Staging of arterial complications of cervical rib: Guidelines for surgical management

Larry A. Scher, F. J. Veith, H. Haimovici, R. H. Samson, E. Ascer, S. K. Gupta, Seymour Sprayregen

Research output: Contribution to journalArticle

46 Citations (Scopus)

Abstract

Subclavian artery compression by a cervical rib is an uncommon but potentially disabling condition. A series of 12 patients with 15 arterial lesions is reviewed and a staging system proposed to provide guidelines for managing patients with this condition. Stage I lesions have only arterial stenosis and minor poststenotic dilatation and are managed by thoracic outlet decompression, usually consisting of cervical rib resection. Stage II lesions have intrinsic arterial damage usually with subclavian aneurysm formation and require rib resection, aneurysmectomy, and arterial reconstruction. Stage III lesions present with distal thromboembolic complications and require thrombectomy or embolectomy in addition to thoracic outlet decompression and arterial reconstruction. The anatomic and pathophysiologic bases of the syndrome are reviewed and clinical and angiographic examples of each stage are presented.

Original languageEnglish (US)
Pages (from-to)644-649
Number of pages6
JournalSurgery
Volume95
Issue number6
StatePublished - 1984

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Cervical Rib
Decompression
Thorax
Guidelines
Embolectomy
Thrombectomy
Subclavian Artery
Ribs
Aneurysm
Dilatation
Pathologic Constriction

ASJC Scopus subject areas

  • Surgery

Cite this

Scher, L. A., Veith, F. J., Haimovici, H., Samson, R. H., Ascer, E., Gupta, S. K., & Sprayregen, S. (1984). Staging of arterial complications of cervical rib: Guidelines for surgical management. Surgery, 95(6), 644-649.

Staging of arterial complications of cervical rib : Guidelines for surgical management. / Scher, Larry A.; Veith, F. J.; Haimovici, H.; Samson, R. H.; Ascer, E.; Gupta, S. K.; Sprayregen, Seymour.

In: Surgery, Vol. 95, No. 6, 1984, p. 644-649.

Research output: Contribution to journalArticle

Scher, LA, Veith, FJ, Haimovici, H, Samson, RH, Ascer, E, Gupta, SK & Sprayregen, S 1984, 'Staging of arterial complications of cervical rib: Guidelines for surgical management', Surgery, vol. 95, no. 6, pp. 644-649.
Scher LA, Veith FJ, Haimovici H, Samson RH, Ascer E, Gupta SK et al. Staging of arterial complications of cervical rib: Guidelines for surgical management. Surgery. 1984;95(6):644-649.
Scher, Larry A. ; Veith, F. J. ; Haimovici, H. ; Samson, R. H. ; Ascer, E. ; Gupta, S. K. ; Sprayregen, Seymour. / Staging of arterial complications of cervical rib : Guidelines for surgical management. In: Surgery. 1984 ; Vol. 95, No. 6. pp. 644-649.
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