Document Detail

Selection of patients for lumbar sympathectomy.
MedLine Citation:
PMID:  4012534     Owner:  NLM     Status:  MEDLINE    
We successfully predicted that patients presenting with critical ischemia of a limb and Doppler ratios greater than or equal to 0.3 would benefit from lumbar sympathectomy alone. However, we found that the procedure failed in 14 per cent of limbs whose ratios were greater than or equal to 0.3. In retrospect, all these patients were found to have deep infection. Had we known this fact prospectively, our predictions for success would have been close to 100 per cent. We were less than 50 per cent successful in predicting failure of the procedure, but the number of patients in this group is too small to draw reliable conclusions. We believe that patients with arm-ankle Doppler ratios greater than or equal to 0.3 whose manifestations of ischemia are limited to the skin will have a greater than 95 per cent chance of receiving a good result from lumbar sympathectomy alone and that this result will be maintained for many years.
A V Persson; L A Anderson; F T Padberg
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Surgical clinics of North America     Volume:  65     ISSN:  0039-6109     ISO Abbreviation:  Surg. Clin. North Am.     Publication Date:  1985 Apr 
Date Detail:
Created Date:  1985-08-06     Completed Date:  1985-08-06     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0074243     Medline TA:  Surg Clin North Am     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  393-403     Citation Subset:  AIM; IM    
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MeSH Terms
Extremities / blood supply*
Ischemia / therapy*
Lumbosacral Region
Sympathectomy / methods*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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