Impact of anterior scalene lidocaine blocks on predicting surgical success in older patients with neurogenic thoracic outlet syndrome Ying Wei Lum, MD,

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Presentation transcript:

Impact of anterior scalene lidocaine blocks on predicting surgical success in older patients with neurogenic thoracic outlet syndrome Ying Wei Lum, MD, Benjamin S. Brooke, MD, Kendall Likes, Monica Modi, MD, Holly Grunebach, PA-C, Paul J. Christo, MD, Julie A. Freischlag, MD Journal of Vascular Surgery Volume 55, Issue 5, Pages 1370-1375 (May 2012) DOI: 10.1016/j.jvs.2011.11.132 Copyright © 2012 Society for Vascular Surgery Terms and Conditions

Fig 1 Distribution of patients who underwent transaxillary decompression for neurogenic thoracic outlet syndrome (NTOS). Patients were stratified into two groups. Journal of Vascular Surgery 2012 55, 1370-1375DOI: (10.1016/j.jvs.2011.11.132) Copyright © 2012 Society for Vascular Surgery Terms and Conditions

Fig 2 Kaplan-Meier survival curves demonstrating 1-year results for both groups at 92% and 2-year results of 88% in the group <40 years old and 81% for the group ≥40 years old. Journal of Vascular Surgery 2012 55, 1370-1375DOI: (10.1016/j.jvs.2011.11.132) Copyright © 2012 Society for Vascular Surgery Terms and Conditions

Fig 3 Surgical results of 52 procedures that were performed without preoperative lidocaine or botulinum toxin block. Journal of Vascular Surgery 2012 55, 1370-1375DOI: (10.1016/j.jvs.2011.11.132) Copyright © 2012 Society for Vascular Surgery Terms and Conditions

Fig 4 Surgical results of 101 procedures that were performed with preoperative lidocaine block. Journal of Vascular Surgery 2012 55, 1370-1375DOI: (10.1016/j.jvs.2011.11.132) Copyright © 2012 Society for Vascular Surgery Terms and Conditions

Fig 5 Surgical results of 44 procedures that were performed with preoperative botulinum toxin block. Journal of Vascular Surgery 2012 55, 1370-1375DOI: (10.1016/j.jvs.2011.11.132) Copyright © 2012 Society for Vascular Surgery Terms and Conditions