Clinical Physiology of Circulation

Chief Editor

Leo A. Bockeria, MD, PhD, DSc, Professor, Academician of Russian Academy of Sciences, President of Bakoulev National Medical Research Center for Cardiovascular Surgery


Successful surgical correction of the combined cervical thoracic outletsyndrome exit supraclavicular mini-approach

Authors: V.S. Arakelyan 1 , R.G. Bukatsello 1, 2 , M.V. Shumilina 1 , A.V. Mukaseeva 1

Company:
1 A.N. Bakoulev Scientific Center for Cardiovascular Surgery, Ministry of Health of the Russia, Rublevskoe shosse, 135, Moscow, 121552, Russian Federation;
2 I.M. Sechenov First Moscow State Medical University, Ministry of Health of the RF, ul. Bol’shaya Pirogovskaya, 2, stroenie 4, Moscow, 119991, Russian Federation

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Link: Clinical Physiology of Blood Circulaiton. 2015; (): -

Quote as: Arakelyan V.S., Bukatsello R.G., Shumilina M.V., Mukaseeva A.V.. Successful surgical correction of the combined cervical thoracic outlet syndrome exit supraclavicular mini-approach. Klinicheskaya Fiziologiya Krovoobrashcheniya (Clinical Physiology of Circulation, Russian journal). 2015; 3: 39-48 (in Russ.)

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Abstract

Traditional surgery for the correction of thoracic outlet syndrome is used 2 main surgical approach – supraclavicular or axillary. Each of them has its own technical features, advantages and disadvantages. Most often the choice is dictated by the access preferences and technical skills specific surgeon or surgical school. Unfortunately, it does not always take into account the complete clinical and instrumental pattern of thoracic outlet syndrome, and operations is far from the principles of radicalism, which entails the risk of recurrence of symptoms or no clinical effect. Comprehensive diagnostics, precise knowledge of anatomical landmarks and pathophysiology of the thoracic outlet syndrome allowed in a specific clinical case developed mini-approach, simultaneously eliminated the phenomenon of ischemia of the upper limb and chronic cerebrovascular insufficiency.


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