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Titolo:
The results of spinal cord stimulation in critical limb ischaemia: a review
Autore:
Spincemaille, GHJJ; de Vet, HCW; Ubbink, DT; Jacobs, MJHM;
Indirizzi:
Univ Maastricht, Dept Epidemiol, Maastricht, Netherlands Univ Maastricht Maastricht Netherlands idemiol, Maastricht, Netherlands Acad Hosp, Dept Neurosurg, Maastricht, Netherlands Acad Hosp Maastricht Netherlands ept Neurosurg, Maastricht, Netherlands Acad Med Ctr, Dept Vasc Surg, Amsterdam, Netherlands Acad Med Ctr Amsterdam Netherlands pt Vasc Surg, Amsterdam, Netherlands
Titolo Testata:
EUROPEAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY
fascicolo: 2, volume: 21, anno: 2001,
pagine: 99 - 105
SICI:
1078-5884(200102)21:2<99:TROSCS>2.0.ZU;2-J
Fonte:
ISI
Lingua:
ENG
Soggetto:
PERIPHERAL VASCULAR-DISEASE; MICROCIRCULATORY INVESTIGATIONS; ELECTRICAL-STIMULATION; ARTERIAL-DISEASE; DIABETIC FOOT; LEG ISCHEMIA; BLOOD-FLOW; PAIN; SCS; MULTICENTER;
Keywords:
critical limb ischaemia; spinal cord stimulation; microcirculation; TcpO(2);
Tipo documento:
Review
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
27
Recensione:
Indirizzi per estratti:
Indirizzo: Spincemaille, GHJJ Univ Hosp, AZM, Dept Neurosurg, P Debyelaan 25, NL-6202AZ Maastricht, Netherlands Univ Hosp P Debyelaan 25 Maastricht Netherlands NL-6202 AZ
Citazione:
G.H.J.J. Spincemaille et al., "The results of spinal cord stimulation in critical limb ischaemia: a review", EUR J VAS E, 21(2), 2001, pp. 99-105

Abstract

Objectives: to determine which patients with unreconstuctible critical limb ischaemia (CLI) might benefit from spinal cord stimulation (SCS). Methods: literature review. Results: limb salvage in patients with an intermediate transcutaneous oxygen pressure (TcpO(2)) was not significantly higher with SCS (76%) than withconservative therapy (p = 0.08). However, a limb salvage of 88% was achieved,ed with SCS if the difference between the supine and sitting TcpO(2) baseline values (Delta TcpO(2)) was greater than or equal to 15 mmHg. A rise in TcpO(2) after trial stimulation of at least 15% resulted in a limb salvage of 77% at 18 months (p < 0.01). Conclusion: randomised studies show no benefit of SCS over conservative therapy in patients with non-reconstructible CLI. However, data from experimental and non-randomised studies suggest this may be due to sub-optimal patient selection for SCS. Further trials are needed to identify subgroups who may benefit from SCS.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 04/04/20 alle ore 02:16:14