{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,13]],"date-time":"2025-11-13T06:52:20Z","timestamp":1763016740077},"reference-count":12,"publisher":"Oxford University Press (OUP)","issue":"5","license":[{"start":{"date-parts":[[1990,5,1]],"date-time":"1990-05-01T00:00:00Z","timestamp":641520000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[1990,5,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>The surgical approach to vascular complications of the thoracic outlet syndrome remains controversial. When present, removal of a cervical rib alone has produced disappointing results. Our experience of 29 consecutive first rib excisions over a 5-year period is presented. Of 20 cases with uncomplicated subclavian artery compression 19 were cured, and of six cases with aneurysm or thrombosis five were improved. Of 12 cases with neurological symptoms nine were cured and two were improved. It is suggested that first rib excision is the essential primary treatment for patients with arterial symptoms due to thoracic outlet syndrome.<\/jats:p>","DOI":"10.1002\/bjs.1800770529","type":"journal-article","created":{"date-parts":[[2007,3,3]],"date-time":"2007-03-03T13:56:41Z","timestamp":1172930201000},"page":"555-557","source":"Crossref","is-referenced-by-count":30,"title":["First rib resection for vascular complications of thoracic outlet syndrome"],"prefix":"10.1093","volume":"77","author":[{"given":"J F","family":"Thompson","sequence":"first","affiliation":[{"name":"Vascular Unit, Royal South Hampshire Hospital , Southampton SO1 4PE, Hampshire,","place":["UK"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J H H","family":"Webster","sequence":"additional","affiliation":[{"name":"Vascular Unit, Royal South Hampshire Hospital , Southampton SO1 4PE, Hampshire,","place":["UK"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[1990,5,1]]},"reference":[{"key":"2024092809130026400_bib1","first-page":"1077","article-title":"The place for scalenectomy and first rib resection in thoracic outlet syndrome","volume":"92","author":"Roos","year":"1982","journal-title":"Surgery"},{"key":"2024092809130026400_bib2","first-page":"263","article-title":"Lesion of the first dorsal nerve root","volume":"1","author":"Bramwell","year":"1903","journal-title":"Rev Neural Psychiatry"},{"key":"2024092809130026400_bib3","doi-asserted-by":"crossref","first-page":"771","DOI":"10.1016\/0002-9610(76)90456-6","article-title":"Congenital anomalies associated with the thoracic outlet syndrome: anatomy, symptoms, diagnosis and treatment","volume":"132","author":"Roos","year":"1976","journal-title":"Am J Surg"},{"key":"2024092809130026400_bib4","first-page":"45","volume-title":"Techniques in Vascular Surgery","author":"Cooley","year":"1979"},{"key":"2024092809130026400_bib5","first-page":"582","article-title":"Brachial neuritis caused by pressure of first rib","volume":"15","author":"Murphy","year":"1910","journal-title":"Aust Med J"},{"key":"2024092809130026400_bib6","doi-asserted-by":"crossref","first-page":"153","DOI":"10.1016\/S0022-5223(19)32969-1","article-title":"Presidential address: research and prosearch","volume":"44","author":"Clagget","year":"1962","journal-title":"J Thorac Cardiovasc Surg"},{"key":"2024092809130026400_bib7","doi-asserted-by":"crossref","first-page":"354","DOI":"10.1097\/00000658-196603000-00005","article-title":"Transaxillary approach for first rib resection to relieve thoracic outlet syndrome","volume":"163","author":"Roos","year":"1966","journal-title":"Ann Surg"},{"key":"2024092809130026400_bib8","first-page":"644","article-title":"Staging of arterial complications of cervical rib: guidelines for surgical management","volume":"95","author":"Scher","year":"1984","journal-title":"Surgery"},{"key":"2024092809130026400_bib9","doi-asserted-by":"crossref","first-page":"431","DOI":"10.1002\/bjs.1800750512","article-title":"Results of excision of a cervical rib in patients with the thoracic outlet syndrome","volume":"75","author":"Brown","year":"1988","journal-title":"Br J Surg"},{"key":"2024092809130026400_bib10","doi-asserted-by":"crossref","first-page":"778","DOI":"10.1016\/0741-5214(89)90085-2","article-title":"Arterial complications of the thoracic outlet syndrome; 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