1999; 44(6): 362–365.
- Hempel GK, Shutze WP, Anderson JF, et al. 770 consecutive supraclavicular first rib resections for thoracic outlet syndrome. Ann Vasc Surg. 1996; 10(5): 456–463.
- Koffler KM, Kelly JD. Neurovascular trauma in athletes. Orthop Clin North Am. 2002; 33(3): 523–34, vi.
- Pupka A, Szyber P. Zespół uciskowy górnego otworu klatki piersiowej — diagnostyka i leczenie. e-Anatomy. 2021; 8: 16–21.
- Davidović L, Marković D, Pejkić S, et al. Subclavian Artery Aneurysms. Asian Journal of Surgery. 2003; 26(1): 7–11.
- Kostewicz W. Tętniaki tętnicy podobojczykowej. Medycyna 2000. 1992; 3: 10–11.
- Szydłowski Z., Szyber P., Pupka A. i wsp. Tętniaki tętnicy pod- obojczykowej w przebiegu zespołu uciskowego górnego otwo- ru klatki piersiowej. Pamiętnik XXIV Zjazdu Sekcji Chir. Kl. Piersiowej, Serca i Naczyń TchP. Poznań 1992: 311.
- Pupka A., Szydłowski Z., Janczak D. i wsp. Zakrzepica żyły pod- obojczykowej i pachowej w przebiegu zespołu uciskowego górnego otworu klatki piersiowej. Flebolimfologia. Wydanie specjalne. II Kongres Pol. Tow. Flebol. Wrocław 1997: 16–18.
- Angle N, Gelabert HA, Farooq MM, et al. Safety and efficacy of early surgical decompression of the thoracic outlet for Paget-Schroetter syndrome. Ann Vasc Surg. 2001; 15(1): 37–42.
- Dunant JH. Diagnosis of thoracic outlet syndrome and indications for surgery. Vasa. 1987; 16(4): 345–348.
- Pupka A. Ocena wyników badań diagnostycznych i leczenia operacyjnego w zespole uciskowym górnego otworu klatki piersiowej. Acta Angiologica. 1995; 1: 51–59.
- Feugier P, Aleksic I, Salari R, et al. Long-term results of venous revascularization for Paget-Schroetter syndrome in athletes. Ann Vasc Surg. 2001; 15(2): 212–218.
- Schmacht DC, Back MR, Novotney ML, et al. Primary axillary-subclavian venous thrombosis: is aggressive surgical intervention justified? Vasc Surg. 2001; 35(5): 353–359.
- Lokanathan R, Salvian AJ, Chen JC, et al. Outcome after thrombolysis and selective thoracic outlet decompression for primary axillary vein thrombosis. J Vasc Surg. 2001; 33(4): 783–788.
- Novak CB, Collins ED, Mackinnon SE. Outcome following conservative management of thoracic outlet syndrome. J Hand Surg Am. 1995; 20(4): 542–548.
- Aligne C, Barral X. Rehabilitation of patients with thoracic outlet syndrome. Ann Vasc Surg. 1992; 6(4): 381–389.
- Novak CB. Conservative management of thoracic outlet syndrome. Chest Surg Clin N Am. 1999; 9: 747–760.
- Reineberg PB, Chang B, Darling III RC. Long-term results in patients treated with thrombolysis, thoracic inlet decompres- sion, and subclavian vein stenting for Paget-Schroetter syndrome. J Vasc Surg . 2001; 33: 100–105.
- Urschel H, Patel A. Paget-Schroetter syndrome therapy: failure of intravenous stents. The Annals of Thoracic Surgery. 2003; 75(6): 1693–1696.