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Pathways of Care and Treatment Options for Patients with NTOS

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Thoracic Outlet Syndrome

Abstract

Thoracic outlet syndrome (TOS) is a rare and complex group of disorders that may cause severe and disabling symptoms, and caring for patients with these conditions provides many challenges to health care providers. An organized, systematic, approach to the diagnosis and treatment of TOS provides an opportunity for specialists to deliver patient-centered care and to achieve optimal results with treatment. This specialized type of care is best delivered through the efforts of a multi-disciplinary team that consists of various specialists, including vascular surgery, thoracic surgery, neurology/neurosurgery, orthopedics, radiology, anesthesiology, pain management, physical therapy, and occupational therapy. This chapter will focus on the care path for managing patients with a diagnosis of neurogenic TOS (NTOS), as based on our experience at Washington University/Barnes-Jewish Hospital in St. Louis. Evaluation and care of patients with venous and arterial forms of TOS are covered elsewhere in this textbook.

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Authors and Affiliations

  1. Section of Vascular Surgery, Center for Thoracic Outlet Syndrome, School of Medicine, Washington University, 666 South Eucld 5101 Queeny Towers, Campus Box 8109, Saint Louis, MO, 63376, USA

    Valerie B. Emery RN, ANP

  2. Department of Surgery, Section of Vascular Surgery, Center for Thoracic Outlet Syndrome, Washington University, Barnes-Jewish Hospital, 660 S Euclid Avenue, Campus Box 8109/Suite 5101 Queeny Tower, St. Louis, MO, 63110, USA

    Robert W. Thompson MD

Authors
  1. Valerie B. Emery RN, ANP
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  2. Robert W. Thompson MD
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Corresponding author

Correspondence to Valerie B. Emery RN, ANP .

Editor information

Editors and Affiliations

  1. , Division of Vascular Surgery, University of South Florida, Tampa General Circle, STC 7016 2, Tampa, 33606, Florida, USA

    Karl A. Illig

  2. Barnes-Jewish Hospital, Department of Surgery, Washington University, Queeny Tower Campus Box, St. Louis, 63110, Missouri, USA

    Robert W. Thompson

  3. , Department of Surgery, John Hopkins Medical Institutions, Rutland Avenue - Ross 759 729, Baltimore, 21205, Maryland, USA

    Julie Ann Freischlag

  4. , Department of Thoracic Surgery, Blake 15, Massachusetts General Hospital, Fruit Street 55, Boston, 02114, Massachusetts, USA

    Dean M. Donahue

  5. Neurological Associates of West LA, Wilshire Blvd, Suite 790 2811, Santa Monica, 90403, California, USA

    Sheldon E. Jordan

  6. , Graduate Program in Physical Therapy, UCSF/SFSU, Balmoral Street 2429, Union City, 94587, California, USA

    Peter I. Edgelow

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© 2013 Springer-Verlag London

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Emery, V.B., Thompson, R.W. (2013). Pathways of Care and Treatment Options for Patients with NTOS. In: Illig, K., Thompson, R., Freischlag, J., Donahue, D., Jordan, S., Edgelow, P. (eds) Thoracic Outlet Syndrome. Springer, London. https://doi.org/10.1007/978-1-4471-4366-6_22

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  • DOI: https://doi.org/10.1007/978-1-4471-4366-6_22

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  • Publisher Name: Springer, London

  • Print ISBN: 978-1-4471-4365-9

  • Online ISBN: 978-1-4471-4366-6

  • eBook Packages: MedicineMedicine (R0)

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