Document Detail


Temporary sympathectomy in the treatment of chronic refractory angina.
MedLine Citation:
PMID:  16125034     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The aim of this study was to investigate the safety and efficacy of the two most commonly practiced temporary sympathectomy techniques in the treatment of chronic refractory angina. Fifty-nine consecutive refractory angina patients commencing outpatient temporary sympathectomy from November 1, 2000 to November 1, 2002, were prospectively audited for duration of pain relief and procedural complications over a two-year period. A total of 227 stellate ganglion blockades (SGB) and 100 paravertebral blockades (PVB) were performed on 59 chronic refractory angina (CRA) patients naïve to sympathectomy. The mean period of pain relief obtained following SGB was 3.48 weeks (SD 3.38) and the mean relief following PVB was 2.80 weeks (SD 2.00). Mild, fully reversible complications occurred in 3% of SGB and 3% of PVB procedures, with one patient requiring overnight hospitalization. This study demonstrates that temporary sympathectomy may provide a safe and effective outpatient procedure in refractory angina patients when applied as part of holistic care.
Authors:
Roger Moore; David Groves; Clare Hammond; Austin Leach; Mike R Chester
Related Documents :
15978444 - Technical complications and durability of hepatic artery infusion pumps for unresectabl...
10491374 - Failure to improve left ventricular function after coronary revascularization for ische...
20859724 - Effects of opium addiction on bleeding after coronary artery bypass graft surgery: repo...
12224814 - Perioperative advantages of off-pump coronary artery bypass grafting.
1395294 - Results following treatment of traumatic dislocations of the knee joint.
1550474 - Early oral feeding following removal of nasogastric tube in gastrointestinal operations...
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of pain and symptom management     Volume:  30     ISSN:  0885-3924     ISO Abbreviation:  J Pain Symptom Manage     Publication Date:  2005 Aug 
Date Detail:
Created Date:  2005-08-29     Completed Date:  2005-12-13     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8605836     Medline TA:  J Pain Symptom Manage     Country:  United States    
Other Details:
Languages:  eng     Pagination:  183-91     Citation Subset:  IM    
Affiliation:
The Cardiothoracic Center, NHS Trust, Liverpool, United Kingdom.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Aged
Angina Pectoris / therapy*
Bupivacaine
Female
Follow-Up Studies
Humans
Male
Middle Aged
Pain, Intractable / therapy*
Prospective Studies
Stellate Ganglion / surgery
Sympathectomy* / adverse effects,  economics
Time Factors
Chemical
Reg. No./Substance:
2180-92-9/Bupivacaine

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


Previous Document:  Symptomatic treatment of infections in patients with advanced cancer receiving hospice care.
Next Document:  Stability of tramadol and haloperidol for continuous subcutaneous infusion at home.