VTOS in the competitive athlete

Robert W. Thompson, Jason T. Lee

Research output: Chapter in Book/Report/Conference proceedingChapterpeer-review


Axillary-subclavian vein effort thrombosis, or Paget-Schroetter syndrome (PSS) is the acute manifestation of venous thoracic outlet syndrome (VTOS). While relatively uncommon, this condition is probably the most frequently encountered vascular disorder in the young, healthy, competitive athlete. Understanding VTOS is particularly important for vascular and thoracic surgeons caring for athletes, as well as orthopedic surgeons, emergency room physicians, and sports medicine specialists, since delayed diagnosis and/or incomplete treatment can prevent return to competitive athletics or limit future participation in sports and recreational activities. Although the treatment options to be considered for VTOS are similar for any patient that presents with PSS, competitive athletes often present special circumstances that need to be taken into account in the decision-making process. With early recognition, proper initial treatment, and definitive surgical care, most competitive athletes affected by VTOS can return to previous levels of performance within several months of diagnosis.

Original languageEnglish
Title of host publicationThoracic Outlet Syndrome
Subtitle of host publicationSecond Edition
PublisherSpringer International Publishing
Number of pages6
ISBN (Electronic)9783030550738
ISBN (Print)9783030550721
StatePublished - Jan 25 2021


  • Competitive athlete
  • Contrast venography
  • Individual athlete
  • Patch angioplasty
  • Thrombolytic therapy


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