Epidural stimulation for peripheral vascular disease: 10 years experience

  • Broggi G. 
  • Servello D. 
  • Franzini A. 
  • Giorgi C. 
  • Visintini S. 
Original Articles

Abstract

105 patients suffering from arteriosclerotic peripheral vascular disease (PVD) underwent epidural spinal stimulation in the last 10 years.

Before 1986 the main indication was ischemic pain without any consideration of trophic lesions (19 pts) while afterward the selection of the patients was more accurate in terms of disease's stage.

The analysis of the data shows a more favourable results in the second group. Our experience suggest to use this technique in the treatment of patients in Fontaine's stage III and IV without necrosis and large trophic lesions.

Key Words

Neurostimulation Pain Peirpheral vascular disease 

Sommario

105 pazienti affetti da vasculopatia periferica agli arti inferiori sono stati sottoposti, negli ultimi 10 anni, ad impianto di elettrodo epidurale spinale.

Prima del 1986 la principale indicazione all'intervento era rappresentata dal dolore di tipo ischemico, senza alcuna attenzione alle lesioni trofiche; dopo tale data la selezione dei pazienti è stata molto più accurata, sulla base dello stadio della malattia. I risultati ottenuti dimostrano che i risultati migliori si sono avuti nel secondo gruppo di pazienti.

La nostra esperienza permette di concludere che la migliore indicazione di tale metodica è rappresentata dal III e IV stadio secondo Fontaine, senza necrosi ed estese lesioni tissutali.

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Copyright information

© Masson Italia Editori 1993

Authors and Affiliations

  • Broggi G. 
    • 1
  • Servello D. 
    • 1
  • Franzini A. 
    • 1
  • Giorgi C. 
    • 1
  • Visintini S. 
    • 1
  1. 1.Divisione di NeurochirurgiaIstituto Nazionale Neurologico “C. Besta”Milano

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