title: Vascular Thoracic Outlet Syndrome.
abstract: 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. In this review, we discuss the anatomical factors, etiology, pathogenesis and clinical presentation of vascular TOS patients. In addition, we use the most up to date observational evidence available to provide a contemporary approach to the diagnosis and management of venous TOS and arterial TOS patients.
authors: Division of Vascular Surgery, Li Ka Shing Knowledge Institute of St. Michael׳s Hospital, Toronto, Ontario, Canada; Department of Surgery, University of Toronto, Ontario, Canada.
authors: Mohamad Anas
authors: MA
authors: Hussain
authors: King Saud University-Li Ka Shing Collaborative Research Program, Riyadh, Kingdom of Saudi Arabia; Department of Surgery, King Saud University, Riyadh, Kingdom of Saudi Arabia.
authors: Badr
authors: B
authors: Aljabri
authors: Division of Vascular Surgery, Li Ka Shing Knowledge Institute of St. Michael׳s Hospital, Toronto, Ontario, Canada; Department of Surgery, University of Toronto, Ontario, Canada; King Saud University-Li Ka Shing Collaborative Research Program, Riyadh, Kingdom of Saudi Arabia; Department of Surgery, King Saud University, Riyadh, Kingdom of Saudi Arabia. Electronic address: alomranm@smh.ca.
authors: Mohammed
authors: M
authors: Al-Omran
mesh_terms: D006801:Humans; D013901:Thoracic Outlet Syndrome / Q000175:diagnosis* / Q000209:etiology / Q000628:therapy*
keywords: Thoracic outlet syndrome; arterial thoracic outlet syndrome; subclavian artery; subclavian vein; venous thoracic outlet syndrome