title: Endovascular stent-graft and first rib resection for thoracic outlet syndrome complicated by an aneurysm of the subclavian artery.
abstract: OBJECTIVE
  To report our experience with a combined endovascular and surgical approach for arterial thoracic outlet syndrome (TOS) complicated by an aneurysm of the subclavian artery.
  
  
  METHODS
  We treated three consecutive patients suffering from arterial thoracic outlet syndrome complicated by an aneurysm of the subclavian artery by the use of a stent-graft and a first rib resection. These patients were reviewed retrospectively.
  
  
  RESULTS
  At a mean follow-up of 37.3 months all patients were free of symptoms without late complications.
  
  
  CONCLUSIONS
  Endovascular stent-grafting followed by decompression of the costoclavicular space is an attractive alternative to the conventional surgical approach of complicated arterial TOS.
authors.affiliation: Department of Surgery, University Hospital Gasthuisberg, Leuven, Belgium.
authors.forename: C
authors.initials: C
authors.lastname: Malliet
authors.forename: I
authors.initials: I
authors.lastname: Fourneau
authors.forename: K
authors.initials: K
authors.lastname: Daenens
authors.forename: G
authors.initials: G
authors.lastname: Maleux
authors.forename: A
authors.initials: A
authors.lastname: Nevelsteen
mesh_terms: D000328:Adult; D000783:Aneurysm / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D000792:Angiography; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods*; D003131:Combined Modality Therapy; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D012272:Ribs / Q000601:surgery; D018570:Risk Assessment; D012720:Severity of Illness Index; D015607:Stents; D013348:Subclavian Artery; D013901:Thoracic Outlet Syndrome / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D013908:Thoracotomy / Q000009:adverse effects* / Q000379:methods; D016896:Treatment Outcome