Amnion membrane improves results in treating neurogenic thoracic outlet syndrome

A patient with neurogenic thoracic outlet syndrome was initially treated with scalenectomy, first rib resection, and wrapping of the brachial plexus (BP) with amnion membrane (AM) to prevent postoperative adhesions. Twelve months later, at reoperation for recurrent symptoms, the AM was observed to b...

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Bibliographic Details
Published in:	Journal of vascular surgery cases and innovative techniques Vol. 4; no. 2; pp. 163 - 165
Main Authors:	Sanders, Richard J., Annest, Stephen J.
Format:	Journal Article
Language:	English
Published:	United States Elsevier Inc 01-06-2018 Elsevier
Subjects:	Case report
Online Access:	Get full text
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Summary:	A patient with neurogenic thoracic outlet syndrome was initially treated with scalenectomy, first rib resection, and wrapping of the brachial plexus (BP) with amnion membrane (AM) to prevent postoperative adhesions. Twelve months later, at reoperation for recurrent symptoms, the AM was observed to be intact. The BP had no scar tissue around it. Recurrence was due to scarring around the nerve roots superior to the portion of the plexus that had been wrapped with AM. It was concluded that the AM had successfully protected the portion of the BP that had been wrapped. Longer term studies are in progress.
ISSN:	2468-4287 2468-4287
DOI:	10.1016/j.jvscit.2018.02.012