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Di Pastena A., Fioranelli M. *, Celleno D., Delli Muti M.
From the «S. Giovanni Calibita» Fatebenefratelli - Roma Servizio di Anestesia e Rianimazione Terapia Antalgica Divisione Cardiologica UTIC
Despite a wide range of therapeutic choice in the treatment of angina pectoris, there is a small but increasing population of patients that doesn’t benefit of conventional therapy and whose life is invalidated by frequent attack of anginal pain. For this population, nonresponders to drug therapy not suitable for revascularization (coronary bipass surgery, angioplasty), neurostimulation of dorsal column has been described as an effective and safe therapy. The mechanism of action is not completely known, but is safety is sufficently established. It may become a useful choice in the treatment of patients with intractable angina.