Epidural electrical stimulation in severe limb ischemia. Pain relief, increased blood flow, and a possible limb-saving effect.

Abstract:

:Peripheral vascular disease of the extremities causes ischemic pain and, at times, skin ulcerations and gangrene. It has been suggested that epidural spinal electrical stimulation (ESES) could improve peripheral circulation. Since 1978 we have used ESES in 34 patients with severe limb ischemia; all had resting pain and most had ischemic ulcers. Arterial surgery was technically impossible. Twenty-six patients had arteriosclerotic disease, one had Buerger's disease, and seven had severe vasospastic disorders. Ninety-four per cent of the patients experienced pain relief. ESES healed ulcers in 50% of those with preoperative nonhealing skin ulcerations. Seventy per cent of the patients showed improved skin temperature recordings. Only 38% of the stimulated arteriosclerotic patients underwent amputations during a mean followup period of 16 months, as compared to 90% of a comparable group of unstimulated patients. ESES is very promising in severe limb ischemia where reconstructive surgery is impossible or has failed.

journal_name

Ann Surg

journal_title

Annals of surgery

authors

Augustinsson LE,Carlsson CA,Holm J,Jivegård L

doi

10.1097/00000658-198507000-00017

subject

Has Abstract

pub_date

1985-07-01 00:00:00

pages

104-10

issue

1

eissn

0003-4932

issn

1528-1140

journal_volume

202

pub_type

杂志文章
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    authors: Zhuge Y,Kaufman J,Simeone DM,Chen H,Velazquez OC

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  • Hepatic resection.

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    doi:10.1097/00000658-197408000-00010

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    doi:10.1097/00000658-199802000-00021

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    更新日期:1998-02-01 00:00:00

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    doi:10.1097/00000658-198302000-00003

    authors: Tibblin S,Pålsson N,Rydberg J

    更新日期:1983-02-01 00:00:00

  • Malignant carcinoid tumors. An analysis of 103 patients with regard to tumor localization, hormone production, and survival.

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    authors: Norheim I,Oberg K,Theodorsson-Norheim E,Lindgren PG,Lundqvist G,Magnusson A,Wide L,Wilander E

    更新日期:1987-08-01 00:00:00

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  • Circulating Tumor Cell Phenotype Predicts Recurrence and Survival in Pancreatic Adenocarcinoma.

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    pub_type: 杂志文章

    doi:10.1097/00000658-199910000-00006

    authors: Jimenez RE,Warshaw AL,Z'graggen K,Hartwig W,Taylor DZ,Compton CC,Fernández-del Castillo C

    更新日期:1999-10-01 00:00:00

  • Prevalence, Management and Outcomes Related to Preoperative Medical Orders for life Sustaining Treatment (MOLST) in an Adult Surgical Population.

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    更新日期:2008-10-01 00:00:00

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    pub_type: 杂志文章

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  • Changing paradigm in the management of hepatocellular carcinoma improves the survival benefit of early detection by screening.

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    pub_type: 临床试验,杂志文章,随机对照试验

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