title: Abdominal angina due to obstruction of mesenteric artery treated with spinal cord stimulation: a clinical case.
abstract: BACKGROUND
  Abdominal angina occurs in patients affected by mesenteric artery obstruction, causing postprandial episodes of visceral pain. The conventional treatment consists of vessels revascularization, but sometimes this is not applicable.
  
  
  METHODS
  The authors report a case of a patient with severe abdominal angina caused by mesenteric ischemia, not treatable with surgery and few-responder to pharmacological therapy (opioids and epidural infusion of local anesthetics). After a successful screening test, the patient underwent implantation of a spinal cord stimulation (SCS) device.
  
  
  RESULTS
  The stimulation provided a reduction in pain episodes (number and intensity) and in oral analgesics consumption. Results obtained support the clinical efficacy and durability of the SCS in the management of abdominal angina due to not treatable mesenteric ischemia.
  
  
  CONCLUSIONS
  Spinal cord stimulation may be considered for abdominal angina, although there is still no evidence provided by controlled studies.
authors: Pain Therapy Unit Cardarelli Hospital, Naples, Italy. cirocaruso@libero.it
authors: Ciro
authors: C
authors: Caruso
authors: Domenico
authors: D
authors: Lo Sapio
authors: Valentina
authors: V
authors: Ragosa
authors: Santolo
authors: S
authors: Lo Sapio
authors: Chiara
authors: C
authors: Cafora
authors: Luigia
authors: L
authors: Romano
mesh_terms: D000818:Animals; D004599:Electric Stimulation Therapy / Q000379:methods*; D004567:Electrodes, Implanted; D006801:Humans; D007511:Ischemia / Q000150:complications / Q000473:pathology / Q000628:therapy; D008297:Male; D008638:Mesenteric Arteries / Q000473:pathology*; D065666:Mesenteric Ischemia; D008875:Middle Aged; D019518:Postprandial Period; D013116:Spinal Cord / Q000502:physiology*; D016896:Treatment Outcome; D014652:Vascular Diseases / Q000150:complications / Q000473:pathology / Q000628:therapy; D059265:Visceral Pain / Q000209:etiology* / Q000628:therapy*