Document Detail


The early use of operative lumbar sympathectomy in peripheral vascular disease.
MedLine Citation:
PMID:  3209616     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The results of operative lumbar sympathectomy for both intermittent claudication and rest pain in 153 patients have been reviewed. Sympathectomy was performed as an initial procedure to further below the groin reconstructive surgery, should symptoms not be alleviated. Five year post-sympathectomy, 67% of the claudicant and 54% of the rest pain patients had avoided further surgery. Patient mortality from other manifestations of atherosclerosis was notably poor at five years and was significantly greater than the sympathectomy failure rate after the first year. The results in diabetics were not significantly different from those in non-diabetics. The possible value of lumbar sympathectomy in both claudication and rest pain is reviewed and discussed.
Authors:
P E Norman; A K House
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of cardiovascular surgery     Volume:  29     ISSN:  0021-9509     ISO Abbreviation:  J Cardiovasc Surg (Torino)     Publication Date:    1988 Nov-Dec
Date Detail:
Created Date:  1989-02-22     Completed Date:  1989-02-22     Revised Date:  2009-11-11    
Medline Journal Info:
Nlm Unique ID:  0066127     Medline TA:  J Cardiovasc Surg (Torino)     Country:  ITALY    
Other Details:
Languages:  eng     Pagination:  717-22     Citation Subset:  IM    
Affiliation:
Department of General Surgery, Queen Elizabeth II Medical Centre, Nedlands, Western Australia.
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MeSH Terms
Descriptor/Qualifier:
Amputation
Arteriosclerosis / complications,  mortality,  surgery
Diabetes Complications
Follow-Up Studies
Humans
Intermittent Claudication / etiology,  surgery*
Leg / surgery
Lumbosacral Region
Pain / etiology
Postoperative Complications / mortality
Rest
Sympathectomy*

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


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