Evaluation and treatment of thoracic outlet syndrome during the global pandemic due to SARS-CoV-2 and COVID-19.
Identifieur interne : 000650 ( Main/Corpus ); précédent : 000649; suivant : 000651Evaluation and treatment of thoracic outlet syndrome during the global pandemic due to SARS-CoV-2 and COVID-19.
Auteurs : J Westley Ohman ; Stephen J. Annest ; Ali Azizzadeh ; Bryan M. Burt ; Francis J. Caputo ; Colin Chan ; Dean M. Donahue ; Julie A. Freischlag ; Hugh A. Gelabert ; Misty D. Humphries ; Karl A. Illig ; Jason T. Lee ; Ying Wei Lum ; Richard D. Meyer ; Gregory J. Pearl ; Erin F. Ransom ; Richard J. Sanders ; Joep A W. Teijink ; Patrick S. Vaccaro ; Marc R H M. Van Sambeek ; Chandu Vemuri ; Robert W. ThompsonSource :
- Journal of vascular surgery [ 1097-6809 ] ; 2020.
English descriptors
- KwdEn :
- Betacoronavirus (pathogenicity), COVID-19 (MeSH), Consensus (MeSH), Coronavirus Infections (epidemiology), Coronavirus Infections (prevention & control), Coronavirus Infections (transmission), Coronavirus Infections (virology), Decompression, Surgical (standards), Elective Surgical Procedures (methods), Elective Surgical Procedures (standards), Emergency Treatment (methods), Emergency Treatment (standards), Humans (MeSH), Infection Control (standards), Interdisciplinary Communication (MeSH), Limb Salvage (methods), Limb Salvage (standards), Pandemics (prevention & control), Patient Selection (MeSH), Pneumonia, Viral (epidemiology), Pneumonia, Viral (prevention & control), Pneumonia, Viral (transmission), Pneumonia, Viral (virology), Practice Guidelines as Topic (MeSH), SARS-CoV-2 (MeSH), Telemedicine (standards), Thoracic Outlet Syndrome (diagnosis), Thoracic Outlet Syndrome (etiology), Thoracic Outlet Syndrome (therapy), Thrombolytic Therapy (methods), Thrombolytic Therapy (standards), Time-to-Treatment (standards), Triage (standards).
- MESH :
- diagnosis : Thoracic Outlet Syndrome.
- epidemiology : Coronavirus Infections, Pneumonia, Viral.
- etiology : Thoracic Outlet Syndrome.
- methods : Elective Surgical Procedures, Emergency Treatment, Limb Salvage, Thrombolytic Therapy.
- pathogenicity : Betacoronavirus.
- prevention & control : Coronavirus Infections, Pandemics, Pneumonia, Viral.
- standards : Decompression, Surgical, Elective Surgical Procedures, Emergency Treatment, Infection Control, Limb Salvage, Telemedicine, Thrombolytic Therapy, Time-to-Treatment, Triage.
- therapy : Thoracic Outlet Syndrome.
- transmission : Coronavirus Infections, Pneumonia, Viral.
- virology : Coronavirus Infections, Pneumonia, Viral.
- COVID-19, Consensus, Humans, Interdisciplinary Communication, Patient Selection, Practice Guidelines as Topic, SARS-CoV-2.
Abstract
The global SARS-CoV-2/COVID-19 pandemic has required a reduction in nonemergency treatment for a variety of disorders. This report summarizes conclusions of an international multidisciplinary consensus group assembled to address evaluation and treatment of patients with thoracic outlet syndrome (TOS), a group of conditions characterized by extrinsic compression of the neurovascular structures serving the upper extremity. The following recommendations were developed in relation to the three defined types of TOS (neurogenic, venous, and arterial) and three phases of pandemic response (preparatory, urgent with limited resources, and emergency with complete diversion of resources). • In-person evaluation and treatment for neurogenic TOS (interventional or surgical) are generally postponed during all pandemic phases, with telephone/telemedicine visits and at-home physical therapy exercises recommended when feasible. • Venous TOS presenting with acute upper extremity deep venous thrombosis (Paget-Schroetter syndrome) is managed primarily with anticoagulation, with percutaneous interventions for venous TOS (thrombolysis) considered in early phases (I and II) and surgical treatment delayed until pandemic conditions resolve. Catheter-based interventions may also be considered for selected patients with central subclavian vein obstruction and threatened hemodialysis access in all pandemic phases, with definitive surgical treatment postponed. • Evaluation and surgical treatment for arterial TOS should be reserved for limb-threatening situations, such as acute upper extremity ischemia or acute digital embolization, in all phases of pandemic response. In late pandemic phases, surgery should be restricted to thrombolysis or brachial artery thromboembolectomy, with more definitive treatment delayed until pandemic conditions resolve.
DOI: 10.1016/j.jvs.2020.05.048
PubMed: 32497747
PubMed Central: PMC7262516
Links to Exploration step
pubmed:32497747Le document en format XML
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Annest</name><affiliation><nlm:affiliation>Vascular Surgery, Presbyterian/St. Luke's Hospital and St. Joseph Hospital, Denver, Colo.</nlm:affiliation></affiliation></author><author><name sortKey="Azizzadeh, Ali" sort="Azizzadeh, Ali" uniqKey="Azizzadeh A" first="Ali" last="Azizzadeh">Ali Azizzadeh</name><affiliation><nlm:affiliation>Division of Vascular Surgery, Department of Surgery, Cedars-Sinai Medical Center, Los Angeles, Calif.</nlm:affiliation></affiliation></author><author><name sortKey="Burt, Bryan M" sort="Burt, Bryan M" uniqKey="Burt B" first="Bryan M" last="Burt">Bryan M. Burt</name><affiliation><nlm:affiliation>Division of Thoracic Surgery, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, Tex.</nlm:affiliation></affiliation></author><author><name sortKey="Caputo, Francis J" sort="Caputo, Francis J" uniqKey="Caputo F" first="Francis J" last="Caputo">Francis J. Caputo</name><affiliation><nlm:affiliation>Department of Vascular Surgery, Sydell and Arnold Miller Heart and Vascular Institute, Cleveland Clinic Foundation, Cleveland, Ohio.</nlm:affiliation></affiliation></author><author><name sortKey="Chan, Colin" sort="Chan, Colin" uniqKey="Chan C" first="Colin" last="Chan">Colin Chan</name><affiliation><nlm:affiliation>Department of Vascular Surgery, Wirral University Teaching Hospital and Countess of Chester Hospital NHS Foundation Trust, Chester, United Kingdom.</nlm:affiliation></affiliation></author><author><name sortKey="Donahue, Dean M" sort="Donahue, Dean M" uniqKey="Donahue D" first="Dean M" last="Donahue">Dean M. Donahue</name><affiliation><nlm:affiliation>Division of Thoracic Surgery, Department of Surgery, Massachusetts General Hospital and Harvard Medical School, Boston, Mass.</nlm:affiliation></affiliation></author><author><name sortKey="Freischlag, Julie A" sort="Freischlag, Julie A" uniqKey="Freischlag J" first="Julie A" last="Freischlag">Julie A. Freischlag</name><affiliation><nlm:affiliation>Wake Forest Baptist Medical Center, Wake Forest School of Medicine, Winston-Salem, NC.</nlm:affiliation></affiliation></author><author><name sortKey="Gelabert, Hugh A" sort="Gelabert, Hugh A" uniqKey="Gelabert H" first="Hugh A" last="Gelabert">Hugh A. Gelabert</name><affiliation><nlm:affiliation>Division of Vascular Surgery, Gonda (Goldschmied) Vascular Center, David Geffen School of Medicine at UCLA, Los Angeles, Calif.</nlm:affiliation></affiliation></author><author><name sortKey="Humphries, Misty D" sort="Humphries, Misty D" uniqKey="Humphries M" first="Misty D" last="Humphries">Misty D. Humphries</name><affiliation><nlm:affiliation>Division of Vascular Surgery, University of California, Davis Medical Center, Sacramento, Calif.</nlm:affiliation></affiliation></author><author><name sortKey="Illig, Karl A" sort="Illig, Karl A" uniqKey="Illig K" first="Karl A" last="Illig">Karl A. Illig</name><affiliation><nlm:affiliation>Dialysis Access Institute, Regional Medical Center, Orangeburg, SC.</nlm:affiliation></affiliation></author><author><name sortKey="Lee, Jason T" sort="Lee, Jason T" uniqKey="Lee J" first="Jason T" last="Lee">Jason T. Lee</name><affiliation><nlm:affiliation>Division of Vascular Surgery, Department of Surgery, Stanford Hospital and Clinics, Stanford, Calif.</nlm:affiliation></affiliation></author><author><name sortKey="Lum, Ying Wei" sort="Lum, Ying Wei" uniqKey="Lum Y" first="Ying Wei" last="Lum">Ying Wei Lum</name><affiliation><nlm:affiliation>Division of Vascular Surgery and Endovascular Therapy, Johns Hopkins University School of Medicine, Baltimore, Md.</nlm:affiliation></affiliation></author><author><name sortKey="Meyer, Richard D" sort="Meyer, Richard D" uniqKey="Meyer R" first="Richard D" last="Meyer">Richard D. Meyer</name><affiliation><nlm:affiliation>Department of Orthopaedic Surgery, University of Alabama at Birmingham, Birmingham, Ala.</nlm:affiliation></affiliation></author><author><name sortKey="Pearl, Gregory J" sort="Pearl, Gregory J" uniqKey="Pearl G" first="Gregory J" last="Pearl">Gregory J. Pearl</name><affiliation><nlm:affiliation>Division of Vascular Surgery, Baylor University Medical Center, and Baylor Scott & White Heart and Vascular Hospital, Dallas, Tex.</nlm:affiliation></affiliation></author><author><name sortKey="Ransom, Erin F" sort="Ransom, Erin F" uniqKey="Ransom E" first="Erin F" last="Ransom">Erin F. Ransom</name><affiliation><nlm:affiliation>Department of Orthopaedic Surgery, University of Alabama at Birmingham, Birmingham, Ala.</nlm:affiliation></affiliation></author><author><name sortKey="Sanders, Richard J" sort="Sanders, Richard J" uniqKey="Sanders R" first="Richard J" last="Sanders">Richard J. Sanders</name><affiliation><nlm:affiliation>Department of Surgery, University of Colorado Health Science Center, Aurora, Colo.</nlm:affiliation></affiliation></author><author><name sortKey="Teijink, Joep A W" sort="Teijink, Joep A W" uniqKey="Teijink J" first="Joep A W" last="Teijink">Joep A W. Teijink</name><affiliation><nlm:affiliation>Department of Vascular Surgery, Catharina Hospital, Eindhoven, The Netherlands; Department of Epidemiology, CAPHRI School for Public Health and Primary Care, Faculty of Health, Medicine and Life Sciences, Maastricht University, Maastricht, The Netherlands.</nlm:affiliation></affiliation></author><author><name sortKey="Vaccaro, Patrick S" sort="Vaccaro, Patrick S" uniqKey="Vaccaro P" first="Patrick S" last="Vaccaro">Patrick S. Vaccaro</name><affiliation><nlm:affiliation>Division of Vascular Diseases and Surgery, The Ohio State University College of Medicine, Columbus, Ohio.</nlm:affiliation></affiliation></author><author><name sortKey="Van Sambeek, Marc R H M" sort="Van Sambeek, Marc R H M" uniqKey="Van Sambeek M" first="Marc R H M" last="Van Sambeek">Marc R H M. Van Sambeek</name><affiliation><nlm:affiliation>Department of Vascular Surgery, Catharina Hospital, Eindhoven, The Netherlands; Department of Biomedical Technology, University of Technology Eindhoven, Eindhoven.</nlm:affiliation></affiliation></author><author><name sortKey="Vemuri, Chandu" sort="Vemuri, Chandu" uniqKey="Vemuri C" first="Chandu" last="Vemuri">Chandu Vemuri</name><affiliation><nlm:affiliation>Section of Vascular Surgery, Department of Surgery, Michigan Medicine, University of Michigan, Ann Arbor, Mich.</nlm:affiliation></affiliation></author><author><name sortKey="Thompson, Robert W" sort="Thompson, Robert W" uniqKey="Thompson R" first="Robert W" last="Thompson">Robert W. Thompson</name><affiliation><nlm:affiliation>Center for Thoracic Outlet Syndrome and Section of Vascular Surgery, Department of Surgery, Washington University School of Medicine, St. Louis, Mo. Electronic address: rwthompson@wustl.edu.</nlm:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2020">2020</date><idno type="RBID">pubmed:32497747</idno><idno type="pmid">32497747</idno><idno type="doi">10.1016/j.jvs.2020.05.048</idno><idno type="pmc">PMC7262516</idno><idno type="wicri:Area/Main/Corpus">000650</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">000650</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Evaluation and treatment of thoracic outlet syndrome during the global pandemic due to SARS-CoV-2 and COVID-19.</title><author><name sortKey="Ohman, J Westley" sort="Ohman, J Westley" uniqKey="Ohman J" first="J Westley" last="Ohman">J Westley Ohman</name><affiliation><nlm:affiliation>Center for Thoracic Outlet Syndrome and Section of Vascular Surgery, Department of Surgery, Washington University School of Medicine, St. Louis, Mo.</nlm:affiliation></affiliation></author><author><name sortKey="Annest, Stephen J" sort="Annest, Stephen J" uniqKey="Annest S" first="Stephen J" last="Annest">Stephen J. Annest</name><affiliation><nlm:affiliation>Vascular Surgery, Presbyterian/St. Luke's Hospital and St. Joseph Hospital, Denver, Colo.</nlm:affiliation></affiliation></author><author><name sortKey="Azizzadeh, Ali" sort="Azizzadeh, Ali" uniqKey="Azizzadeh A" first="Ali" last="Azizzadeh">Ali Azizzadeh</name><affiliation><nlm:affiliation>Division of Vascular Surgery, Department of Surgery, Cedars-Sinai Medical Center, Los Angeles, Calif.</nlm:affiliation></affiliation></author><author><name sortKey="Burt, Bryan M" sort="Burt, Bryan M" uniqKey="Burt B" first="Bryan M" last="Burt">Bryan M. Burt</name><affiliation><nlm:affiliation>Division of Thoracic Surgery, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, Tex.</nlm:affiliation></affiliation></author><author><name sortKey="Caputo, Francis J" sort="Caputo, Francis J" uniqKey="Caputo F" first="Francis J" last="Caputo">Francis J. Caputo</name><affiliation><nlm:affiliation>Department of Vascular Surgery, Sydell and Arnold Miller Heart and Vascular Institute, Cleveland Clinic Foundation, Cleveland, Ohio.</nlm:affiliation></affiliation></author><author><name sortKey="Chan, Colin" sort="Chan, Colin" uniqKey="Chan C" first="Colin" last="Chan">Colin Chan</name><affiliation><nlm:affiliation>Department of Vascular Surgery, Wirral University Teaching Hospital and Countess of Chester Hospital NHS Foundation Trust, Chester, United Kingdom.</nlm:affiliation></affiliation></author><author><name sortKey="Donahue, Dean M" sort="Donahue, Dean M" uniqKey="Donahue D" first="Dean M" last="Donahue">Dean M. Donahue</name><affiliation><nlm:affiliation>Division of Thoracic Surgery, Department of Surgery, Massachusetts General Hospital and Harvard Medical School, Boston, Mass.</nlm:affiliation></affiliation></author><author><name sortKey="Freischlag, Julie A" sort="Freischlag, Julie A" uniqKey="Freischlag J" first="Julie A" last="Freischlag">Julie A. Freischlag</name><affiliation><nlm:affiliation>Wake Forest Baptist Medical Center, Wake Forest School of Medicine, Winston-Salem, NC.</nlm:affiliation></affiliation></author><author><name sortKey="Gelabert, Hugh A" sort="Gelabert, Hugh A" uniqKey="Gelabert H" first="Hugh A" last="Gelabert">Hugh A. Gelabert</name><affiliation><nlm:affiliation>Division of Vascular Surgery, Gonda (Goldschmied) Vascular Center, David Geffen School of Medicine at UCLA, Los Angeles, Calif.</nlm:affiliation></affiliation></author><author><name sortKey="Humphries, Misty D" sort="Humphries, Misty D" uniqKey="Humphries M" first="Misty D" last="Humphries">Misty D. Humphries</name><affiliation><nlm:affiliation>Division of Vascular Surgery, University of California, Davis Medical Center, Sacramento, Calif.</nlm:affiliation></affiliation></author><author><name sortKey="Illig, Karl A" sort="Illig, Karl A" uniqKey="Illig K" first="Karl A" last="Illig">Karl A. Illig</name><affiliation><nlm:affiliation>Dialysis Access Institute, Regional Medical Center, Orangeburg, SC.</nlm:affiliation></affiliation></author><author><name sortKey="Lee, Jason T" sort="Lee, Jason T" uniqKey="Lee J" first="Jason T" last="Lee">Jason T. Lee</name><affiliation><nlm:affiliation>Division of Vascular Surgery, Department of Surgery, Stanford Hospital and Clinics, Stanford, Calif.</nlm:affiliation></affiliation></author><author><name sortKey="Lum, Ying Wei" sort="Lum, Ying Wei" uniqKey="Lum Y" first="Ying Wei" last="Lum">Ying Wei Lum</name><affiliation><nlm:affiliation>Division of Vascular Surgery and Endovascular Therapy, Johns Hopkins University School of Medicine, Baltimore, Md.</nlm:affiliation></affiliation></author><author><name sortKey="Meyer, Richard D" sort="Meyer, Richard D" uniqKey="Meyer R" first="Richard D" last="Meyer">Richard D. Meyer</name><affiliation><nlm:affiliation>Department of Orthopaedic Surgery, University of Alabama at Birmingham, Birmingham, Ala.</nlm:affiliation></affiliation></author><author><name sortKey="Pearl, Gregory J" sort="Pearl, Gregory J" uniqKey="Pearl G" first="Gregory J" last="Pearl">Gregory J. Pearl</name><affiliation><nlm:affiliation>Division of Vascular Surgery, Baylor University Medical Center, and Baylor Scott & White Heart and Vascular Hospital, Dallas, Tex.</nlm:affiliation></affiliation></author><author><name sortKey="Ransom, Erin F" sort="Ransom, Erin F" uniqKey="Ransom E" first="Erin F" last="Ransom">Erin F. Ransom</name><affiliation><nlm:affiliation>Department of Orthopaedic Surgery, University of Alabama at Birmingham, Birmingham, Ala.</nlm:affiliation></affiliation></author><author><name sortKey="Sanders, Richard J" sort="Sanders, Richard J" uniqKey="Sanders R" first="Richard J" last="Sanders">Richard J. Sanders</name><affiliation><nlm:affiliation>Department of Surgery, University of Colorado Health Science Center, Aurora, Colo.</nlm:affiliation></affiliation></author><author><name sortKey="Teijink, Joep A W" sort="Teijink, Joep A W" uniqKey="Teijink J" first="Joep A W" last="Teijink">Joep A W. Teijink</name><affiliation><nlm:affiliation>Department of Vascular Surgery, Catharina Hospital, Eindhoven, The Netherlands; Department of Epidemiology, CAPHRI School for Public Health and Primary Care, Faculty of Health, Medicine and Life Sciences, Maastricht University, Maastricht, The Netherlands.</nlm:affiliation></affiliation></author><author><name sortKey="Vaccaro, Patrick S" sort="Vaccaro, Patrick S" uniqKey="Vaccaro P" first="Patrick S" last="Vaccaro">Patrick S. Vaccaro</name><affiliation><nlm:affiliation>Division of Vascular Diseases and Surgery, The Ohio State University College of Medicine, Columbus, Ohio.</nlm:affiliation></affiliation></author><author><name sortKey="Van Sambeek, Marc R H M" sort="Van Sambeek, Marc R H M" uniqKey="Van Sambeek M" first="Marc R H M" last="Van Sambeek">Marc R H M. Van Sambeek</name><affiliation><nlm:affiliation>Department of Vascular Surgery, Catharina Hospital, Eindhoven, The Netherlands; Department of Biomedical Technology, University of Technology Eindhoven, Eindhoven.</nlm:affiliation></affiliation></author><author><name sortKey="Vemuri, Chandu" sort="Vemuri, Chandu" uniqKey="Vemuri C" first="Chandu" last="Vemuri">Chandu Vemuri</name><affiliation><nlm:affiliation>Section of Vascular Surgery, Department of Surgery, Michigan Medicine, University of Michigan, Ann Arbor, Mich.</nlm:affiliation></affiliation></author><author><name sortKey="Thompson, Robert W" sort="Thompson, Robert W" uniqKey="Thompson R" first="Robert W" last="Thompson">Robert W. Thompson</name><affiliation><nlm:affiliation>Center for Thoracic Outlet Syndrome and Section of Vascular Surgery, Department of Surgery, Washington University School of Medicine, St. Louis, Mo. Electronic address: rwthompson@wustl.edu.</nlm:affiliation></affiliation></author></analytic><series><title level="j">Journal of vascular surgery</title><idno type="eISSN">1097-6809</idno><imprint><date when="2020" type="published">2020</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Betacoronavirus (pathogenicity)</term><term>COVID-19 (MeSH)</term><term>Consensus (MeSH)</term><term>Coronavirus Infections (epidemiology)</term><term>Coronavirus Infections (prevention & control)</term><term>Coronavirus Infections (transmission)</term><term>Coronavirus Infections (virology)</term><term>Decompression, Surgical (standards)</term><term>Elective Surgical Procedures (methods)</term><term>Elective Surgical Procedures (standards)</term><term>Emergency Treatment (methods)</term><term>Emergency Treatment (standards)</term><term>Humans (MeSH)</term><term>Infection Control (standards)</term><term>Interdisciplinary Communication (MeSH)</term><term>Limb Salvage (methods)</term><term>Limb Salvage (standards)</term><term>Pandemics (prevention & control)</term><term>Patient Selection (MeSH)</term><term>Pneumonia, Viral (epidemiology)</term><term>Pneumonia, Viral (prevention & control)</term><term>Pneumonia, Viral (transmission)</term><term>Pneumonia, Viral (virology)</term><term>Practice Guidelines as Topic (MeSH)</term><term>SARS-CoV-2 (MeSH)</term><term>Telemedicine (standards)</term><term>Thoracic Outlet Syndrome (diagnosis)</term><term>Thoracic Outlet Syndrome (etiology)</term><term>Thoracic Outlet Syndrome (therapy)</term><term>Thrombolytic Therapy (methods)</term><term>Thrombolytic Therapy (standards)</term><term>Time-to-Treatment (standards)</term><term>Triage (standards)</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Thoracic Outlet Syndrome</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Coronavirus Infections</term><term>Pneumonia, Viral</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Thoracic Outlet Syndrome</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Elective Surgical Procedures</term><term>Emergency Treatment</term><term>Limb Salvage</term><term>Thrombolytic Therapy</term></keywords><keywords scheme="MESH" qualifier="pathogenicity" xml:lang="en"><term>Betacoronavirus</term></keywords><keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>Coronavirus Infections</term><term>Pandemics</term><term>Pneumonia, Viral</term></keywords><keywords scheme="MESH" qualifier="standards" xml:lang="en"><term>Decompression, Surgical</term><term>Elective Surgical Procedures</term><term>Emergency Treatment</term><term>Infection Control</term><term>Limb Salvage</term><term>Telemedicine</term><term>Thrombolytic Therapy</term><term>Time-to-Treatment</term><term>Triage</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Thoracic Outlet Syndrome</term></keywords><keywords scheme="MESH" qualifier="transmission" xml:lang="en"><term>Coronavirus Infections</term><term>Pneumonia, Viral</term></keywords><keywords scheme="MESH" qualifier="virology" xml:lang="en"><term>Coronavirus Infections</term><term>Pneumonia, Viral</term></keywords><keywords scheme="MESH" xml:lang="en"><term>COVID-19</term><term>Consensus</term><term>Humans</term><term>Interdisciplinary Communication</term><term>Patient Selection</term><term>Practice Guidelines as Topic</term><term>SARS-CoV-2</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">The global SARS-CoV-2/COVID-19 pandemic has required a reduction in nonemergency treatment for a variety of disorders. This report summarizes conclusions of an international multidisciplinary consensus group assembled to address evaluation and treatment of patients with thoracic outlet syndrome (TOS), a group of conditions characterized by extrinsic compression of the neurovascular structures serving the upper extremity. The following recommendations were developed in relation to the three defined types of TOS (neurogenic, venous, and arterial) and three phases of pandemic response (preparatory, urgent with limited resources, and emergency with complete diversion of resources). • In-person evaluation and treatment for neurogenic TOS (interventional or surgical) are generally postponed during all pandemic phases, with telephone/telemedicine visits and at-home physical therapy exercises recommended when feasible. • Venous TOS presenting with acute upper extremity deep venous thrombosis (Paget-Schroetter syndrome) is managed primarily with anticoagulation, with percutaneous interventions for venous TOS (thrombolysis) considered in early phases (I and II) and surgical treatment delayed until pandemic conditions resolve. Catheter-based interventions may also be considered for selected patients with central subclavian vein obstruction and threatened hemodialysis access in all pandemic phases, with definitive surgical treatment postponed. • Evaluation and surgical treatment for arterial TOS should be reserved for limb-threatening situations, such as acute upper extremity ischemia or acute digital embolization, in all phases of pandemic response. In late pandemic phases, surgery should be restricted to thrombolysis or brachial artery thromboembolectomy, with more definitive treatment delayed until pandemic conditions resolve.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">32497747</PMID><DateCompleted><Year>2020</Year><Month>09</Month><Day>01</Day></DateCompleted><DateRevised><Year>2021</Year><Month>01</Month><Day>10</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1097-6809</ISSN><JournalIssue CitedMedium="Internet"><Volume>72</Volume><Issue>3</Issue><PubDate><Year>2020</Year><Month>09</Month></PubDate></JournalIssue><Title>Journal of vascular surgery</Title><ISOAbbreviation>J Vasc Surg</ISOAbbreviation></Journal><ArticleTitle>Evaluation and treatment of thoracic outlet syndrome during the global pandemic due to SARS-CoV-2 and COVID-19.</ArticleTitle><Pagination><MedlinePgn>790-798</MedlinePgn></Pagination><ELocationID EIdType="pii" ValidYN="Y">S0741-5214(20)31304-5</ELocationID><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.jvs.2020.05.048</ELocationID><Abstract><AbstractText>The global SARS-CoV-2/COVID-19 pandemic has required a reduction in nonemergency treatment for a variety of disorders. This report summarizes conclusions of an international multidisciplinary consensus group assembled to address evaluation and treatment of patients with thoracic outlet syndrome (TOS), a group of conditions characterized by extrinsic compression of the neurovascular structures serving the upper extremity. The following recommendations were developed in relation to the three defined types of TOS (neurogenic, venous, and arterial) and three phases of pandemic response (preparatory, urgent with limited resources, and emergency with complete diversion of resources). • In-person evaluation and treatment for neurogenic TOS (interventional or surgical) are generally postponed during all pandemic phases, with telephone/telemedicine visits and at-home physical therapy exercises recommended when feasible. • Venous TOS presenting with acute upper extremity deep venous thrombosis (Paget-Schroetter syndrome) is managed primarily with anticoagulation, with percutaneous interventions for venous TOS (thrombolysis) considered in early phases (I and II) and surgical treatment delayed until pandemic conditions resolve. Catheter-based interventions may also be considered for selected patients with central subclavian vein obstruction and threatened hemodialysis access in all pandemic phases, with definitive surgical treatment postponed. • Evaluation and surgical treatment for arterial TOS should be reserved for limb-threatening situations, such as acute upper extremity ischemia or acute digital embolization, in all phases of pandemic response. In late pandemic phases, surgery should be restricted to thrombolysis or brachial artery thromboembolectomy, with more definitive treatment delayed until pandemic conditions resolve.</AbstractText><CopyrightInformation>Copyright © 2020 Society for Vascular Surgery. Published by Elsevier Inc. All rights reserved.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Ohman</LastName><ForeName>J Westley</ForeName><Initials>JW</Initials><AffiliationInfo><Affiliation>Center for Thoracic Outlet Syndrome and Section of Vascular Surgery, Department of Surgery, Washington University School of Medicine, St. Louis, Mo.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Annest</LastName><ForeName>Stephen J</ForeName><Initials>SJ</Initials><AffiliationInfo><Affiliation>Vascular Surgery, Presbyterian/St. Luke's Hospital and St. Joseph Hospital, Denver, Colo.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Azizzadeh</LastName><ForeName>Ali</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Division of Vascular Surgery, Department of Surgery, Cedars-Sinai Medical Center, Los Angeles, Calif.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Burt</LastName><ForeName>Bryan M</ForeName><Initials>BM</Initials><AffiliationInfo><Affiliation>Division of Thoracic Surgery, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, Tex.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Caputo</LastName><ForeName>Francis J</ForeName><Initials>FJ</Initials><AffiliationInfo><Affiliation>Department of Vascular Surgery, Sydell and Arnold Miller Heart and Vascular Institute, Cleveland Clinic Foundation, Cleveland, Ohio.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Chan</LastName><ForeName>Colin</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>Department of Vascular Surgery, Wirral University Teaching Hospital and Countess of Chester Hospital NHS Foundation Trust, Chester, United Kingdom.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Donahue</LastName><ForeName>Dean M</ForeName><Initials>DM</Initials><AffiliationInfo><Affiliation>Division of Thoracic Surgery, Department of Surgery, Massachusetts General Hospital and Harvard Medical School, Boston, Mass.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Freischlag</LastName><ForeName>Julie A</ForeName><Initials>JA</Initials><AffiliationInfo><Affiliation>Wake Forest Baptist Medical Center, Wake Forest School of Medicine, Winston-Salem, NC.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Gelabert</LastName><ForeName>Hugh A</ForeName><Initials>HA</Initials><AffiliationInfo><Affiliation>Division of Vascular Surgery, Gonda (Goldschmied) Vascular Center, David Geffen School of Medicine at UCLA, Los Angeles, Calif.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Humphries</LastName><ForeName>Misty D</ForeName><Initials>MD</Initials><AffiliationInfo><Affiliation>Division of Vascular Surgery, University of California, Davis Medical Center, Sacramento, Calif.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Illig</LastName><ForeName>Karl A</ForeName><Initials>KA</Initials><AffiliationInfo><Affiliation>Dialysis Access Institute, Regional Medical Center, Orangeburg, SC.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Lee</LastName><ForeName>Jason T</ForeName><Initials>JT</Initials><AffiliationInfo><Affiliation>Division of Vascular Surgery, Department of Surgery, Stanford Hospital and Clinics, Stanford, Calif.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Lum</LastName><ForeName>Ying Wei</ForeName><Initials>YW</Initials><AffiliationInfo><Affiliation>Division of Vascular Surgery and Endovascular Therapy, Johns Hopkins University School of Medicine, Baltimore, Md.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Meyer</LastName><ForeName>Richard D</ForeName><Initials>RD</Initials><AffiliationInfo><Affiliation>Department of Orthopaedic Surgery, University of Alabama at Birmingham, Birmingham, Ala.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Pearl</LastName><ForeName>Gregory J</ForeName><Initials>GJ</Initials><AffiliationInfo><Affiliation>Division of Vascular Surgery, Baylor University Medical Center, and Baylor Scott & White Heart and Vascular Hospital, Dallas, Tex.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Ransom</LastName><ForeName>Erin F</ForeName><Initials>EF</Initials><AffiliationInfo><Affiliation>Department of Orthopaedic Surgery, University of Alabama at Birmingham, Birmingham, Ala.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Sanders</LastName><ForeName>Richard J</ForeName><Initials>RJ</Initials><AffiliationInfo><Affiliation>Department of Surgery, University of Colorado Health Science Center, Aurora, Colo.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Teijink</LastName><ForeName>Joep A W</ForeName><Initials>JAW</Initials><AffiliationInfo><Affiliation>Department of Vascular Surgery, Catharina Hospital, Eindhoven, The Netherlands; Department of Epidemiology, CAPHRI School for Public Health and Primary Care, Faculty of Health, Medicine and Life Sciences, Maastricht University, Maastricht, The Netherlands.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Vaccaro</LastName><ForeName>Patrick S</ForeName><Initials>PS</Initials><AffiliationInfo><Affiliation>Division of Vascular Diseases and Surgery, The Ohio State University College of Medicine, Columbus, Ohio.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>van Sambeek</LastName><ForeName>Marc R H M</ForeName><Initials>MRHM</Initials><AffiliationInfo><Affiliation>Department of Vascular Surgery, Catharina Hospital, Eindhoven, The Netherlands; Department of Biomedical Technology, University of Technology Eindhoven, Eindhoven.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Vemuri</LastName><ForeName>Chandu</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>Section of Vascular Surgery, Department of Surgery, Michigan Medicine, University of Michigan, Ann Arbor, Mich.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Thompson</LastName><ForeName>Robert W</ForeName><Initials>RW</Initials><AffiliationInfo><Affiliation>Center for Thoracic Outlet Syndrome and Section of Vascular Surgery, Department of Surgery, Washington University School of Medicine, St. Louis, Mo. Electronic address: rwthompson@wustl.edu.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2020</Year><Month>06</Month><Day>01</Day></ArticleDate></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>J Vasc Surg</MedlineTA><NlmUniqueID>8407742</NlmUniqueID><ISSNLinking>0741-5214</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000073640" MajorTopicYN="N">Betacoronavirus</DescriptorName><QualifierName UI="Q000472" MajorTopicYN="Y">pathogenicity</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D000086382" MajorTopicYN="N">COVID-19</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D032921" MajorTopicYN="N">Consensus</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D018352" MajorTopicYN="N">Coronavirus Infections</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName><QualifierName UI="Q000517" MajorTopicYN="Y">prevention & control</QualifierName><QualifierName UI="Q000635" MajorTopicYN="N">transmission</QualifierName><QualifierName UI="Q000821" MajorTopicYN="N">virology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D019299" MajorTopicYN="N">Decompression, Surgical</DescriptorName><QualifierName UI="Q000592" MajorTopicYN="N">standards</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D017558" MajorTopicYN="N">Elective Surgical Procedures</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="N">methods</QualifierName><QualifierName UI="Q000592" MajorTopicYN="N">standards</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D004638" MajorTopicYN="N">Emergency Treatment</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="N">methods</QualifierName><QualifierName UI="Q000592" 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MajorTopicYN="Y">diagnosis</QualifierName><QualifierName UI="Q000209" MajorTopicYN="N">etiology</QualifierName><QualifierName UI="Q000628" MajorTopicYN="N">therapy</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D015912" MajorTopicYN="N">Thrombolytic Therapy</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="N">methods</QualifierName><QualifierName UI="Q000592" MajorTopicYN="N">standards</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D061665" MajorTopicYN="N">Time-to-Treatment</DescriptorName><QualifierName UI="Q000592" MajorTopicYN="N">standards</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D014218" MajorTopicYN="N">Triage</DescriptorName><QualifierName UI="Q000592" MajorTopicYN="Y">standards</QualifierName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="Y">Axillary artery</Keyword><Keyword MajorTopicYN="Y">Brachial plexus</Keyword><Keyword MajorTopicYN="Y">Consensus</Keyword><Keyword 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IdType="pubmed">32278725</ArticleId></ArticleIdList></Reference><Reference><Citation>Proc Natl Acad Sci U S A. 2020 Apr 21;117(16):9122-9126</Citation><ArticleIdList><ArticleId IdType="pubmed">32245814</ArticleId></ArticleIdList></Reference><Reference><Citation>N Engl J Med. 2020 Mar 5;382(10):929-936</Citation><ArticleIdList><ArticleId IdType="pubmed">32004427</ArticleId></ArticleIdList></Reference><Reference><Citation>J Vasc Surg Venous Lymphat Disord. 2020 Jan;8(1):118-126</Citation><ArticleIdList><ArticleId IdType="pubmed">31732483</ArticleId></ArticleIdList></Reference><Reference><Citation>Lancet. 2020 Apr 4;395(10230):1137-1144</Citation><ArticleIdList><ArticleId IdType="pubmed">32178768</ArticleId></ArticleIdList></Reference><Reference><Citation>Lancet. 2020 Feb 15;395(10223):497-506</Citation><ArticleIdList><ArticleId IdType="pubmed">31986264</ArticleId></ArticleIdList></Reference><Reference><Citation>J Vasc Surg. 2016 Sep;64(3):e23-35</Citation><ArticleIdList><ArticleId IdType="pubmed">27565607</ArticleId></ArticleIdList></Reference><Reference><Citation>J Am Coll Surg. 2020 Jun;230(6):1098-1101</Citation><ArticleIdList><ArticleId IdType="pubmed">32247836</ArticleId></ArticleIdList></Reference><Reference><Citation>Nature. 2020 Mar;579(7798):270-273</Citation><ArticleIdList><ArticleId IdType="pubmed">32015507</ArticleId></ArticleIdList></Reference></ReferenceList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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