Controversies in VTOS: Is There Ever a Role for Venous Stents in VTOS?

The bony venous thoracic outlet creates significant extrinsic force upon the subclavian vein, and intravascular stents in this location thus perform very poorly. There is some literature supporting the use of stents after decompression, but no level I evi

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Thoracic Outlet Syndrome

An old Hindi wise man told a story about six blind men meeting up with an elephant. Each blind man could feel only a part of the beast. One man felt a tusk and said that an elephant is similar to a spear. Another man touched a leg and said that an elephant is a big tree. Grabbing the trunk, one blind man claimed that the elephant is a big snake. With each blind man, the true nature of a whole elephant was misjudged because each one could only sense one part. The old Hindi wise man told us that truth is found by considering many different points of view. In composing this book, we recognize that clinicians may view Thoracic Outlet Syndrome from many different perspectives. From the very beginning of this project, we hoped to incorporate as many of these different perspectives as we can, because it is our conviction that knowledge will arise out of a process of consensus while we try to reconcile the differences. In so doing, we honor the old Hindi wise man and the elephant.

Karl A. Illig • Robert W. Thompson Julie Ann Freischlag • Dean M. Donahue Sheldon E. Jordan • Peter I. Edgelow Editors

Thoracic Outlet Syndrome

Editors Karl A. Illig Department of Surgery Division of Vascular Surgery University of South Florida Tampa, Florida USA Robert W. Thompson Department of Surgery Section of Vascular Surgery Washington University Center for Thoracic Outlet Syndrome Barnes-Jewish Hospital St. Louis, Missouri USA Julie Ann Freischlag Department of Surgery John Hopkins Medical Institutions Baltimore, Maryland USA

Dean M. Donahue Department of Thoracic Surgery Massachusetts General Hospital Boston, Massachusetts USA Sheldon E. Jordan Department of Neurology Neurological Associates of West LA Santa Monica California USA Peter I. Edgelow Graduate Program in Physical Therapy UCSF/SFSU Union City, California USA

ISBN 978-1-4471-4365-9 ISBN 978-1-4471-4366-6 DOI 10.1007/978-1-4471-4366-6 Springer London Heidelberg New York Dordrecht

(eBook)

Library of Congress Control Number: 2013938870 © Springer-Verlag London 2013 This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. Exempted from this legal reservation are brief excerpts in connection with reviews or scholarly analysis or material supplied specifically for the purpose of being entered and executed on a computer system, for exclusive use by the purchaser of the work. Duplication of this publication or parts thereof is permitted only under the provisions of the Copyright Law of the Publisher’s location, in its current version, and permission for use must always be obtained from Springer. Permissions for use may be obtained through RightsLi