| Temporary sympathectomy in the treatment of chronic refractory angina. | |
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MedLine Citation:
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PMID: 16125034 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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Roger Moore; David Groves; Clare Hammond; Austin Leach; Mike R Chester |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Journal of pain and symptom management Volume: 30 ISSN: 0885-3924 ISO Abbreviation: J Pain Symptom Manage Publication Date: 2005 Aug |
Date Detail:
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Created Date: 2005-08-29 Completed Date: 2005-12-13 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8605836 Medline TA: J Pain Symptom Manage Country: United States |
Other Details:
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Languages: eng Pagination: 183-91 Citation Subset: IM |
Affiliation:
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The Cardiothoracic Center, NHS Trust, Liverpool, United Kingdom. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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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:
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2180-92-9/Bupivacaine |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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