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  • Title: [Surgical treatment of the scalenus anticus syndrome].
    Author: Tsitsuashvili GA, Budzhiashvili VK, Gogeliani AG, Dzhavakhishvili GV, Rcheushvili IG.
    Journal: Georgian Med News; 2005 Oct; (127):11-6. PubMed ID: 16308432.
    Abstract:
    The purpose of this study was to assess the results of decompression of the thoracic outlet due to scalenus anticus syndrome and thus to give recommendation for a safe and effective surgical treatment. Over a 20-years period 100 patients (125 operations) underwent thoracic outlet decompression. There were 77 females and 23 male, with a median age 29 years (13-45), 4 pediatric patients were under 16 years. Of the 125 affected limbs, the indications for surgery were combination of both neurological and vascular symptoms in 55 patients, neurological symptoms in 21, and 24 patients had vascular symptoms alone. 54 patients had a transient ischemic attacks (TIA) due to the disturbance of the blood flow in the vertebral arteries, and 4 cardialgia due to the reduced blood flow in the thoracic internal arteries. From the results of this study we concluded that supraclavicular scalenectomy is a safe and effective procedure for most patients with scalenus anticus syndrome.
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