First rib resection

A First rib resection is a surgical procedure used in humans to treat thoracic outlet syndrome (TOS). It is often accompanied by scalenectomy, or removal of the nearby anterior scalene muscle. It involves the surgical removal of a segment of the first rib, which is the rib closest to the head, under the collar bone.

Indications

First rib resection is indicated for venous, arterial and neurogenic TOS.^[1] Scalenectomy may be additionally indicated in venous and neurogenic TOS.

Procedure

The first rib may be approached several different ways: from above the clavicle in a inferior direction, from the posterior neck, and from the armpit medially.

↑ Brooke, Benjamin; Freishlag (2010). "Contemporary management of thoracic outlet syndrome". Curr Opin Cardiol. 25 (535-540): 535–40. doi:10.1097/HCO.0b013e32833f028e. PMID 20838336.

Vascular surgery ICD-9-CM V3 38–39, ICD-10-PCS 03–6

Vascular and
Endovascular surgery

Arterial disease	Vascular bypass Angioplasty Atherectomy Endarterectomy Carotid endarterectomy Stenting Carotid stenting

Venous disease	Ambulatory phlebectomy Laser surgery Sclerotherapy Vein stripping

Arterial and Venous Access	Venous cutdown Arteriotomy Phlebotomy

Aortic aneurysm / dissection:	Endovascular aneurysm repair Open aortic surgery

Other	Cardiopulmonary bypass Cardioplegia Extracorporeal membrane oxygenation Hemodialysis Revascularization Glomectomy First rib resection Seldinger technique Vascular snare

Medical imaging

Angiography	Digital subtraction angiography Cerebral angiography Aortography Fluorescein angiography Radionuclide angiography Magnetic resonance angiography

Venography	Portography Impedance phlebography

Ultrasound	Intravascular ultrasound Carotid ultrasonography

Other diagnostic

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