Preoperative selection of patients for lumbar sympathectomy by use of the Doppler index.

Abstract:

:Yao and Bergan [8] have shown that an ankle systolic index of more than 0.25 is associated with a high rate of success from lumbar sympathectomy. This association has been borne out in our small series. We have also suggested that diseases that obviously compromise collateral circulation might be a relative contraindication to sympathectomy. Although incomplete, literature on collateral flow in relation to sympathectomy tends to confirm this idea. Consideration of such diseases as a contraindication to sympathectomy might further increase the success rate after sympathectomy. Regardless, ankle systolic index alone appears to be a reliable objective, non-invasive method of selecting patients with an increased chance of success from lumbar sympathectomy.

journal_name

Am J Surg

authors

Seeger JM,Lazarus HM,Albo D Jr

doi

10.1016/0002-9610(77)90316-6

subject

Has Abstract

pub_date

1977-12-01 00:00:00

pages

749-53

issue

6

eissn

0002-9610

issn

1879-1883

pii

0002-9610(77)90316-6

journal_volume

134

pub_type

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