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Angiology
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Thoracic Outlet Arterial Compression: Prevalence in Normal Persons

R. Gergoudis

Noninvasive Peripheral Vascular Laboratory, Department of Surgery, Medical College of Virginia/Virginia Commonwealth University, Richmond, Virginia

Robert W. Barnes

Noninvasive Peripheral Vascular Laboratory, Department of Surgery, Medical College of Virginia/Virginia Commonwealth University, Richmond, Virginia

The prevalence of thoracic outlet compression of the subclavian or axillary artery was determined in both upper extremities of 130 normal individuals. Photoplethysmographic (PPG) recordings were made simultaneously in each index finger during performance of Adson, costoclavicular, and hyperabduc tion maneuvers. Significant arterial obstruction resulted from one or more of these maneuvers in 78 subjects (60%) and was bilateral in 43 individuals (33%). Thoracic outlet arterial compression is common in normal persons and thus has little diagnostic value in symptomatic patients.

Angiology, Vol. 31, No. 8, 538-541 (1980)
DOI: 10.1177/000331978003100805


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