CovidStanfordV1, Main, Exploration, bibRecord, 000582

Evaluation and treatment of thoracic outlet syndrome during the global pandemic due to SARS-CoV-2 and COVID-19.

Identifieur interne : 000582 ( Main/Exploration ); précédent : 000581; suivant : 000583

Evaluation and treatment of thoracic outlet syndrome during the global pandemic due to SARS-CoV-2 and COVID-19.

Auteurs : J Westley Ohman [États-Unis] ; Stephen J. Annest ; Ali Azizzadeh [États-Unis] ; Bryan M. Burt ; Francis J. Caputo [États-Unis] ; Colin Chan [Royaume-Uni] ; Dean M. Donahue ; Julie A. Freischlag [États-Unis] ; Hugh A. Gelabert [États-Unis] ; Misty D. Humphries [États-Unis] ; Karl A. Illig [États-Unis] ; Jason T. Lee [États-Unis] ; Ying Wei Lum ; Richard D. Meyer ; Gregory J. Pearl ; Erin F. Ransom ; Richard J. Sanders ; Joep A W. Teijink [Pays-Bas] ; Patrick S. Vaccaro [États-Unis] ; Marc R H M. Van Sambeek ; Chandu Vemuri ; Robert W. Thompson [États-Unis]

Source :

Journal of vascular surgery [ 1097-6809 ] ; 2020.

RBID : pubmed:32497747

Descripteurs français

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

Affiliations:

Links toward previous steps (curation, corpus...)

to stream Main, to step Corpus: 000650
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Le document en format XML

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<author><name sortKey="Ohman, J Westley" sort="Ohman, J Westley" uniqKey="Ohman J" first="J Westley" last="Ohman">J Westley Ohman</name>
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<author><name sortKey="Annest, Stephen J" sort="Annest, Stephen J" uniqKey="Annest S" first="Stephen J" last="Annest">Stephen J. Annest</name>
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<author><name sortKey="Azizzadeh, Ali" sort="Azizzadeh, Ali" uniqKey="Azizzadeh A" first="Ali" last="Azizzadeh">Ali Azizzadeh</name>
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<country>États-Unis</country>
<placeName><region type="state">Californie</region>
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<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>
<wicri:noCountry code="subField">Tex</wicri:noCountry>
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<author><name sortKey="Caputo, Francis J" sort="Caputo, Francis J" uniqKey="Caputo F" first="Francis J" last="Caputo">Francis J. Caputo</name>
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<country xml:lang="fr">États-Unis</country>
<placeName><region type="state">Ohio</region>
</placeName>
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<author><name sortKey="Chan, Colin" sort="Chan, Colin" uniqKey="Chan C" first="Colin" last="Chan">Colin Chan</name>
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<wicri:noRegion>Chester</wicri:noRegion>
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<author><name sortKey="Donahue, Dean M" sort="Donahue, Dean M" uniqKey="Donahue D" first="Dean M" last="Donahue">Dean M. Donahue</name>
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<wicri:noCountry code="subField">Mass</wicri:noCountry>
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<author><name sortKey="Freischlag, Julie A" sort="Freischlag, Julie A" uniqKey="Freischlag J" first="Julie A" last="Freischlag">Julie A. Freischlag</name>
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<country xml:lang="fr">États-Unis</country>
<placeName><region type="state">Caroline du Nord</region>
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<author><name sortKey="Gelabert, Hugh A" sort="Gelabert, Hugh A" uniqKey="Gelabert H" first="Hugh A" last="Gelabert">Hugh A. Gelabert</name>
<affiliation wicri:level="2"><nlm:affiliation>Division of Vascular Surgery, Gonda (Goldschmied) Vascular Center, David Geffen School of Medicine at UCLA, Los Angeles, Calif.</nlm:affiliation>
<country>États-Unis</country>
<placeName><region type="state">Californie</region>
</placeName>
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<author><name sortKey="Humphries, Misty D" sort="Humphries, Misty D" uniqKey="Humphries M" first="Misty D" last="Humphries">Misty D. Humphries</name>
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<country>États-Unis</country>
<placeName><region type="state">Californie</region>
</placeName>
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<author><name sortKey="Illig, Karl A" sort="Illig, Karl A" uniqKey="Illig K" first="Karl A" last="Illig">Karl A. Illig</name>
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<country xml:lang="fr">États-Unis</country>
<placeName><region type="state">Caroline du Sud</region>
</placeName>
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<author><name sortKey="Lee, Jason T" sort="Lee, Jason T" uniqKey="Lee J" first="Jason T" last="Lee">Jason T. Lee</name>
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<country>États-Unis</country>
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</placeName>
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<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>
<wicri:noCountry code="subField">Md</wicri:noCountry>
</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>
<wicri:noCountry code="subField">Ala</wicri:noCountry>
</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>
<wicri:noCountry code="subField">Tex</wicri:noCountry>
</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>
<wicri:noCountry code="subField">Ala</wicri:noCountry>
</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>
<wicri:noCountry code="subField">Colo</wicri:noCountry>
</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 wicri:level="1"><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>
<country xml:lang="fr">Pays-Bas</country>
<wicri:regionArea>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</wicri:regionArea>
<wicri:noRegion>Maastricht</wicri:noRegion>
</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 wicri:level="2"><nlm:affiliation>Division of Vascular Diseases and Surgery, The Ohio State University College of Medicine, Columbus, Ohio.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<placeName><region type="state">Ohio</region>
</placeName>
<wicri:cityArea>Division of Vascular Diseases and Surgery, The Ohio State University College of Medicine, Columbus</wicri:cityArea>
</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>
<wicri:noCountry code="subField">Eindhoven</wicri:noCountry>
</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>
<wicri:noCountry code="subField">Mich</wicri:noCountry>
</affiliation>
</author>
<author><name sortKey="Thompson, Robert W" sort="Thompson, Robert W" uniqKey="Thompson R" first="Robert W" last="Thompson">Robert W. Thompson</name>
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<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 wicri:level="4"><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>
<orgName type="university">École de médecine (Université Washington de Saint-Louis)</orgName>
<country>États-Unis</country>
<placeName><settlement type="city">Saint-Louis (Missouri)</settlement>
<region type="state">Missouri (État)</region>
</placeName>
</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>
<wicri:noCountry code="subField">Colo</wicri:noCountry>
</affiliation>
</author>
<author><name sortKey="Azizzadeh, Ali" sort="Azizzadeh, Ali" uniqKey="Azizzadeh A" first="Ali" last="Azizzadeh">Ali Azizzadeh</name>
<affiliation wicri:level="2"><nlm:affiliation>Division of Vascular Surgery, Department of Surgery, Cedars-Sinai Medical Center, Los Angeles, Calif.</nlm:affiliation>
<country>États-Unis</country>
<placeName><region type="state">Californie</region>
</placeName>
<wicri:cityArea>Division of Vascular Surgery, Department of Surgery, Cedars-Sinai Medical Center, Los Angeles</wicri:cityArea>
</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>
<wicri:noCountry code="subField">Tex</wicri:noCountry>
</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 wicri:level="2"><nlm:affiliation>Department of Vascular Surgery, Sydell and Arnold Miller Heart and Vascular Institute, Cleveland Clinic Foundation, Cleveland, Ohio.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<placeName><region type="state">Ohio</region>
</placeName>
<wicri:cityArea>Department of Vascular Surgery, Sydell and Arnold Miller Heart and Vascular Institute, Cleveland Clinic Foundation, Cleveland</wicri:cityArea>
</affiliation>
</author>
<author><name sortKey="Chan, Colin" sort="Chan, Colin" uniqKey="Chan C" first="Colin" last="Chan">Colin Chan</name>
<affiliation wicri:level="1"><nlm:affiliation>Department of Vascular Surgery, Wirral University Teaching Hospital and Countess of Chester Hospital NHS Foundation Trust, Chester, United Kingdom.</nlm:affiliation>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Department of Vascular Surgery, Wirral University Teaching Hospital and Countess of Chester Hospital NHS Foundation Trust, Chester</wicri:regionArea>
<wicri:noRegion>Chester</wicri:noRegion>
</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>
<wicri:noCountry code="subField">Mass</wicri:noCountry>
</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 wicri:level="2"><nlm:affiliation>Wake Forest Baptist Medical Center, Wake Forest School of Medicine, Winston-Salem, NC.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<placeName><region type="state">Caroline du Nord</region>
</placeName>
<wicri:cityArea>Wake Forest Baptist Medical Center, Wake Forest School of Medicine, Winston-Salem</wicri:cityArea>
</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 wicri:level="2"><nlm:affiliation>Division of Vascular Surgery, Gonda (Goldschmied) Vascular Center, David Geffen School of Medicine at UCLA, Los Angeles, Calif.</nlm:affiliation>
<country>États-Unis</country>
<placeName><region type="state">Californie</region>
</placeName>
<wicri:cityArea>Division of Vascular Surgery, Gonda (Goldschmied) Vascular Center, David Geffen School of Medicine at UCLA, Los Angeles</wicri:cityArea>
</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 wicri:level="2"><nlm:affiliation>Division of Vascular Surgery, University of California, Davis Medical Center, Sacramento, Calif.</nlm:affiliation>
<country>États-Unis</country>
<placeName><region type="state">Californie</region>
</placeName>
<wicri:cityArea>Division of Vascular Surgery, University of California, Davis Medical Center, Sacramento</wicri:cityArea>
</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 wicri:level="2"><nlm:affiliation>Dialysis Access Institute, Regional Medical Center, Orangeburg, SC.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<placeName><region type="state">Caroline du Sud</region>
</placeName>
<wicri:cityArea>Dialysis Access Institute, Regional Medical Center, Orangeburg</wicri:cityArea>
</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 wicri:level="2"><nlm:affiliation>Division of Vascular Surgery, Department of Surgery, Stanford Hospital and Clinics, Stanford, Calif.</nlm:affiliation>
<country>États-Unis</country>
<placeName><region type="state">Californie</region>
</placeName>
<wicri:cityArea>Division of Vascular Surgery, Department of Surgery, Stanford Hospital and Clinics, Stanford</wicri:cityArea>
</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>
<wicri:noCountry code="subField">Md</wicri:noCountry>
</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>
<wicri:noCountry code="subField">Ala</wicri:noCountry>
</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>
<wicri:noCountry code="subField">Tex</wicri:noCountry>
</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>
<wicri:noCountry code="subField">Ala</wicri:noCountry>
</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>
<wicri:noCountry code="subField">Colo</wicri:noCountry>
</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 wicri:level="1"><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>
<country xml:lang="fr">Pays-Bas</country>
<wicri:regionArea>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</wicri:regionArea>
<wicri:noRegion>Maastricht</wicri:noRegion>
</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 wicri:level="2"><nlm:affiliation>Division of Vascular Diseases and Surgery, The Ohio State University College of Medicine, Columbus, Ohio.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<placeName><region type="state">Ohio</region>
</placeName>
<wicri:cityArea>Division of Vascular Diseases and Surgery, The Ohio State University College of Medicine, Columbus</wicri:cityArea>
</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>
<wicri:noCountry code="subField">Eindhoven</wicri:noCountry>
</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>
<wicri:noCountry code="subField">Mich</wicri:noCountry>
</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 wicri:level="1"><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>
<country wicri:rule="url">États-Unis</country>
</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>
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<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="KwdFr" xml:lang="fr"><term>Betacoronavirus (pathogénicité)</term>
<term>Communication interdisciplinaire (MeSH)</term>
<term>Consensus (MeSH)</term>
<term>Décompression chirurgicale (normes)</term>
<term>Délai jusqu'au traitement (normes)</term>
<term>Guides de bonnes pratiques cliniques comme sujet (MeSH)</term>
<term>Humains (MeSH)</term>
<term>Infections à coronavirus (prévention et contrôle)</term>
<term>Infections à coronavirus (transmission)</term>
<term>Infections à coronavirus (virologie)</term>
<term>Infections à coronavirus (épidémiologie)</term>
<term>Interventions chirurgicales non urgentes (méthodes)</term>
<term>Interventions chirurgicales non urgentes (normes)</term>
<term>Pandémies (prévention et contrôle)</term>
<term>Pneumopathie virale (prévention et contrôle)</term>
<term>Pneumopathie virale (transmission)</term>
<term>Pneumopathie virale (virologie)</term>
<term>Pneumopathie virale (épidémiologie)</term>
<term>Prévention des infections (normes)</term>
<term>Sauvetage de membre (méthodes)</term>
<term>Sauvetage de membre (normes)</term>
<term>Syndrome du défilé thoracobrachial (diagnostic)</term>
<term>Syndrome du défilé thoracobrachial (thérapie)</term>
<term>Syndrome du défilé thoracobrachial (étiologie)</term>
<term>Sélection de patients (MeSH)</term>
<term>Traitement d'urgence (méthodes)</term>
<term>Traitement d'urgence (normes)</term>
<term>Traitement thrombolytique (méthodes)</term>
<term>Traitement thrombolytique (normes)</term>
<term>Triage (normes)</term>
<term>Télémédecine (normes)</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Thoracic Outlet Syndrome</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnostic" xml:lang="fr"><term>Syndrome du défilé thoracobrachial</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="méthodes" xml:lang="fr"><term>Interventions chirurgicales non urgentes</term>
<term>Sauvetage de membre</term>
<term>Traitement d'urgence</term>
<term>Traitement thrombolytique</term>
</keywords>
<keywords scheme="MESH" qualifier="normes" xml:lang="fr"><term>Décompression chirurgicale</term>
<term>Délai jusqu'au traitement</term>
<term>Interventions chirurgicales non urgentes</term>
<term>Prévention des infections</term>
<term>Sauvetage de membre</term>
<term>Traitement d'urgence</term>
<term>Traitement thrombolytique</term>
<term>Triage</term>
<term>Télémédecine</term>
</keywords>
<keywords scheme="MESH" qualifier="pathogenicity" xml:lang="en"><term>Betacoronavirus</term>
</keywords>
<keywords scheme="MESH" qualifier="pathogénicité" xml:lang="fr"><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="prévention et contrôle" xml:lang="fr"><term>Infections à coronavirus</term>
<term>Pandémies</term>
<term>Pneumopathie virale</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="thérapie" xml:lang="fr"><term>Syndrome du défilé thoracobrachial</term>
</keywords>
<keywords scheme="MESH" qualifier="transmission" xml:lang="en"><term>Coronavirus Infections</term>
<term>Pneumonia, Viral</term>
</keywords>
<keywords scheme="MESH" qualifier="virologie" xml:lang="fr"><term>Infections à coronavirus</term>
<term>Pneumopathie virale</term>
</keywords>
<keywords scheme="MESH" qualifier="virology" xml:lang="en"><term>Coronavirus Infections</term>
<term>Pneumonia, Viral</term>
</keywords>
<keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Infections à coronavirus</term>
<term>Pneumopathie virale</term>
</keywords>
<keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Syndrome du défilé thoracobrachial</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>
<keywords scheme="MESH" xml:lang="fr"><term>Communication interdisciplinaire</term>
<term>Consensus</term>
<term>Guides de bonnes pratiques cliniques comme sujet</term>
<term>Humains</term>
<term>Sélection de patients</term>
</keywords>
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<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" MajorTopicYN="N">standards</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D017053" MajorTopicYN="N">Infection Control</DescriptorName>
<QualifierName UI="Q000592" MajorTopicYN="N">standards</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D033183" MajorTopicYN="N">Interdisciplinary Communication</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D023821" MajorTopicYN="N">Limb Salvage</DescriptorName>
<QualifierName UI="Q000379" MajorTopicYN="N">methods</QualifierName>
<QualifierName UI="Q000592" MajorTopicYN="N">standards</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D058873" MajorTopicYN="N">Pandemics</DescriptorName>
<QualifierName UI="Q000517" MajorTopicYN="Y">prevention & control</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D018579" MajorTopicYN="N">Patient Selection</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D011024" MajorTopicYN="N">Pneumonia, Viral</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="D017410" MajorTopicYN="Y">Practice Guidelines as Topic</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D000086402" MajorTopicYN="N">SARS-CoV-2</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D017216" MajorTopicYN="N">Telemedicine</DescriptorName>
<QualifierName UI="Q000592" MajorTopicYN="N">standards</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D013901" MajorTopicYN="N">Thoracic Outlet Syndrome</DescriptorName>
<QualifierName UI="Q000175" 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 MajorTopicYN="Y">Coronavirus</Keyword>
<Keyword MajorTopicYN="Y">Deep venous thrombosis</Keyword>
<Keyword MajorTopicYN="Y">Endovascular treatment</Keyword>
<Keyword MajorTopicYN="Y">Hospital resources</Keyword>
<Keyword MajorTopicYN="Y">Neurogenic</Keyword>
<Keyword MajorTopicYN="Y">Subclavian artery</Keyword>
<Keyword MajorTopicYN="Y">Subclavian vein</Keyword>
<Keyword MajorTopicYN="Y">Surgical treatment</Keyword>
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<Reference><Citation>J Am Coll Surg. 2020 Aug;231(2):281-288</Citation>
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<Reference><Citation>Proc Natl Acad Sci U S A. 2020 Apr 21;117(16):9122-9126</Citation>
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<Reference><Citation>Lancet. 2020 Apr 4;395(10230):1137-1144</Citation>
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<Reference><Citation>Lancet. 2020 Feb 15;395(10223):497-506</Citation>
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<Reference><Citation>J Vasc Surg. 2016 Sep;64(3):e23-35</Citation>
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<Reference><Citation>J Am Coll Surg. 2020 Jun;230(6):1098-1101</Citation>
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<Reference><Citation>Nature. 2020 Mar;579(7798):270-273</Citation>
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Evaluation and treatment of thoracic outlet syndrome during the global pandemic due to SARS-CoV-2 and COVID-19.

Evaluation and treatment of thoracic outlet syndrome during the global pandemic due to SARS-CoV-2 and COVID-19.

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