Perdikakis Miltiadis, Sinou Nikoleta, Angelis Stavros, Tsakotos George, Mariolis-Sapsakos Theodoros, Piagkou Maria, Filippou Dimitrios
Anatomy, National and Kapodistrian University of Athens School of Medicine, Athens, GRC.
Cureus. 2023 Jan 31;15(1):e34470. doi: 10.7759/cureus.34470. eCollection 2023 Jan.
The current literature review article describes the anatomy and pathogenesis of the vascular nature of thoracic outlet syndrome (TOS), as well as gathers the latest and most important information concerning its diagnostic methods and treatment. This syndrome's subcategory includes the venous and the arterial. Data for this review was accumulated through the PubMed database in which only scientific studies published in the last decade (2012-2022) were searched. PubMed offered 347 results, of which 23 were judged suitable and used. Non-invasive methods both for the diagnosis and the treatment of vascular TOS are gaining ground. Medicine, at this point, finds itself on the verge of slowly putting aside the previous invasive gold-standard methods, to be used only in the most urgent situations. The vascular thoracic outlet condition is a rare form of TOS but is also the most trouble-causing one and the deadliest. Fortunately, it can be more efficiently managed because of the current medical innovations. However, further research is needed to establish their already confirmed effectiveness, so they can be even more widely trusted and used.
当前这篇文献综述文章描述了胸廓出口综合征（TOS）血管性质的解剖结构和发病机制，同时收集了有关其诊断方法和治疗的最新且最重要的信息。该综合征的子类别包括静脉型和动脉型。本综述的数据通过PubMed数据库收集，其中仅检索了过去十年（2012 - 2022年）发表的科学研究。PubMed提供了347条结果，其中23条被判定合适并被采用。用于诊断和治疗血管性TOS的非侵入性方法正在逐渐普及。此时，医学正处于逐渐摒弃先前侵入性金标准方法的边缘，这些方法仅在最紧急的情况下使用。血管性胸廓出口疾病是TOS的一种罕见形式，但也是最具困扰性和致命性的一种。幸运的是，由于当前的医学创新，它能够得到更有效的管理。然而，需要进一步研究以确定它们已被证实的有效性，以便它们能够得到更广泛的信任和应用。
