ORIGINAL ARTICLES   

Minerva Cardioangiologica 2002 August;50(4):363-70

Copyright © 2002 EDIZIONI MINERVA MEDICA

language: English, Italian

Possibilities at present for the application of lumbar sympathectomy in chronic occlusive arterial disease of the lower limbs

Matarazzo A., Rosati Tarulli V., Sassi O., Florio A., Tatafiore M., Molino C.

Background. Research on the limitations of the validity of lumbar sympathectomy in surgical treatment of lower limb occlusive arterial disease is still of great interest today.
Methods. Our study deals with 385 patients who underwent the surgical removal of a segment which includes the 2nd and the 3rd ganglion of the lumbar sympathetic chain in the period between the month of January 1989 and the month of December 1998.
Results. Results were good in 63.6% of patients and stationary in 10.53% of cases; in 26% of cases lumbar sympathectomy was not valid.
Conclusions. Satisfactory results were recorded, as will be shown in this text, on patients experiencing a period of rest pain, patients with ischaemic dystrophic lesions and those with very advanced intermittent claudication equally favourable results were seen in diabetic patients.