Venous tos also called effort thrombosis. It is related to compression of subclavian vein. It is a different process than neurogenic tos. As the compression occurs in a different space.
In vascular world, 2 approaches have been done. Transaxillary with no vein repair. Or paraclavicular with vein lysis and repair. Later one is a bigger procedure. Here are the pros and cons. Transaxillary, only takes rib and part of the scalene out. Does not fully free the vein up. So subsequent angioplasty maybe needed . It is a smaller operation with faster recovery. Paraclavicularn only done in a few major centers in the country. Allows full decompression of vein and the vein can also be reconstructed. Down side, bigger operation longer recovery, but better long term outcome. Either treatment can be considered standard of care. Only thing to keep in mind is dont let anyone put a stent in your vein.