Radiofrequency upper thoracic sympathectomy in the treatment of critical upper limb ischemia - a case series
| Autor: | Pavel Michalek, Daniel Stehlik, Milan Adamus, Tomáš Gabrhelík, Bohumil Zalesak |
|---|---|
| Rok vydání: | 2013 |
| Předmět: |
Adult
Male medicine.medical_specialty Sympathetic Nervous System medicine.medical_treatment Ischemia General Biochemistry Genetics and Molecular Biology Fingers Ulnar Artery Pharmacotherapy Electricity medicine Humans Sympathectomy Reduction (orthopedic surgery) business.industry Hand surgery Middle Aged Hand medicine.disease Surgery Plastic surgery Treatment Outcome medicine.anatomical_structure Anesthesia Radial Artery Upper limb Female business Perfusion |
| Zdroj: | Biomedical Papers. 157:202-208 |
| ISSN: | 1804-7521 1213-8118 |
| DOI: | 10.5507/bp.2011.055 |
| Popis: | Background. Patients with significant medical and social problems resulting from impaired perfusion of the upper limbs caused by micro- or macro-angiopathy are now frequent in clinical practice. Vasospastic disease of the upper limbs of combined origin is a difficult condition to treat by conservative methods and therapeutic strategies are usually multidisciplinary. In addition to standard pharmacotherapy, treatment may involve regional anaesthesia, thoracoscopic or radiofrequency sympathectomy and surgical treatment of defects, including plastic surgery. Methods. This paper describes our successful work in the treatment of upper limb critical ischemia using radiofrequency upper thoracic sympathectomy. Results. In three case reports we present the results of radiofrequency thermolysis applied to treat patients with chronic defects of the hand and fingers. These patients were diagnosed with upper limb critical ischemia of combined origin, standard conservative treatment methods failed and surgical intervention was originally not indicated, however, radiofrequency thermolysis proved to be beneficial. Conclusions. Radiofrequency thoracic sympathectomy could improve peripheral perfusion of the upper limbs and thereby contribute to healing of chronic defects, reduction of pain and improvement in the quality of life of the patients. |
| Databáze: | OpenAIRE |
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