ROLE OF DYNAMIC DUPLEX IN THORACIC OUTLET SYNDROME.

M.Sridhar; S.Prathap Kumar; N.Sritharan; I.Devarajan; P.Ilayakumar; Velladuraichi; Jayanth kumar; M.Krishna.

doi:10.21474/IJAR01/8880

07 Apr 2019 Vol. 7 (04) pp. 745-747 DOI: 10.21474/IJAR01/8880

ROLE OF DYNAMIC DUPLEX IN THORACIC OUTLET SYNDROME.

M.Sridhar, S.Prathap Kumar, N.Sritharan, I.Devarajan, P.Ilayakumar, Velladuraichi, Jayanth kumar and M.Krishna.

M.B.B.S., M.S., Post Graduate Student, Institute of Vascular Surgery, Madras Medical College,Chennai.
M.S,MCh., Assistant Professor, Institute of Vascular Surgery, Madras Medical College,Chennai.
M.S,M.Ch, F.R.C.S, Professor, Institute of Vascular Surgery, Madras Medical College, Chennai.

13 Downloads 120 Views

Download Full Paper (PDF)

Abstract

Introduction: Outcome of surgery in non-specific thoracic outlet syndrome (TOS) is variable.Duplex imaging of the subclavian artery during Adson?s maneuver may help predict outcome. Patients and methods: A retrospective study of 32 cases of non-specific TOS who had preoperativeduplex imaging of the subclavian artery during Adson?s maneuver was done and theiroutcomes following surgical decompression of the thoracic outlet studied. Results: Of the sixteen cases with a positive Adson?s test, fourteen (87.5%) had a complete responseof symptoms following surgery while in the sixteen cases with a negative test, only eight (50%) had afavorable response to surgery. Conclusion: Duplex scanning of the thoracic outlet during Adson?s maneuver may help predictoutcome of thoracic outlet decompression surgery in cases of non-specific TOS.

Keywords

How to Cite This Article

M.Sridhar, S.Prathap Kumar, N.Sritharan, I.Devarajan, P.Ilayakumar, Velladuraichi, Jayanth kumar and M.Krishna. (2019); ROLE OF DYNAMIC DUPLEX IN THORACIC OUTLET SYNDROME., International Journal of Advanced Research (IJAR), 7 (04), 745-747, ISSN 2320-5407. DOI: https://doi.org/10.21474/IJAR01/8880

Corresponding Author

Dr.S.Prathap Kumar M.S,MCh.,
Assistant Professor, Institute of Vascular Surgery, Madras Medical College,Chennai.

Article Analytics

References

Wadhwani R, Chaubal N, Sukthankar R, et al. Color Doppler and duplex sonography in 5 patients with thoracic outlet syndrome. J Ultrasound Med 2001;20(7):795?801
Longley DG, Yedlicka JW, Molina EJ, et al. Thoracic outlet syndrome: evaluation of the subclavian vessels by color duplex sonography. AJR Am J Roentgenol 1992;158(3): 623?30
Gergoudis R, Barnes RW. Thoracic outlet arterial compression: prevalence in normal persons. Angiology 1980;31(8):538?51.
Hachulla E, et al. Clinical, flowmetric and radiologic study of the thoracic outlet in 95 healthy subjects: physiologic limitations and practical impact (in French). Rev Med Interne 1990;11(1):19?24.
Cherington M, Cherington C. Thoracic outlet syndrome: reimbursement patterns and patient profiles. Neurology 1992;42(5):943?945.
Atasoy E. Thoracic outlet compression syndrome. OrthopClin North Am 1996;27(2):265?303.
Samarasam I, et al. Surgical management of thoracic outlet syndrome: a 10-year experience. ANZ J Surg 2004;74(6): 450?454
Ambrad-Chalela E, Thomas GI, Johansen KH. Recurrent neurogenic thoracic outlet syndrome. Am J Surg 2004; 187(4):505?510.