Cappeller W A, Ukkat J, Winkler M, Taute B M
Kliniken für Allgemeinchirurgie, Martin-Luther-Universität Halle.
Chirurg. 2001 Mar;72(3):298-304. doi: 10.1007/s001040051309.
Based on two patients with vascular complications in thoracic outlet-syndrome, the anatomic and pathophysiologic principles prior to surgery are discussed. Causative therapy including rib resection and elimination of the embolic source in the subclavian artery is often supplemented by peripheral revascularization with bypass, lysis and/or sympathectomy. The transaxillary approach seems to be optimal, combining minimally invasive principles with a long exposure of the subclavian artery from segment 3 to the proximal axillary artery.
