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Combination treatment of venous thoracic outlet syndrome: Open surgical decompression and intraoperative angioplasty  Darren B. Schneider, MD, Paul J.

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Presentation on theme: "Combination treatment of venous thoracic outlet syndrome: Open surgical decompression and intraoperative angioplasty  Darren B. Schneider, MD, Paul J."— Presentation transcript:

1 Combination treatment of venous thoracic outlet syndrome: Open surgical decompression and intraoperative angioplasty  Darren B. Schneider, MD, Paul J. Dimuzio, MD, Niels D. Martin, MD, Roy L. Gordon, MD, Mark W. Wilson, MD, Jeanne M. Laberge, MD, Robert K. Kerlan, MD, Charles M. Eichler, MD, Louis M. Messina, MD  Journal of Vascular Surgery  Volume 40, Issue 4, Pages (October 2004) DOI: /j.jvs Copyright © 2004 The Society for Vascular Surgery Terms and Conditions

2 Fig 1 Right upper extremity venograms in a 19-year-old woman with a history of right subclavian vein thrombosis that was treated with heparin, with spontaneous subclavian vein recanalization documented at venography. A, Preoperative venogram during arm abduction demonstrates positional occlusion of the right subclavian vein and multiple venous collateral vessels. B, Intraoperative venogram in the same patient after surgical thoracic outlet decompression shows subclavian vein stenosis with residual chronic thrombus. C, Completion venogram after PTA with 12-mm balloon demonstrates widely patent subclavian vein with the arm abducted. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2004 The Society for Vascular Surgery Terms and Conditions

3 Fig 2 Left upper extremity venograms. A, Preoperative venogram after successful thrombolysis demonstrates subclavian vein stenosis within the costoclavicular space. B, Completion venogram after PTA with 14-mm balloon demonstrates widely patent subclavian vein with the arm abducted. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2004 The Society for Vascular Surgery Terms and Conditions

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