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Surgical Techniques: Jugular Turndown and Other Venous Reconstructions for VTOS

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Thoracic Outlet Syndrome

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Abstract

Following subclavian vein thrombosis, even when thrombolysis and thoracic outlet decompression have been successful, some patients may still be symptomatic and require some type of venous reconstruction. The procedures available include endovenectomy and patch graft, interposition replacement graft, and jugular vein turndown (also called jugular transposition). The addition of a temporary arteriovenous fistula will increase blood flow through the venous repair to reduce the incidence of postoperative thrombosis.

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Authors and Affiliations

  1. Department of Surgery, HealthONE Presbyterian-St. Lukes Hospital, 4545 E. 9th Ave #240, Denver, CO, 80220, USA

    Richard J. Sanders MD

Authors
  1. Richard J. Sanders MD
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Correspondence to Richard J. Sanders MD .

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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Sanders, R.J. (2013). Surgical Techniques: Jugular Turndown and Other Venous Reconstructions for VTOS. 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_65

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  • DOI: https://doi.org/10.1007/978-1-4471-4366-6_65

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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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