Thoracic outlet syndrome - 24 years of experience

J 2007

Thoracic outlet syndrome - 24 years of experience

PODLAHA, Jiří

Základní údaje

Originální název

Thoracic outlet syndrome - 24 years of experience

Název česky

Syndrom horní hrudní apertůry - 24 letá zkušenost

Autoři

PODLAHA, Jiří

Vydání

Bratisl. Lek. Listy, Bratislava, Slovenská republika, Slovak Academic Press, s.r.o., 2007, 0006-9248

Další údaje

Jazyk

angličtina

Typ výsledku

Článek v odborném periodiku

Obor

30201 Cardiac and Cardiovascular systems

Stát vydavatele

Slovensko

Utajení

není předmětem státního či obchodního tajemství

Odkazy

URL

Označené pro přenos do RIV

Ano

Kód RIV

RIV/00216224:14110/07:00032560

Organizační jednotka

Lékařská fakulta

UT WoS

000254270300001

Klíčová slova anglicky

TOS - history - diagnosis - conservative and surgical treatment

Příznaky

Mezinárodní význam, Recenzováno

Změněno: 26. 6. 2009 14:07, doc. MUDr. Jiří Podlaha, CSc.

Anotace

ORIG CZ

V originále

Abstract: Objectives: Determine the outcomes of first rib resection for thoracic outlet syndrome. Background: Thoracic Outlet Syndrome is a not very frequent syndrome, affecting especially young patients, predominantly women. Its symptomatology is caused by compression of a nervous and vascular plexus in a physiological isthmus in the upper thoracic aperture. Types of TOS can be neurogenic (95 %), arterial (3-5 %), or venous (2 %). Methods: Retrospective study was done at the 2nd Department of Surgery of St. Anne's University Hospital Brno, between the period 1982-2006, i.e. within 24 years. During this time 141 patients were operated on. Information gained was compared with the Czech vascular register. Results: Between 1982 and 2006, i.e. within 24 years, 141 patients were operated on. Out of a group of 100 patients in whom simple first rib resection was performed, re-operation after 2 years was necessary in 3 patients because of the same problems as before the operation (3 % of the patients). In these patients, symptoms occurred in 3-12 months after the first operation. Conclusion: Initially, the treatment should always be conservative (rehabilitation), unless there is an acute vascular event. In case that rehabilitation treatment failed and the cause of TOS was proved, we recommend surgical treatment. Treatment of TOS is multidisciplinary. Key words: TOS; history; diagnostics; conservative and surgical treatment.

Česky

Článek popisuje historii, diagnostiku, konzervativní a chirurgickou léčbu u syndromu horní hrudní apertůry. Statisticky je hodnoceno období 1982-2006 na II. chirurgické klinice v Brně v nemocnici LF MU u svaté Anny.

Návaznosti

MSM 141100004, záměr

Název: Časná diagnostika kardiovaskulárních chorob

Citovat

PODLAHA, Jiří. Thoracic outlet syndrome - 24 years of experience. Bratisl. Lek. Listy. Bratislava, Slovenská republika: Slovak Academic Press, s.r.o.,, 2007, roč. 2007 (10-), č. 108, s. 429-432. ISSN 0006-9248.

@article{728210,
   author = {Podlaha, Jiří},
   article_location = {Bratislava, Slovenská republika},
   article_number = {108},
   keywords = {TOS - history - diagnosis - conservative and surgical treatment},
   language = {eng},
   issn = {0006-9248},
   journal = {Bratisl. Lek. Listy},
   title = {Thoracic outlet syndrome - 24 years of experience},
   url = {http://www.bratislmedj.sk/2007/10810-01.pdf},
   volume = {2007 (10-)},
   year = {2007}
}

TY  - JOUR
ID  - 728210
AU  - Podlaha, Jiří
PY  - 2007
TI  - Thoracic outlet syndrome - 24 years of experience
JF  - Bratisl. Lek. Listy
VL  - 2007 (10-)
IS  - 108
SP  - 429-432
EP  - 429-432
PB  - Slovak Academic Press, s.r.o.,
SN  - 00069248
KW  - TOS - history - diagnosis - conservative and surgical treatment
UR  - http://www.bratislmedj.sk/2007/10810-01.pdf
N2  - Abstract: Objectives: Determine the outcomes of first rib resection for thoracic outlet syndrome. Background: Thoracic Outlet Syndrome is a not very frequent syndrome, affecting especially young patients, predominantly women. Its symptomatology is caused by compression of a nervous and vascular plexus in a physiological isthmus in the upper thoracic aperture. Types of TOS can be neurogenic (95 %), arterial (3-5 %), or venous (2 %). Methods: Retrospective study was done at the 2nd Department of Surgery of St. Anne's University Hospital Brno, between the period 1982-2006, i.e. within 24 years. During this time 141 patients were operated on. Information gained was compared with the Czech vascular register. Results: Between 1982 and 2006, i.e. within 24 years, 141 patients were operated on. Out of a group of 100 patients in whom simple first rib resection was performed, re-operation after 2 years was necessary in 3 patients because of the same problems as before the operation (3 % of the patients). In these patients, symptoms occurred in 3-12 months after the first operation. Conclusion: Initially, the treatment should always be conservative (rehabilitation), unless there is an acute vascular event. In case that rehabilitation treatment failed and the cause of TOS was proved, we recommend surgical treatment. Treatment of TOS is multidisciplinary. Key words: TOS; history; diagnostics; conservative and surgical treatment.
ER  -

PODLAHA, Jiří. Thoracic outlet syndrome - 24 years of experience. \textit{Bratisl. Lek. Listy}. Bratislava, Slovenská republika: Slovak Academic Press, s.r.o.,, 2007, roč.~2007 (10-), č.~108, s.~429-432. ISSN~0006-9248.

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