Lumbar chemical sympathectomy in end stage of arterial disease: early and late results.
Hemodynamic variables were used to evaluate the effectiveness of lumbar chemical sympathectomy in 20 patients with ischemic foot lesions. Early clinical improvement was obtained in 68% of the cases. The two-year cumulative limb salvage rate was 52%. Results indicate that lumbar chemical sympathectomy offers the same benefits as surgical sympathectomy and represents a useful alternative in patients with advanced ischemic disease of the lower limb, decreasing the rate and the level of amputations.
Vulpio
C
C
Department of General Surgery, Catholic University, Rome, Italy.
Borzone
A
A
Iannace
C
C
Agnes
S
S
Mascaro
A
A
De Santis
M
M
Mingrone
G
G
Flore
R
R
Pola
P
P
Castagneto
M
M
D000368:Aged; D000369:Aged, 80 and over; D001161:Arteriosclerosis / Q000150:complications / Q000628:therapy*; D001783:Blood Flow Velocity; D003929:Diabetic Neuropathies / Q000150:complications; D005260:Female; D005528:Foot / Q000098:blood supply*; D006801:Humans; D007511:Ischemia / Q000150:complications / Q000628:therapy*; D008161:Lumbosacral Region; D008297:Male; D008875:Middle Aged; D013563:Sympathectomy, Chemical; D013997:Time Factors