{"id":21429,"date":"2026-04-10T18:34:14","date_gmt":"2026-04-10T18:34:14","guid":{"rendered":"https:\/\/hlsllc.org\/tos\/?page_id=21429"},"modified":"2026-04-10T18:42:29","modified_gmt":"2026-04-10T18:42:29","slug":"treatment-of-arterial-tos","status":"publish","type":"page","link":"https:\/\/hlsllc.org\/tos\/treatment-of-arterial-tos\/","title":{"rendered":"Treatment of Arterial TOS"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"21429\" class=\"elementor elementor-21429\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-6f996df e-con-full e-flex e-con e-parent\" data-id=\"6f996df\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-ab8f2eb elementor-widget elementor-widget-heading\" data-id=\"ab8f2eb\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Treatment of TOS\n<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-18b3488 e-con-full e-flex e-con e-parent\" data-id=\"18b3488\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-f51162d e-con-full e-flex e-con e-child\" data-id=\"f51162d\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-a3f2a89 elementor-widget elementor-widget-heading\" data-id=\"a3f2a89\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Arterial Thoracic Outlet Syndrome may Require Urgent Treatment\n<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-15e69ac elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"15e69ac\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-aa70e97 elementor-widget elementor-widget-text-editor\" data-id=\"aa70e97\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<div class=\"fusion-title title fusion-title-text fusion-title-size-paragraph\"><div class=\"fusion-text\"><div class=\"fusion-li-item-content\"><div class=\"fusion-text fusion-text-1\"><div class=\"fusion-text fusion-text-3\"><div class=\"fusion-text fusion-text-2\"><div class=\"fusion-text fusion-text-2\"><div id=\"surgical-treatment-arterial-tos\" class=\"fusion-container-anchor\"><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-4 nonhundred-percent-fullwidth non-hundred-percent-height-scrolling fusion-equal-height-columns\"><div class=\"fusion-builder-row fusion-row\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-5 fusion_builder_column_2_3 2_3 fusion-two-third fusion-column-first\"><div class=\"fusion-column-wrapper fusion-flex-column-wrapper-legacy\"><div class=\"fusion-text fusion-text-2\"><p>Arterial thoracic outlet syndrome may present as a surgical emergency. When a blood clot blocks blood flow to a part of the arm or hand, a surgeon will typically diagnose and treat the patient promptly. When not treated promptly and correctly, these patients can experience permanent loss of function of their arm or hand. When severe, arterial\u00a0<a title=\"Dr. Scott Werden, MD \u2013 Diagnostic Leadership in Thoracic Outlet Syndrome\" href=\"https:\/\/www.tosmri.com\/dr-scott-werden-md-diagnostic-leadership-in-thoracic-outlet-syndrome\/\" data-wpil-monitor-id=\"166\">thoracic outlet<\/a>\u00a0syndrome\u00a0may cause gangrene or tissue death. For this reason, treatment of\u00a0arterial TOS almost always involves surgery.<\/p><\/div><div class=\"fusion-sep-clear\">\u00a0<\/div><div class=\"fusion-separator fusion-full-width-sep\">\u00a0<\/div><div class=\"fusion-sep-clear\">\u00a0<\/div><div class=\"fusion-image-element fusion-image-align-center in-legacy-container\"><div class=\"imageframe-align-center\"><span class=\" fusion-imageframe imageframe-none imageframe-2 hover-type-none\"><img fetchpriority=\"high\" decoding=\"async\" id=\"MzQzODoyMDEy-1\" class=\"img-responsive lazyautosizes lazyloaded alignnone wp-image-21432 size-full\" title=\"Gray-retropectoralis-space-artery-plexus cropped\" src=\"https:\/\/hlsllc.org\/tos\/wp-content\/uploads\/2026\/04\/Gray-retropectoralis-space-artery-plexus-cropped.jpeg\" alt=\"\" width=\"600\" height=\"400\" data-sizes=\"auto\" data-orig-sizes=\"(max-width: 800px) 100vw, 600px\" \/><\/span><\/div><\/div><div class=\"fusion-clearfix\">\u00a0<\/div><\/div><\/div><\/div><\/div><\/div><div id=\"section-top\" class=\"fusion-container-anchor _mPS2id-t\"><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-5 fusion-flex-container nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\"><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-6 fusion_builder_column_2_3 2_3 fusion-flex-column\"><div class=\"fusion-column-wrapper fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-title title fusion-title-2 fusion-sep-none fusion-title-text fusion-title-size-two\"><h2 class=\"fusion-title-heading title-heading-left fusion-responsive-typography-calculated\">\u00a0<\/h2><h2 class=\"fusion-responsive-typography-calculated\" data-fontsize=\"32\" data-lineheight=\"38.4px\">How a Surgeon Makes Treatment Decisions in Arterial Thoracic Outlet Syndrome<\/h2><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-2c3480d elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"2c3480d\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-0c0c382 elementor-widget elementor-widget-text-editor\" data-id=\"0c0c382\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Surgeons make treatment decisions after assigning the patient to one of the following three clinical scenarios:<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-b574add elementor-icon-list--layout-traditional elementor-list-item-link-full_width elementor-widget elementor-widget-icon-list\" data-id=\"b574add\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"icon-list.default\">\n\t\t\t\t\t\t\t<ul class=\"elementor-icon-list-items\">\n\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/www.tosmri.com\/treatment-of-thoracic-outlet-syndrome\/treatment-of-neurogenic-thoracic-outlet-syndrome\/surgical-treatment-of-neurogenic-thoracic-outlet-syndrome\/#supraclavicular-approach\">\n\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-chevron-right\" viewBox=\"0 0 320 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M285.476 272.971L91.132 467.314c-9.373 9.373-24.569 9.373-33.941 0l-22.667-22.667c-9.357-9.357-9.375-24.522-.04-33.901L188.505 256 34.484 101.255c-9.335-9.379-9.317-24.544.04-33.901l22.667-22.667c9.373-9.373 24.569-9.373 33.941 0L285.475 239.03c9.373 9.372 9.373 24.568.001 33.941z\"><\/path><\/svg>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">Acute arterial embolism causing arterial occlusion<\/span>\n\t\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-chevron-right\" viewBox=\"0 0 320 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M285.476 272.971L91.132 467.314c-9.373 9.373-24.569 9.373-33.941 0l-22.667-22.667c-9.357-9.357-9.375-24.522-.04-33.901L188.505 256 34.484 101.255c-9.335-9.379-9.317-24.544.04-33.901l22.667-22.667c9.373-9.373 24.569-9.373 33.941 0L285.475 239.03c9.373 9.372 9.373 24.568.001 33.941z\"><\/path><\/svg>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">Arterial compression causing symptoms without acute arterial insufficiency<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-chevron-right\" viewBox=\"0 0 320 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M285.476 272.971L91.132 467.314c-9.373 9.373-24.569 9.373-33.941 0l-22.667-22.667c-9.357-9.357-9.375-24.522-.04-33.901L188.505 256 34.484 101.255c-9.335-9.379-9.317-24.544.04-33.901l22.667-22.667c9.373-9.373 24.569-9.373 33.941 0L285.475 239.03c9.373 9.372 9.373 24.568.001 33.941z\"><\/path><\/svg>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\"> Arterial compression without symptoms<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t<\/ul>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-35f95a3 elementor-widget elementor-widget-text-editor\" data-id=\"35f95a3\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Explicitly, the presence or absence of acute arterial occlusion determines the urgency of the clinical situation. Firstly, the presence of arterial occlusion mandates urgent treatment aimed at removing the blood clot and restoring adequate blood flow. In contrast, the absence of arterial occlusion allows the surgeon time to stabilize the patient and perform definitive treatment electively. Secondly, patients may have arterial compression and arterial damage without arterial occlusion. Surgeons treat these patients less urgently with decompression and arterial repair. Thirdly, some patients have arterial compression but no arterial damage or occlusion. Surgeons usually treat these patients electively with decompression alone.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1bedfec elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"1bedfec\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-e0ac555 e-con-full e-flex e-con e-child\" data-id=\"e0ac555\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-b3022ca e-con-full e-flex e-con e-parent\" data-id=\"b3022ca\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-ac7bed5 e-con-full e-flex e-con e-child\" data-id=\"ac7bed5\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-7b66ecf elementor-widget elementor-widget-heading\" data-id=\"7b66ecf\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Acute Arterial Embolism Causing Arterial Occlusion\n<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-90b70a7 elementor-widget elementor-widget-text-editor\" data-id=\"90b70a7\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<div class=\"fusion-title title fusion-title-text fusion-title-size-paragraph\"><div class=\"fusion-text\"><div class=\"fusion-li-item-content\"><div class=\"fusion-text fusion-text-3\"><div class=\"fusion-text fusion-text-10\"><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-7 nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\"><div class=\"fusion-builder-row fusion-row\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-8 fusion_builder_column_1_1 1_1 fusion-one-full fusion-column-first fusion-column-last\"><div class=\"fusion-column-wrapper fusion-flex-column-wrapper-legacy\"><div class=\"fusion-text fusion-text-7\"><div class=\"fusion-text fusion-text-8\"><div class=\"fusion-text fusion-text-13\"><div class=\"fusion-text fusion-text-18\"><p>A blood clot can break off from the\u00a0<a href=\"https:\/\/www.tosmri.com\/treatment-of-thoracic-outlet-syndrome\/treatment-arterial-tos-old\/\" data-wpil-monitor-id=\"93\">subclavian artery<\/a>, travel to a distal artery, and occlude that artery.\u00a0In this event, the clot, called an\u00a0<i>arterial embolus,<\/i>\u00a0partially or completely blocks blood flow to the arm or hand.<\/p><p>Doctors call this process\u00a0<i>acute arterial insufficiency<\/i>.<\/p><p>Acute arterial insufficiency can cause partial or complete loss of function of the arm or hand. In severe cases, it can cause\u00a0<i>gangrene<\/i>, or tissue death. For these reasons, surgeons treat patients urgently.<span class=\"Apple-converted-space\">\u00a0<\/span><\/p><p>In almost all cases, the surgeon will start treatment immediately with\u00a0<i>anticoagulants<\/i>, or blood thinners. Instead, some surgeons will perform a procedure called\u00a0<i>thromboembolectomy<\/i>. Surgeons perform a thromboembolectomy by inserting a catheter into the affected artery and removing the embolus.<span class=\"Apple-converted-space\">\u00a0 When successful, t<\/span>his process restores arterial blood flow to the affected area.\u00a0As long as there is successful restoration of blood flow, the surgeon can perform definitive treatment non-urgently.<\/p><p>Definitive treatment includes removal of the first rib and repair of the damaged arterial segment or aneurysm with a graft. The surgeon will also remove a cervical rib, if it is present.<\/p><p><a class=\"_ps2id __mPS2id _mPS2id-h\" href=\"https:\/\/www.tosmri.com\/treatment-of-thoracic-outlet-syndrome\/treatment-of-arterial-thoracic-outlet-syndrome\/#section-top\" data-ps2id-offset=\"\">Top of Section<\/a><\/p><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-cd060ed elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"cd060ed\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-c0e14b0 elementor-widget elementor-widget-heading\" data-id=\"c0e14b0\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Arterial Compression Causing Symptoms without Acute Arterial Insufficiency\n<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-956ab88 elementor-widget elementor-widget-text-editor\" data-id=\"956ab88\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<div class=\"fusion-text fusion-text-15\"><p>In these patients, extrinsic structures or abnormal arm movement cause compression of the subclavian or axillary artery.\u00a0As a result, structural damage of the artery occurs, which may result in a scar and\u00a0<i>stenosis<\/i>, or an\u00a0<i>aneurysm<\/i>. Consequently, extrinsic compression and structural damage eventually causes symptoms, including\u00a0<i>chronic arterial insufficiency<\/i>\u00a0or a pulsatile mass.<span class=\"Apple-converted-space\">\u00a0<\/span><\/p><p>Chronic arterial insufficiency results in fatigue and arm pain, often called\u00a0<i>claudication<\/i>\u00a0(read more here).<span class=\"Apple-converted-space\">\u00a0<\/span><\/p><p>Because these symptoms develop gradually, surgeons do not treat these patients as urgently as they do those with acute arterial insufficiency.<\/p><p><a class=\"_ps2id __mPS2id _mPS2id-h\" href=\"https:\/\/www.tosmri.com\/treatment-of-thoracic-outlet-syndrome\/treatment-of-arterial-thoracic-outlet-syndrome\/#section-top\" data-ps2id-offset=\"\">Top of Section<\/a><\/p><\/div>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-656425c elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"656425c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-65a6d36 elementor-widget elementor-widget-heading\" data-id=\"65a6d36\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Arterial Compression without Symptoms\n<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-f1b8d0d elementor-widget elementor-widget-text-editor\" data-id=\"f1b8d0d\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<div class=\"fusion-text fusion-text-12\"><p>In these patients, extrinsic structures or abnormal arm movement cause compression of the subclavian or axillary artery.\u00a0As a result, structural damage of the artery occurs, which may result in a scar and stenosis, or an aneurysm. However, the patients have no symptoms related to the arterial compression or arterial damage.<\/p><p>As long as the patient is asymptomatic, the surgeon does not need to begin treatment urgently. Instead, the surgeon can select elective treatment. When imaging proves arterial compression or damage, the surgeon electively performs decompression of the thoracic outlet without arterial repair. Following decompression, the patient undergoes long-term surveillance imaging with CT or MR angiography. In the event that surveillance imaging demonstrates new or progressive arterial stenosis or aneurysm, the surgeon will repair the artery.<\/p><p><a class=\"_ps2id __mPS2id _mPS2id-h\" href=\"https:\/\/www.tosmri.com\/treatment-of-thoracic-outlet-syndrome\/treatment-of-arterial-thoracic-outlet-syndrome\/#section-top\" data-ps2id-offset=\"\">Top of Section<\/a><\/p><\/div>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-a03885e e-con-full e-flex e-con e-child\" data-id=\"a03885e\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-70d341f e-con-full e-flex e-con e-parent\" data-id=\"70d341f\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-f830526 elementor-widget elementor-widget-heading\" data-id=\"f830526\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Do you have questions about thoracic outlet syndrome?\n\n<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-d1d1656 elementor-widget elementor-widget-heading\" data-id=\"d1d1656\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">We can help!\n\n<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-85ee671 elementor-widget elementor-widget-button\" data-id=\"85ee671\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-sm\" href=\"#\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">Contact us<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-5109c1d e-con-full e-flex e-con e-parent\" data-id=\"5109c1d\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-b7d6f99 e-con-full e-flex e-con e-child\" data-id=\"b7d6f99\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-c810ea4 elementor-widget elementor-widget-heading\" data-id=\"c810ea4\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Results of Surgical Treatment of Arterial Thoracic Outlet Syndrome\n<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-3e37dee elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"3e37dee\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-9597f31 elementor-widget elementor-widget-text-editor\" data-id=\"9597f31\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<div class=\"fusion-title title fusion-title-text fusion-title-size-paragraph\"><div class=\"fusion-text\"><div class=\"fusion-li-item-content\"><div class=\"fusion-text fusion-text-3\"><div class=\"fusion-text fusion-text-10\"><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-7 nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\"><div class=\"fusion-builder-row fusion-row\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-8 fusion_builder_column_1_1 1_1 fusion-one-full fusion-column-first fusion-column-last\"><div class=\"fusion-column-wrapper fusion-flex-column-wrapper-legacy\"><div class=\"fusion-text fusion-text-7\"><div class=\"fusion-text fusion-text-8\"><div class=\"fusion-text fusion-text-13\"><div class=\"fusion-text fusion-text-18\"><p>Arterial TOS patients generally experience good treatment outcomes. However, treatment outcomes depend on several factors. In particular, the presence or absence of acute arterial insufficiency demands urgent treatment. When the surgeon promptly and successfully completes\u00a0<a title=\"Thoracic Outlet Syndrome MRI: Diagnosis and Treatment Options\" href=\"https:\/\/www.tosmri.com\/thoracic-outlet-syndrome-mri-diagnosis-and-treatment-options\/\" data-wpil-monitor-id=\"223\">diagnosis and treatment<\/a>\u00a0in these patients, the patient avoids the potential severe complications.<\/p><p>In summary, assuming successful treatment or absence of acute arterial insufficiency, decompression and repair of the artery are usually successful. Most patients can return to normal function without ongoing or recurrent symptoms.<\/p><p>Active discussion remains among experts regarding surgical decisions based on aneurysm size or the degree of arterial compression.<\/p><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-a7efe83 elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"a7efe83\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-ad267f9 elementor-widget elementor-widget-button\" data-id=\"ad267f9\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-sm\" href=\"#\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t<span class=\"elementor-button-icon\">\n\t\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-angle-right\" viewBox=\"0 0 256 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M224.3 273l-136 136c-9.4 9.4-24.6 9.4-33.9 0l-22.6-22.6c-9.4-9.4-9.4-24.6 0-33.9l96.4-96.4-96.4-96.4c-9.4-9.4-9.4-24.6 0-33.9L54.3 103c9.4-9.4 24.6-9.4 33.9 0l136 136c9.5 9.4 9.5 24.6.1 34z\"><\/path><\/svg>\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">Back to Top<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-48ec46e e-con-full e-flex e-con e-child\" data-id=\"48ec46e\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-ab3dc15 e-con-full e-flex e-con e-parent\" data-id=\"ab3dc15\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-46cac6e e-con-full e-flex e-con e-child\" data-id=\"46cac6e\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-2ef7bab elementor-view-framed elementor-shape-circle elementor-position-block-start elementor-mobile-position-block-start elementor-widget elementor-widget-icon-box\" data-id=\"2ef7bab\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"icon-box.default\">\n\t\t\t\t\t\t\t<div class=\"elementor-icon-box-wrapper\">\n\n\t\t\t\t\t\t<div class=\"elementor-icon-box-icon\">\n\t\t\t\t<span  class=\"elementor-icon\">\n\t\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-info\" viewBox=\"0 0 192 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M20 424.229h20V279.771H20c-11.046 0-20-8.954-20-20V212c0-11.046 8.954-20 20-20h112c11.046 0 20 8.954 20 20v212.229h20c11.046 0 20 8.954 20 20V492c0 11.046-8.954 20-20 20H20c-11.046 0-20-8.954-20-20v-47.771c0-11.046 8.954-20 20-20zM96 0C56.235 0 24 32.235 24 72s32.235 72 72 72 72-32.235 72-72S135.764 0 96 0z\"><\/path><\/svg>\t\t\t\t<\/span>\n\t\t\t<\/div>\n\t\t\t\n\t\t\t\t\t\t<div class=\"elementor-icon-box-content\">\n\n\t\t\t\t\t\t\t\t\t<h3 class=\"elementor-icon-box-title\">\n\t\t\t\t\t\t<span  >\n\t\t\t\t\t\t\tDiagnosis of Thoracic Outlet Syndrome\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/h3>\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t<p class=\"elementor-icon-box-description\">\n\t\t\t\t\t\tDo you have pain, numbness, tingling or weakness? Click to learn more about the diagnosis of thoracic outlet syndrome.\t\t\t\t\t<\/p>\n\t\t\t\t\n\t\t\t<\/div>\n\t\t\t\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-de014bc e-con-full e-flex e-con e-child\" data-id=\"de014bc\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-2172b29 elementor-view-framed elementor-shape-circle elementor-position-block-start elementor-mobile-position-block-start elementor-widget elementor-widget-icon-box\" data-id=\"2172b29\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"icon-box.default\">\n\t\t\t\t\t\t\t<div class=\"elementor-icon-box-wrapper\">\n\n\t\t\t\t\t\t<div class=\"elementor-icon-box-icon\">\n\t\t\t\t<span  class=\"elementor-icon\">\n\t\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-stethoscope\" viewBox=\"0 0 512 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M447.1 112c-34.2.5-62.3 28.4-63 62.6-.5 24.3 12.5 45.6 32 56.8V344c0 57.3-50.2 104-112 104-60 0-109.2-44.1-111.9-99.2C265 333.8 320 269.2 320 192V36.6c0-11.4-8.1-21.3-19.3-23.5L237.8.5c-13-2.6-25.6 5.8-28.2 18.8L206.4 35c-2.6 13 5.8 25.6 18.8 28.2l30.7 6.1v121.4c0 52.9-42.2 96.7-95.1 97.2-53.4.5-96.9-42.7-96.9-96V69.4l30.7-6.1c13-2.6 21.4-15.2 18.8-28.2l-3.1-15.7C107.7 6.4 95.1-2 82.1.6L19.3 13C8.1 15.3 0 25.1 0 36.6V192c0 77.3 55.1 142 128.1 156.8C130.7 439.2 208.6 512 304 512c97 0 176-75.4 176-168V231.4c19.1-11.1 32-31.7 32-55.4 0-35.7-29.2-64.5-64.9-64zm.9 80c-8.8 0-16-7.2-16-16s7.2-16 16-16 16 7.2 16 16-7.2 16-16 16z\"><\/path><\/svg>\t\t\t\t<\/span>\n\t\t\t<\/div>\n\t\t\t\n\t\t\t\t\t\t<div class=\"elementor-icon-box-content\">\n\n\t\t\t\t\t\t\t\t\t<h3 class=\"elementor-icon-box-title\">\n\t\t\t\t\t\t<span  >\n\t\t\t\t\t\t\tNeoVista\u00ae MRI for Thoracic Outlet Syndrome\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/h3>\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t<p class=\"elementor-icon-box-description\">\n\t\t\t\t\t\tLearn how the NeoVista\u00ae MRI for TOS provides diagnostic information that is not available elsewhere.\t\t\t\t\t<\/p>\n\t\t\t\t\n\t\t\t<\/div>\n\t\t\t\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-2719dea e-con-full e-flex e-con e-child\" data-id=\"2719dea\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-f36489e elementor-view-framed elementor-shape-circle elementor-position-block-start elementor-mobile-position-block-start elementor-widget elementor-widget-icon-box\" data-id=\"f36489e\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"icon-box.default\">\n\t\t\t\t\t\t\t<div class=\"elementor-icon-box-wrapper\">\n\n\t\t\t\t\t\t<div class=\"elementor-icon-box-icon\">\n\t\t\t\t<span  class=\"elementor-icon\">\n\t\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-flask\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M437.2 403.5L320 215V64h8c13.3 0 24-10.7 24-24V24c0-13.3-10.7-24-24-24H120c-13.3 0-24 10.7-24 24v16c0 13.3 10.7 24 24 24h8v151L10.8 403.5C-18.5 450.6 15.3 512 70.9 512h306.2c55.7 0 89.4-61.5 60.1-108.5zM137.9 320l48.2-77.6c3.7-5.2 5.8-11.6 5.8-18.4V64h64v160c0 6.9 2.2 13.2 5.8 18.4l48.2 77.6h-172z\"><\/path><\/svg>\t\t\t\t<\/span>\n\t\t\t<\/div>\n\t\t\t\n\t\t\t\t\t\t<div class=\"elementor-icon-box-content\">\n\n\t\t\t\t\t\t\t\t\t<h3 class=\"elementor-icon-box-title\">\n\t\t\t\t\t\t<span  >\n\t\t\t\t\t\t\tTreatment of Thoracic Outlet Syndrome\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/h3>\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t<p class=\"elementor-icon-box-description\">\n\t\t\t\t\t\tBest treatment of thoracic outlet syndrome requires a dedicated team of thoracic outlet syndrome specialists.\t\t\t\t\t<\/p>\n\t\t\t\t\n\t\t\t<\/div>\n\t\t\t\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Treatment of TOS Arterial Thoracic Outlet Syndrome may Require Urgent Treatment Arterial thoracic outlet syndrome may present as a surgical emergency. When a blood clot blocks blood flow to a part of the arm or hand, a surgeon will typically diagnose and treat the patient promptly. When not treated promptly and correctly, these patients can [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-21429","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/hlsllc.org\/tos\/wp-json\/wp\/v2\/pages\/21429","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/hlsllc.org\/tos\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/hlsllc.org\/tos\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/hlsllc.org\/tos\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/hlsllc.org\/tos\/wp-json\/wp\/v2\/comments?post=21429"}],"version-history":[{"count":0,"href":"https:\/\/hlsllc.org\/tos\/wp-json\/wp\/v2\/pages\/21429\/revisions"}],"wp:attachment":[{"href":"https:\/\/hlsllc.org\/tos\/wp-json\/wp\/v2\/media?parent=21429"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}