Periarterial Digital Sympathectomy for Severe Ischaemia of Raynaud`S
نویسنده
چکیده
Objective: The aim of the present study was to evaluate the results of periarterial digital sympathectomy in cases of severe ischaemia of digits manifesting as digital ulceration and ischemic pain refractory to medical treatments. Methods: We reviewed all digital sympathectomise performed at our vascular unit between 20062014. Demographics and outcomes were analyzed along with review of literature. Results: Eleven patients representing 48 digits underwent periarterial digital sympathectomy for severe ischaemia. Rest pain was resolved in all patient but in 2 patients recurrence occurred in cold environment. Digital ulceration was healed completely in 92.8% (13/14). There were no major complications of the surgery. Conclusion: Our study findings demonstrate that digital artery sympathectomy is an effective technique for diminution of pain, healing of ulcers and preservations of the digits in patients with chronic digital ischemia. However we accept that multicentric prospective studies with standardized inclusion criteria, timing for intervention and consistent follow up should be performed to evaluate the efficacy and safety of digital sympathectomy before recommending the surgery to all cases of chronic digital ischaemia.
منابع مشابه
Digital Artery Disease
to be a primary vasospastic disorder may be followed years later by the development of organic digital disease (Johnston, Summerly, and Birnstingl, 1965), and since relapse after sympathectomy may take several years to appear (de Takats and Fowler, 1962), follow-up studies should be carried out as long as possible. The present series of 43 patients were all treated by upper thoracic sympathecto...
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Severe Raynaud's phenomenon can result in ulceration of the finger tips. Digital ulceration or gangrene may also be caused by non-vasospastic conditions. Emboli may be discharged from the fibrillating atrium, the ventricle after a myocardial infarction, or from an aneurysm of thhe subclavian artery. Arteriovenous malformations in the hand can cause enough shunting of blood to result in distal i...
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