Spinal cord stimulation for relief of ischemic pain in end-stage arterial occlusive disease.
A total of 41 patients with end-stage arterial occlusive disease not treatable by surgery were enrolled in a study after implantation of a spinal cord stimulator. To date, a total of 25 patients have been followed up to 6 months after surgery. Patients were classified as grade I to grade III based on the scale developed by the Ad Hoc Committee on Reporting Standards, Society for Vascular Surgery/Society for Cardiovascular Surgery (1986). Sixty-seven percent of patients with rest pain who did not have ulcers (grade II) were successfully treated with a spinal cord stimulator. The success rate among patients who had rest pain and foot lesions was only 38%. Failure is defined as foot amputation or heroic bypass surgery. This study was conducted at six centers in North America.
Rickman
S
S
Wuebbels
B H
BH
Holloway
G A
GA
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001157:Arterial Occlusive Diseases / Q000150:complications*; D004599:Electric Stimulation Therapy; D004567:Electrodes, Implanted; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010146:Pain / Q000209:etiology; D059408:Pain Management; D011446:Prospective Studies; D013116:Spinal Cord