血栓闭塞性脉管炎和继发性雷诺综合征的脊髓刺激

EJVES Extra Pub Date : 2013-07-01 DOI:10.1016/j.ejvsextra.2013.03.007

L. Niclauss, A. Roumy, P. Gersbach

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引用次数: 5

摘要

脊髓刺激(SCS)可能是由血栓闭塞性脉管炎(TAO)或继发性雷诺综合征(SRS)引起的肢体缺血的一种治疗选择。在为期4年的随访(FU)期间，前瞻性评估SCS对疾病进展和微灌注的影响。在SCS下，TAO组经皮氧张力(tcpO2)显著升高，SRS组体积脉搏图收缩期灌注压显著升高。所有减少烟草消费的患者都实现了完全的肢体保存。scs是TAO和SRS的有效治疗工具。患者选择标准是成功的关键。

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Spinal Cord Stimulation in Thromboangiitis Obliterans and Secondary Raynaud's-Syndrome

Introduction

Spinal cord stimulation (SCS) may be a treatment option in limb ischemia occurring as a result of Thromboangiitis obliterans (TAO) or secondary Raynaud's-Syndrome (SRS). The impact of SCS on disease progression and micro-perfusion was prospectively evaluated during a follow-up (FU) of 4 years.

Report

Under SCS, a significant increase in trans-cutaneous oxygen tension (tcpO2) was observed in TAO and a significant increase in systolic perfusion pressure at plethysmography was observed in SRS. Complete limb preservation was achieved in all patients who had reduced tobacco consumption.

Discussion

SCS is an efficient therapeutic tool in TAO and SRS. Patient selection criteria are crucial for success.

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来源期刊

EJVES Extra

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