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Early effectiveness of isolated pectoralis minor tenotomy in selected patients with neurogenic thoracic outlet syndrome  Chandu Vemuri, MD, Anna M. Wittenberg,

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Presentation on theme: "Early effectiveness of isolated pectoralis minor tenotomy in selected patients with neurogenic thoracic outlet syndrome  Chandu Vemuri, MD, Anna M. Wittenberg,"— Presentation transcript:

1 Early effectiveness of isolated pectoralis minor tenotomy in selected patients with neurogenic thoracic outlet syndrome  Chandu Vemuri, MD, Anna M. Wittenberg, MPH, Francis J. Caputo, MD, Jeanne A. Earley, PT, MHS, Matt R. Driskill, MSPT, Rahul Rastogi, MD, Valerie B. Emery, RN, Robert W. Thompson, MD  Journal of Vascular Surgery  Volume 57, Issue 5, Pages (May 2013) DOI: /j.jvs Copyright © 2013 Society for Vascular Surgery Terms and Conditions

2 Fig 1 Bar graphs indicate the side of operation and operative distribution in 200 patients undergoing surgical treatment for neurogenic thoracic outlet syndrome by isolated pectoralis minor tenotomy (PMT) or supraclavicular decompression with PMT. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2013 Society for Vascular Surgery Terms and Conditions

3 Fig 2 Individual patient responses to treatment are shown in line graphs depicting Disabilities of Arm, Shoulder and Hand (DASH) scores for patients with neurogenic thoracic outlet syndrome before surgery and at the 3-month follow-up after (left) isolated pectoralis minor tenotomy (PMT) and (right) supraclavicular decompression (SCD)+PMT. The red line indicates the mean values for each group. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2013 Society for Vascular Surgery Terms and Conditions

4 Fig 3 Bar graphs depict the extent of postoperative improvement and functional outcome, as assessed by the Disabilities of the Arm, Shoulder, and Hand (DASH), Cervical-Brachial Symptom Questionnaire (CBSQ), visual analog scale (VAS), and neurogenic thoracic outlet syndrome (NTOS) Index (composite measure combining the DASH, CBSQ, and VAS pain scores), at 3 months after surgical treatment for NTOS by isolated pectoralis minor tenotomy (PMT) or supraclavicular decompression (SCD)+PMT. The plotted values represent the mean ± standard error of the mean (error bars), and the inset values depict the overall percentage of patients exhibiting improvement. There were no significant differences (P > .05) between groups for any of the four functional outcome measures (comparisons between isolated PMT and SCD+PMT groups, unpaired two-tailed t-test with Welch correction). Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2013 Society for Vascular Surgery Terms and Conditions

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