Reporting standards of the Society for Vascular Surgery for thoracic outlet syndrome

Karl A. Illig, Dean Donahue, Audra Duncan, Julie Freischlag, Hugh Gelabert, Kaj Johansen, Sheldon Jordan, Richard Sanders, Robert Thompson

Research output: Contribution to journalArticle

21 Citations (Scopus)

Abstract

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. The Committee has defined NTOS as being present when three of the following four criteria are present: signs and symptoms of pathology occurring at the thoracic outlet (pain and/or tenderness), signs and symptoms of nerve compression (distal neurologic changes, often worse with arms overhead or dangling), absence of other pathology potentially explaining the symptoms, and a positive response to a properly performed scalene muscle test injection. Reporting standards for workup, treatment, and assessment of results are presented, as are reporting standards for all phases of VTOS and ATOS. The overall goal is to produce consistency in diagnosis, description of treatment, and assessment of results, in turn then allowing more valuable data to be presented.

Original languageEnglish (US)
Pages (from-to)e23-e35
JournalJournal of Vascular Surgery
Volume64
Issue number3
DOIs
StatePublished - Sep 1 2016

Fingerprint

Thoracic Outlet Syndrome
Signs and Symptoms
Pathology
Subclavian Vein
Subclavian Artery
Brachial Plexus
Therapeutics
Chest Pain
Nervous System
Uncertainty
Thorax
Outcome Assessment (Health Care)
Muscles
Injections

ASJC Scopus subject areas

  • Surgery
  • Cardiology and Cardiovascular Medicine

Cite this

Illig, K. A., Donahue, D., Duncan, A., Freischlag, J., Gelabert, H., Johansen, K., ... Thompson, R. (2016). Reporting standards of the Society for Vascular Surgery for thoracic outlet syndrome. Journal of Vascular Surgery, 64(3), e23-e35. https://doi.org/10.1016/j.jvs.2016.04.039

Reporting standards of the Society for Vascular Surgery for thoracic outlet syndrome. / Illig, Karl A.; Donahue, Dean; Duncan, Audra; Freischlag, Julie; Gelabert, Hugh; Johansen, Kaj; Jordan, Sheldon; Sanders, Richard; Thompson, Robert.

In: Journal of Vascular Surgery, Vol. 64, No. 3, 01.09.2016, p. e23-e35.

Research output: Contribution to journalArticle

Illig, KA, Donahue, D, Duncan, A, Freischlag, J, Gelabert, H, Johansen, K, Jordan, S, Sanders, R & Thompson, R 2016, 'Reporting standards of the Society for Vascular Surgery for thoracic outlet syndrome', Journal of Vascular Surgery, vol. 64, no. 3, pp. e23-e35. https://doi.org/10.1016/j.jvs.2016.04.039
Illig KA, Donahue D, Duncan A, Freischlag J, Gelabert H, Johansen K et al. Reporting standards of the Society for Vascular Surgery for thoracic outlet syndrome. Journal of Vascular Surgery. 2016 Sep 1;64(3):e23-e35. https://doi.org/10.1016/j.jvs.2016.04.039
Illig, Karl A. ; Donahue, Dean ; Duncan, Audra ; Freischlag, Julie ; Gelabert, Hugh ; Johansen, Kaj ; Jordan, Sheldon ; Sanders, Richard ; Thompson, Robert. / Reporting standards of the Society for Vascular Surgery for thoracic outlet syndrome. In: Journal of Vascular Surgery. 2016 ; Vol. 64, No. 3. pp. e23-e35.
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