Thoracic Outlet Syndrome

Special Interest Group

Join our group Membership Meetings Consensus statement

Our mission is to improve clinical outcomes for people with Thoracic Outlet Syndrome (TOS)

The Thoracic Outlet Syndrome (TOS) Special Interest Group is a UK based multi-professional voluntary group of clinicians who share an interest in the diagnosis and management of TOS. We meet every month online to discuss cases and share expert opinion.

Our aims:

A consensus document on the management of TOS.
Promoting research in TOS.
Promote learning through educational presentations.
Promote wider education and training opportunities within the NHS.
Creating a map of TOS service delivery within the UK.

Join our group

If you are a clinician or allied health professional in the UK and would like to join this group please completetrhe form at the bottom of this page

Membership

Kevin Mercer	Bradford	Consultant vascular surgeon
Mario Caruana	Brighton	Consultant vascular surgeon
Tom Quick	Bristol	Consultant orthopaedic surgeon
Frank Smith	Bristol	Consultant vascular surgeon
Luke Hopkins	Bristol	Consultant vascular surgeon
Tim Beckitt	Bristol	Consultant vascular surgeon
Chandana Wijewardena	Cambridge	Consultant vascular surgeon
Lewis Meecham	Cardiff	Consultant vascular surgeon
Adam Howard	Colchester	Consultant vascular surgeon
Andrew Tambyraja	Edinburgh	Consultant vascular surgeon
Phillipa Burns	Edinburgh	Consultant vascular surgeon
David Gerrard	Frimley	Consultant vascular surgeon
Tahir Ali	Frimley	Consultant vascular surgeon
Hayley Moore	Frimley	Consultant vascular surgeon
Duncan Parry	Huddersfield	Consultant vascular surgeon
Colin Bicknell	London	Consultant vascular surgeon
Domenico Valenti	London	Consultant vascular surgeon
Ian Loftus	London	Consultant vascular surgeon
Marco Sinisi	London	Consultant neurosurgeon
Jonathan Ghosh	Manchester	Consultant vascular surgeon
Sadia Uzma	Manchester	Research fellow vascular surgery
Craig Nesbitt	Newcastle	Consultant vascular surgeon
Wissam Al-Jundi	Norfolk	Consultant vascular surgeon
Dominic Howard	Oxford	Consultant vascular surgeon
Francesco Di Chiara	Oxford	Consultant cardiothoracic surgeon
Arun Pherwani	Stoke	Consultant vascular surgeon
Gary Lambert	Stoke	Consultant vascular surgeon
Louis Fligelstone	Swansea	Consultant vascular surgeon
Andy Garnham	Wolverhampton	Consultant vascular surgeon
Simon Hobbs	Wolverhampton	Consultant vascular surgeon
Andrew Thompson (Chair)	York	Consultant vascular surgeon
Alistair McCleary	York	Consultant vascular surgeon
Emily Chan	Yorkshire	NTN Vascular Surgery
Jakub Kaczynski	Scotland	Vascular Surgeon
Tim Stansfield	Leeds	Consultant Vascular Surgeon
Dev Mittalli	Plymouth	Consultant Vascular Surgeon
Nicholas Greaves	Manchester	Consultant Vascular Surgeon

Meetings and agenda

9^th of December 7pm, teams meeting by invitation
- Agenda
  - 7-7.10pm - Welcome address (chair)
  - 7.10-7.40pm - Case presentation and discussion (Tom Quick [TBC])
  - 7.40-8.10pm – NCIP dashboard (Arun Pherwani)
  - 8.10-8.25pm – Generic PIS discussion (Simon Hobbs [TBC])
  - 8.25-8.30pm – Close of meeting (chair)
2026 meeting dates to be anounced

Consensus statements derrived from meeting discussion

30th September 2025

“In aTOS where proximal arterial reconstruction is being considered detailed run off imaging should be performed before surgery”

“In aTOS where distal run off has been significantly compromised by trash consideration should be given to TO decompression alone with arterial reconstruction reserved for limb threatening ischaemia”

4th November 2025

To be agreed

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