{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,11]],"date-time":"2026-10-11T03:47:08Z","timestamp":1791690428311,"version":"4.3.4"},"reference-count":8,"publisher":"FapUNIFESP (SciELO)","issue":"5","license":[{"start":{"date-parts":[[2019,1,1]],"date-time":"2019-01-01T00:00:00Z","timestamp":1546300800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2019,1,1]],"date-time":"2019-01-01T00:00:00Z","timestamp":1546300800000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2019,1,1]],"date-time":"2019-01-01T00:00:00Z","timestamp":1546300800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev. Col. Bras. Cir."],"abstract":"<jats:p>RESUMO A S\u00edndrome do Desfiladeiro Tor\u00e1cico (SDT) \u00e9 causada pela compress\u00e3o do plexo braquial, art\u00e9ria subcl\u00e1via e veia subcl\u00e1via na regi\u00e3o do desfiladeiro tor\u00e1cico. Estas estruturas podem ser comprimidas entre a clav\u00edcula e a primeira costela ou por um n\u00famero de varia\u00e7\u00f5es anat\u00f4micas. A compress\u00e3o neurol\u00f3gica \u00e9 a forma mais comum da s\u00edndrome do desfiladeiro tor\u00e1cico. Complica\u00e7\u00f5es vasculares ocorrem com pouca frequ\u00eancia. Complica\u00e7\u00f5es arteriais geralmente resultam da compress\u00e3o da art\u00e9ria subcl\u00e1via por costela cervical completa. As complica\u00e7\u00f5es venosas est\u00e3o muitas vezes relacionadas \u00e0 compress\u00e3o muscular da veia subcl\u00e1via. A forma neurog\u00eanica, anteriormente descrita, \u00e9 a mais comum, constituindo mais de 95% dos casos. J\u00e1 a forma venosa representa 2% a 3% e, a arterial, cerca de 1% dos casos. Fatores de risco incluem bi\u00f3tipo e varia\u00e7\u00f5es individuais, como gen\u00e9tica, idade e sexo. No Brasil, n\u00e3o h\u00e1 dados acerca da epidemiologia da SDT. Diante da suspeita de SDT \u00e9 necess\u00e1ria uma avalia\u00e7\u00e3o cl\u00ednica detalhada, seguida de exames complementares para elucida\u00e7\u00e3o da causa. O tratamento \u00e9 direcionado de acordo com a etiologia e a presen\u00e7a ou n\u00e3o de complica\u00e7\u00f5es. A proposta do presente trabalho foi realizar uma revis\u00e3o narrativa sobre a SDT, versando sobre sua etiologia, fisiopatologia, epidemiologia, avalia\u00e7\u00e3o cl\u00ednica, exames complementares, diagn\u00f3sticos diferenciais e tratamento.<\/jats:p>","DOI":"10.1590\/0100-6991e-20192243","type":"journal-article","created":{"date-parts":[[2019,12,20]],"date-time":"2019-12-20T12:58:31Z","timestamp":1576846711000},"source":"Crossref","is-referenced-by-count":42,"title":["S\u00edndrome do desfiladeiro tor\u00e1cico: uma revis\u00e3o narrativa."],"prefix":"10.1590","volume":"46","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4503-2631","authenticated-orcid":false,"given":"Nilo Ol\u00edmpio","family":"Masocatto","sequence":"first","affiliation":[{"name":"Universidade Municipal de S\u00e3o Caetano do Sul,  Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8071-0357","authenticated-orcid":false,"given":"Thales","family":"Da-Matta","sequence":"additional","affiliation":[{"name":"Universidade Municipal de S\u00e3o Caetano do Sul,  Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1715-7579","authenticated-orcid":false,"given":"Thauane Garcia","family":"Prozzo","sequence":"additional","affiliation":[{"name":"Universidade Municipal de S\u00e3o Caetano do Sul,  Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3321-573X","authenticated-orcid":false,"given":"Wilson Jos\u00e9","family":"Couto","sequence":"additional","affiliation":[{"name":"Universidade Municipal de S\u00e3o Caetano do Sul,  Brasil; Universidade Municipal de S\u00e3o Caetano do Sul,  Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0650-902X","authenticated-orcid":false,"given":"Gustavo","family":"Porfirio","sequence":"additional","affiliation":[{"name":"Universidade Municipal de S\u00e3o Caetano do Sul,  Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"530","published-online":{"date-parts":[[2019]]},"reference":[{"issue":"9","key":"ref1","first-page":"281","article-title":"Thoracic-outlet syndrome evaluation of a therapeutic exercise program","volume":"31","author":"Peet RM","year":"1956","journal-title":"Proc Staff Meet Mayo Clin"},{"issue":"5","key":"ref2","doi-asserted-by":"crossref","first-page":"493","DOI":"10.1177\/1358863X15598391","article-title":"Thoracic outlet syndrome","volume":"20","author":"Grunebach H","year":"2015","journal-title":"Vasc Med"},{"issue":"4","key":"ref3","doi-asserted-by":"crossref","first-page":"222","DOI":"10.5435\/JAAOS-D-13-00215","article-title":"Thoracic outlet syndrome","volume":"23","author":"Kuhn JE","year":"2015","journal-title":"J Am Acad Orthop Surg"},{"issue":"10","key":"ref4","doi-asserted-by":"crossref","first-page":"1222","DOI":"10.1007\/s00247-017-3854-5","article-title":"MRI of thoracic outlet syndrome in children","volume":"47","author":"Chavhan GB","year":"2017","journal-title":"Pediatr Radiol"},{"issue":"2","key":"ref5","doi-asserted-by":"crossref","first-page":"75","DOI":"10.1249\/JSR.0000000000000034","article-title":"Arterial thoracic outlet syndrome","volume":"13","author":"Daniels B","year":"2014","journal-title":"Curr Sports Med Rep"},{"issue":"6","key":"ref6","doi-asserted-by":"crossref","first-page":"419","DOI":"10.1024\/0301-1526\/a000465","article-title":"Vascular compression syndromes","volume":"44","author":"Czihal M","year":"2015","journal-title":"Vasa"},{"issue":"2","key":"ref7","doi-asserted-by":"crossref","first-page":"182","DOI":"10.1177\/1358863X14568704","article-title":"Venous thoracic outlet syndrome","volume":"20","author":"Moore R","year":"2015","journal-title":"Vasc Med"},{"issue":"3","key":"ref8","doi-asserted-by":"crossref","first-page":"551","DOI":"10.1016\/j.pmr.2015.04.004","article-title":"Work-related neurogenic thoracic outlet syndrome diagnosis and treatment","volume":"26","author":"Franklin GM","year":"2015","journal-title":"Phys Med Rehabil Clin N Am"}],"container-title":["Revista do Col\u00e9gio Brasileiro de Cirurgi\u00f5es"],"original-title":[],"link":[{"URL":"http:\/\/www.scielo.br\/pdf\/rcbc\/v46n5\/0100-6991-rcbc-46-05-e20192243.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,7,31]],"date-time":"2020-07-31T23:34:24Z","timestamp":1596238464000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.scielo.br\/scielo.php?script=sci_arttext&pid=S0100-69912019000500302&tlng=pt"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019]]},"references-count":8,"journal-issue":{"issue":"5","published-online":{"date-parts":[[2019]]}},"alternative-id":["S0100-69912019000500302"],"URL":"https:\/\/doi.org\/10.1590\/0100-6991e-20192243","relation":{},"ISSN":["1809-4546","0100-6991"],"issn-type":[{"value":"1809-4546","type":"electronic"},{"value":"0100-6991","type":"print"}],"subject":[],"published":{"date-parts":[[2019]]},"article-number":"e20192243"}}