Chapter 124 - Surgical decompression of the thoracic outlet Flashcards
1
Q
Current recommendation for surgical decompression after vTOS successful thrombolysis wait time
A
no wait at all
proceed in same hospital admission
2
Q
arterial TOS reconstruction different conduit 5 year patency
A
PTFE 96%
Dacron 84%
GSV 65%
small numbers so no hard rule on recommendation
3
Q
Infraclavicular approach for vTOS steps
A
1) transverse incision below clavicle
2) partial resect anterior half of first rib and subclavius tendon
3) division both anterior scalene tendon and part of middle scalene muscle at level of subclavian artery
4) vein control and patch
