Thoracic Sympathectomy as a Therapy for Upper Extremity Ischemia. A Long-term Follow-up Study
| Autor: | Wijn Pf, van de Wal Hj, Skotnicki Sh, Lacquet Lk |
|---|---|
| Rok vydání: | 1985 |
| Předmět: |
Adult
Male Pulmonary and Respiratory Medicine medicine.medical_specialty Long term follow up medicine.medical_treatment Ischemia Arterial Occlusive Diseases Postoperative Complications medicine Humans Hyperhidrosis cardiovascular diseases RAYNAUD DISEASE Sympathectomy Aged Ganglia Sympathetic business.industry Follow up studies Raynaud Disease Middle Aged medicine.disease Arterial occlusion Surgery Arm Female medicine.symptom Cardiology and Cardiovascular Medicine business Follow-Up Studies |
| Zdroj: | The Thoracic and Cardiovascular Surgeon. 33:181-187 |
| ISSN: | 1439-1902 0171-6425 |
| Popis: | Fifty-seven patients who had 72 thoracic sympathectomies have been reviewed. Twenty-five patients were preoperatively diagnosed as having primary Raynaud's phenomenon, 14 as having Raynaud's phenomenon secondary to arterial occlusion, 17 as having ischemia secondary to arterial occlusion and one as having hyperhidrosis. Twenty percent of the patients initially diagnosed as having primary Raynaud's phenomenon at the time of operation developed a collagenosis during the follow-up period. Improvement after 8 years' follow-up did not depend on the primary indication. Up to the fifth year after surgery a relapse was seen in cases of primary Raynaud's phenomenon. In secondary Raynaud's phenomenon a gradual decrease in improvement of 2% a year was seen during follow-up. In ischemia secondary to arterial occlusion, after 2 years the percentage of improved patients remained constant at a level of 70%. The mean improvement after 8 years follow-up according to the survival test of Gehan was 70 +/- 10%. |
| Databáze: | OpenAIRE |
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