Effect of Surgical Sympathectomy in Patients Diagnosed with Thromboangiitis Obliterans Compared to Pharmacotherapy and Bypass Surgery

Background: Thromboangiitis obliterans (TAO) is a vasculopathy involving small and intermediate vessels of extremities with various medical surgical treatment strategies. Objectives: This cohort study aimed to compare the outcomes interventions in patients TAO. Methods: Patients definite diagnosis TAO were enrolled evaluated on first day, as well three six months follow-up visits. A total 70 followed for 30 months. Improvements primary complaints (claudication calves soles, rest pain, paresthesia, thrombophlebitis migrans, gangrene, scars, Raynaud's phenomenon) compared between groups. Results: In terms gender, 98.6% participants male. The mean age was 43.24± 9.8 years. Based results, 37 sympathectomy surgery, 11 amputation 15 bypass 12 therapies ILOPROST considered (Medical combination therapy severe symptoms). final results demonstrated that significantly improved who underwent surgery than others. Conclusion: As evidenced by obtained our benefited more from pharmacotherapy