[Upper-thoracic sympathectomy in the treatment of upper limb ischemia at distal form of arterial lesion].
Efficacy of upper-thoracic sympathectomies performed in 61 patients with chronic upper limb ischemia is analyzed. Thoracotomy was used in 20 cases, videothoracoscopic approach -- in 56 (including 15 cases of two-sided procedures). Efficacy was evaluated with clinical examination, rheovasography, laser Doppler-flowmetry, percutaneous detection of tissue oxygen tension. Advantages of videothoracoscopy compared with thoracotomy are demonstrated.
Kurganskiĭ
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D000293:Adolescent; D000328:Adult; D001132:Arm / Q000098:blood supply*; D001157:Arterial Occlusive Diseases / Q000150:complications*; D002908:Chronic Disease; D003937:Diagnosis, Differential; D005500:Follow-Up Studies; D006801:Humans; D007511:Ischemia / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D017078:Laser-Doppler Flowmetry; D008875:Middle Aged; D012189:Retrospective Studies; D013562:Sympathectomy / Q000379:methods*; D013900:Thoracic Nerves / Q000601:surgery*; D020775:Thoracic Surgery, Video-Assisted / Q000379:methods*; D013908:Thoracotomy / Q000379:methods*; D016896:Treatment Outcome