Surgery to relieve pressure on blood vessels and nerves
Thoracic outlet syndrome (TOS) causes pressure on the blood vessels and nerves between your collarbone and the first rib. This can cause swelling, discoloration, weakness, numbness, or pain in the shoulder, arm, and fingers. If physical therapy or medication is unable to relieve the pressure, your doctor may recommend a surgery called thoracic outlet decompression.
The doctors in our Vascular and Endovascular Program can perform this surgery using several approaches, depending on the severity of the damage and the source of compression. Your surgery may include one or more of the following:
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Repairing compressed blood vessels
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Removing abnormal muscles
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Removing fibrous bands
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Removing the first rib
Conditions
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Axillo-Subclavian Vein Thrombosis: Axillo-subclavian vein thrombosis, also known as Paget-Schroetter syndrome, develops when a rib or a nearby muscle presses on the axillary vein in the armpit or the subclavian vein in front of the shoulder.
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Thoracic Outlet Syndrome (TOS): Thoracic outlet syndrome involves the pinching and compression of blood vessels and nerves in the thoracic outlet, the space between the collarbone and first rib.
Tests
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Angiogram (Angiography): An angiogram is a special X-ray taken as a special dye is injected through a thin, flexible tube called a catheter to detect blockages or aneurysms in blood vessels.
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Chest X-ray: Chest X-rays use a small dose of radiation to create pictures of the structures inside the chest, including the lungs, heart, and chest wall.
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Computerized Tomography (CT) Scan: The cardiac computed tomography scan, or cardiac CT, uses X-rays to create three-dimensional images of your heart and blood vessels.
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Magnetic Resonance Imaging (MRI): Magnetic resonance imaging, better known as cardiac MRI, is a combination of radio waves, magnets, and computer technology to create images of your heart and blood vessels.
Our providers
Location: Change location Enter your location
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Margaret Arnold, MD
Vascular Surgery
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Vanessa R. Banks-Gonzales, ACNP-BC, MSN
Vascular Surgery
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Suzanne M Benn, FNPBC, MSN
Vascular Surgery
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Kristin Crawley, ACNP-BC, BSN, MSN
Vascular Surgery
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Yelena Game, PA
Vascular Surgery
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Erin M. Hanlon, MPAS, PA
Vascular Surgery
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John Harvey, MBCHB, MD
Vascular Surgery
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Lucy B Kupersmith, MD
Vascular Surgery
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Wendy S. Lobo, AGACNP-BC, DNP, MBA, MSN
Vascular Surgery
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Krystal C. Maloni, MD
Vascular Surgery
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Brittany Celina Montgomery, AGACNP-BC, MSN
Vascular Surgery
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Donna Yvonne Norris, FNPBC, MSN
Vascular Surgery
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Mark O'Brien Peeler, MD
Vascular Surgery
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Kyle B. Reynolds, MD
Vascular Surgery
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Lauren M. Storey, NP
Vascular Surgery
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Naren Gupta, MD
Vascular Surgery
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Our locations
Distance from Change locationEnter your location
MedStar Health: Vascular Surgery at MedStar Good Samaritan Hospital - Smyth Building
5601 Loch Raven Boulevard Smyth Building Ste 303 Baltimore, MD 21239
443-444-3435
MedStar Health: Vascular Surgery at MedStar Franklin Square Medical Center
9101 Franklin Square Dr. MedStar Franklin Square Medical Center Suite 212 Baltimore, MD 21237
443-777-1901
MedStar Health: Vascular Surgery at MedStar Georgetown University Hospital
3800 Reservoir Road Northwest Pasquerilla Healthcare Center Building 4 Washington, DC 20007
877-367-2434
MedStar Health: Vascular Surgery at MedStar Harbor Hospital
3001 South Hanover Street Suite 216 Baltimore, MD 21225
410-261-8226
MedStar Health: Vascular Surgery at MedStar Montgomery Medical Center
18101 Prince Philip Drive Suite 5200 Olney, MD 20832
410-657-1947
MedStar Health: Vascular Surgery at MedStar Southern Maryland Hospital Center
7503 Surratts Road Clinton, MD 20735
301-877-5637
MedStar Health: Vascular Surgery at MedStar St. Mary's Hospital
25500 Point Lookout Road Ste 200 Leonardtown, MD 20650
240-434-4022
MedStar Health: Vascular Surgery at MedStar Union Memorial Hospital - Calvert Street Building
3300 North Calvert Street First Floor Baltimore, MD 21218
410-261-8226
MedStar Health: Vascular Surgery at MedStar Washington Hospital Center - Physician Office Building
106 Irving Street NW Physician Office Bldg. Suite 3150 North Tower Washington, DC 20010
202-877-0456
Additional information
Vascular and Endovascular Program
Partner with a recognized leader in offering care ranging from straightforward vascular disease to the most complex vascular disorders.
Insurance
MedStar Health accepts most major health insurance plans. If you are uncertain as to whether your individual health insurance plan is accepted at MedStar Health, please call your insurance company.