Abstract：
Venous thoracic outlet syndrome (vTOS) is an esoteric condition that presents in young, healthy adults. Treatment includes catheter-directed thrombolysis, followed by first-rib resection for decompression of the thoracic outlet. Various techniques for first-rib resection have been described with successful outcomes. The infraclavicular approach is well-suited to treat the most medial structures that are anatomically relevant for vTOS. A narrative review was conducted to specifically examine the literature on infraclavicular exposure for vTOS. The technique for this operation is described, as well as the advantages and disadvantages of this approach. The infraclavicular approach is a reasonable choice for definitive treatment of uncomplicated vTOS.
摘要：
胸腔静脉出口综合征（vTOS）是一种在年轻人中出现的深奥疾病，健康的成年人。治疗包括导管溶栓,随后进行第一肋骨切除术以减压胸腔出口。已经描述了用于第一肋骨切除的各种技术并取得了成功的结果。锁骨下入路非常适合治疗与vTOS解剖学相关的大多数内侧结构。进行了叙述性审查，以专门检查有关vTOS的锁骨下暴露的文献。描述了此操作的技术，以及这种方法的优点和缺点。锁骨下入路是明确治疗简单vTOS的合理选择。
