Computed tomography fluoroscopy-guided chemical lumbar sympathectomy: Simple, safe and effective
| Autor: | Mark L H Tie, Victoria K M Tay, Robert Fitridge |
|---|---|
| Rok vydání: | 2002 |
| Předmět: |
Adult
Male medicine.medical_specialty Palliative care medicine.medical_treatment Postoperative Complications medicine Humans Fluoroscopy Radiology Nuclear Medicine and imaging Lost to follow-up Aged Retrospective Studies Aged 80 and over Peripheral Vascular Diseases Gangrene medicine.diagnostic_test Vascular disease business.industry Palliative Care Lumbosacral Region Sympathectomy Chemical Retrospective cohort study Middle Aged medicine.disease Surgery Treatment Outcome Sympathectomy Female Radiology medicine.symptom Tomography X-Ray Computed business Claudication |
| Zdroj: | Australasian Radiology. 46:163-166 |
| ISSN: | 1440-1673 0004-8461 |
| DOI: | 10.1046/j.1440-1673.2001.01027.x |
| Popis: | Demographic, clinical and laboratory data were retrospectively collected from records of 146 cases of CT fluoroscopy-guided chemical lumbar sympathectomy for the palliation of inoperable peripheral vascular disease (PVD) between January 1997 and August 1999. Of these, 16% had claudication, 39% had rest pain and 44% had ischaemic ulcers or gangrene. Seventy-three percent of elective cases were outpatients. At 3 months, 27 cases were lost to follow up, leaving 119 cases. Within 3 months, improvement, defined as doubling of the walking distance, cessation of rest pain or healing of ulcers, occurred in 30.3% of cases. No change was observed in 45.4% of cases and 24.3% of cases deteriorated. Patients with ulcers or gangrene had significantly poorer results than those without any ischaemic lesions, as only 19% versus 39% of patients improved (P0.05). The presence of hypertension, diabetes mellitus, hyperlipidaemia and smoking had no value in predicting clinical outcome (P0.05). There were no major complications noted. CT fluoroscopy-guided chemical lumbar sympathectomy is safe and effective, with a complication rate of less than 1%, and efficacy of at least 30% measured within 3 months. It is a simple and minimally invasive procedure, easily performed on an outpatient basis. CT fluoroscopy-guided chemical lumbar sympathectomy should be considered for all patients in the early stages of inoperable PVD. |
| Databáze: | OpenAIRE |
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