Spinal cord stimulation to achieve wound healing in a primary lower limb critical ischaemia referral centre.
Critical lower limb ischaemia is a diffuse pathology that could cause claudication, severe ischaemic pain and tissue loss. The common treatment includes modification of risk factors, pharmacological therapy and endovascular or surgical revascularisation of the lower limb to restore a pulsatile flow distally. Spinal cord stimulator is seen as a valid alternative in patients unsuitable for revascularisation after endovascular or surgical revascularisation failure and as adjuvant therapy in the presence of a functioning bypass in patients with extensive tissue loss and gangrene presenting a slow and difficult wound healing. We report our experience on spinal cord stimulation (SCS) indication and implantation in patients with critical lower limb ischaemia, at a high-volume centre for the treatment of peripheral arterial disease.
Cardiovascular and Thoracic Department, "Policlinico G. Martino" Hospital, University of Messina, Messina, Italy.
Giovanni
G
De Caridi
Cardiovascular and Thoracic Department, "Policlinico G. Martino" Hospital, University of Messina, Messina, Italy.
Mafalda
M
Massara
Anesthesiological Sciences Department, "Policlinico G. Martino" Hospital, University of Messina, Messina, Italy.
Antonio
A
David
Anesthesiological Sciences Department, "Policlinico G. Martino" Hospital, University of Messina, Messina, Italy.
Massimiliano
M
Giardina
Cardiovascular and Thoracic Department, "Policlinico G. Martino" Hospital, University of Messina, Messina, Italy.
Michele
M
La Spada
Cardiovascular and Thoracic Department, "Policlinico G. Martino" Hospital, University of Messina, Messina, Italy.
Francesco
F
Stilo
Cardiovascular and Thoracic Department, "Policlinico G. Martino" Hospital, University of Messina, Messina, Italy.
Francesco
F
Spinelli
Department of Surgical and Medical Science, University Magna Graecia of Catanzaro, Catanzaro, Italy.
Raffaele
R
Grande
Department of Surgical and Medical Science, University Magna Graecia of Catanzaro, Catanzaro, Italy.
Lucia
L
Butrico
Department of Surgical and Medical Science, University Magna Graecia of Catanzaro, Catanzaro, Italy.|Interuniversity Center of Phlebolymphology (CIFL). International Research and Educational Program in Clinical and Experimental Biotechnology, University Magna Graecia of Catanzaro, Catanzaro, Italy.
Stefano
S
de Franciscis
Department of Surgical and Medical Science, University Magna Graecia of Catanzaro, Catanzaro, Italy.|Interuniversity Center of Phlebolymphology (CIFL). International Research and Educational Program in Clinical and Experimental Biotechnology, University Magna Graecia of Catanzaro, Catanzaro, Italy.
Raffaele
R
Serra
D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007511:Ischemia / Q000628:therapy*; D007866:Leg / Q000098:blood supply*; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D063728:Secondary Care Centers; D062187:Spinal Cord Stimulation / Q000379:methods*; D013997:Time Factors; D016896:Treatment Outcome; D014945:Wound Healing
Critical lower limb ischaemia; Pain relief; Spinal cord stimulation; Surgical revascularisation; Wound healing