Perioperative Outcomes of Thoracic Outlet Syndrome Surgical Repair in a Nationally Validated Database. (July 2017)

• Record Type: Journal Article
• Authors: Nejim, Besma; Alshaikh, Husain N.; Arhuidese, Isibor; Obeid, Tammam; Lum, Ying Wei; Canner, Joseph; Locham, Satinderjit S.; Malas, Mahmoud
• Is Part Of: Angiology. Volume 68:Number 6(2017)
• Page Start: 502
• Page End: 507
• Publication Date: 2017-07
• Subjects: thoracic outlet syndrome -- NSQIP -- 30-day outcomes; Blood-vessels -- Diseases -- Periodicals; Cardiovascular system -- Diseases -- Periodicals; 616.13005
• DOI: 10.1177/0003319716677666
• Languages: English
• ISSNs: 0003-3197

Abstract

We evaluated the occurrence of thoracic outlet syndrome (TOS) and 30-day postoperative outcomes. Patients undergoing cervical/first rib resection surgery were identified in the American College of Surgeons National Surgical Quality Improvement Program database (2005-2013). Thoracic outlet syndrome types were then examined. Propensity score matching was performed to account for potential confounders; 1180 patients were explored during the study period, 1007 (85.3%) were of the neurogenic TOS (NTOS), 32 (2.7%) patients had arterial TOS (ATOS), and 141 (12.0%) patients had venous TOS (VTOS). Patients with ATOS were significantly older (median age [interquartile range, IQR]—NTOS: 34 [25-44], ATOS: 49.5 [42.5-57], VTOS: 34 [23-43]; P < .001). Median operating time was significantly longer for patients with ATOS. Median in-hospital stay was also longer for patients with ATOS (median length of in-hospital stay [LOS; IQR]—NTOS: 2 [1-4]; ATOS: 6 [3-7]; and VTOS: 5 [2-7] days; P < .001). Patients with VTOS showed twice longer LOS when compared to NTOS after matching. Presentation and treatment of TOS have been studied extensively at highly experienced centers.