{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,24]],"date-time":"2026-08-24T23:19:03Z","timestamp":1787613543002,"version":"build-2736575974"},"reference-count":19,"publisher":"Georg Thieme Verlag KG","issue":"17","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Dtsch Med Wochenschr"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:title>Was ist neu?<\/jats:title>\n                  <jats:p>Die Entstehung der Kompressionssyndrome wird inzwischen als ein Kontinuum vom asymptomatischem Kompressionsph\u00e4nomen (Thoracic Outlet Compression (TOC)) \u00fcber ein Kompressionssyndrom (Thoracic Outlet Compression Syndrome (TOS)) zu einem Kompressionssyndrom mit Komplikationen (TOC with sequelae =TOCs=TOX) beschrieben. Hier ist vor allem die Differenzierung zwischen TOC und TOS wichtig, um eine \u00dcbertherapie von Patienten zu vermeiden.<\/jats:p>\n                  <jats:p>F\u00fcr das Verst\u00e4ndnis des TOS ist das genaue Wissen um die Anatomie im Bereich der oberen Thoraxapertur unerl\u00e4sslich. Risikofaktoren f\u00fcr die Entstehung eines TOS werden in angeborene, erworbene und traumaassoziierte Risikofaktoren unterteilt.<\/jats:p>\n                  <jats:p>Zeitweise kann es zu verminderter Durchblutung der Arme kommen (aTOS). Im Rahmen der klinischen Diagnostik konzentriert man sich auf die Nacken-Schulter-Arm-Region und die oberen Extremit\u00e4ten, erg\u00e4nzt durch spezifische klinische Tests. Eine Diagnosesicherung allein durch k\u00f6rperliche Untersuchung und klinische Test ist jedoch nicht ausreichend.<\/jats:p>\n                  <jats:p>Der Ultraschall hat vor allem beim arteriellen TOS einen zunehmenden Stellenwert, es konnte in Studien die \u00dcberlegenheit im Vergleich zu anderen Verfahren gezeigt werden.<\/jats:p>\n                  <jats:p>Minimalinvasive Ans\u00e4tze bei der Therapie des TOS h\u00f6ren sich zwar vielversprechend an, zeigen momentan aber eine deutlich h\u00f6here Rezidivrate. Dazu sind sie aufgrund des hochspezialisierten Instrumentariums, das zur Resektion der Knochenstrukturen notwendig ist, auf wenige Zentren weltweit beschr\u00e4nkt.<\/jats:p>","DOI":"10.1055\/a-2748-8756","type":"journal-article","created":{"date-parts":[[2026,8,24]],"date-time":"2026-08-24T22:32:26Z","timestamp":1787610746000},"page":"933-938","source":"Crossref","is-referenced-by-count":0,"title":["Kompressionssyndrome: Neue Einblicke in das arterielle Thoracic-Outlet-Syndrom"],"prefix":"10.1055","volume":"151","author":[{"given":"Emilia","family":"Stegemann","sequence":"additional","affiliation":[{"name":"AGAPLESION DIAKONIE KLINIKEN KASSEL","place":["Kassel"],"department":["Gef\u00e4\u00dfzentrum"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2026,8,24]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"e23","DOI":"10.1016\/j.jvs.2016.04.039","article-title":"Reporting standards of the Society for Vascular Surgery for Thoracic-Outlet-Syndrome","volume":"64","author":"KA Illig","year":"2016","journal-title":"J Vasc Surg"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"417","DOI":"10.3390\/jcm13020417","article-title":"Role of Lifestyle in Thoracic-Outlet-Syndrome: A Narrative Review","volume":"13","author":"P Abraham","year":"2024","journal-title":"JCM"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"6811","DOI":"10.3390\/jcm12216811","article-title":"Congenital, Acquired, and Trauma-Related Risk Factors for Thoracic-Outlet-Syndrome \u2013 Review of the Literature","volume":"12","author":"K Ma\u015blanka","year":"2023","journal-title":"JCM"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"e545","DOI":"10.1016\/j.jse.2022.06.026","article-title":"Thoracic-Outlet-Syndrome: a review","volume":"31","author":"EJ Panther","year":"2022","journal-title":"J Shoulder Elbow Surg"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"3","DOI":"10.1053\/j.semvascsurg.2024.01.005","article-title":"Current concepts in clinical features and diagnosis of Thoracic-Outlet-Syndrome","volume":"37","author":"A Betancourt","year":"2024","journal-title":"Semin Vasc Surg"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"444","DOI":"10.14366\/usg.21233","article-title":"Vascular compression syndromes: a pictorial review","volume":"41","author":"R Farina","year":"2022","journal-title":"Ultrasonography"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"92","DOI":"10.1016\/j.ejvsvf.2024.02.003","article-title":"Validity of Ultrasound for the Diagnosis of Arterial Thoracic-Outlet-Syndrome","volume":"61","author":"E Stegemann","year":"2024","journal-title":"EJVES Vasc Forum"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000030360","article-title":"Comparison of duplex ultrasound and hemodynamic assessment with computed tomography angiography in patients with arterial Thoracic-Outlet-Syndrome","volume":"101","author":"TA Altuwaijri","year":"2022","journal-title":"Medicine"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.3389\/fphys.2023.1198165","article-title":"Magnetic resonance imaging for diagnosis of suspected neurogenic Thoracic-Outlet-Syndrome-a systematic scoping review","volume":"14","author":"P Szaro","year":"2023","journal-title":"Front Physiol"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.3389\/fcvm.2022.802183","article-title":"Diagnostic and Therapeutic Management of the Thoracic-Outlet-Syndrome. 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