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A Multidisciplinary Approach to Neurogenic Thoracic Outlet Syndrome: Sinking Deeper or Stepping Out of a Chaotic Quagmire Onto Terra Firma?

Published:March 30, 2021DOI:https://doi.org/10.1016/j.ejvs.2021.02.041
      Niels Pesser et al.
      • Pesser P.
      • Goeteyn J.
      • van der Sanden L.
      • Houterman S.
      • van Alfen N.
      • van Sambeek M.R.H.M.
      • et al.
      Feasibility and outcomes of a multidisciplinary care pathway for neurogenic thoracic outlet syndrome: a prospective observational cohort study.
      must be complimented for analysing outcomes of neurogenic thoracic outlet syndrome (NTOS) using a multidisciplinary approach for diagnosis and offering the appropriate therapy to patients. One of the challenges in managing NTOS has remained the lack of standardised diagnostic criteria as symptoms attributable to NTOS are present in many clinical conditions and patients have often been subjected to unnecessary surgery. The North American Society for Vascular Surgery reporting standards
      • Illig K.A.
      • Donahue D.
      • Duncan A.
      • Freischlag J.
      • Gelabert H.
      • Johansen K.
      • et al.
      Reporting standards of the Society for Vascular Surgery for thoracic outlet syndrome.
      have shown the way by laying down standard terminology and diagnostic criteria. The objective methodology used by the authors for diagnosis and surgery has set a benchmark and will allow for reliable comparison with future NTOS studies.
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