Lumbar Sympathectomy in Patients with Threatened Limb Ischemia.
- Author:
Seung Cheol KIM
1
;
Tae Won KWON
;
Yong Pil CHO
;
Ho Sung KIM
;
Geun Eun KIM
Author Information
1. Division of Vascular Surgery, Asan Medical Center, College of Medicine, Ulsan University, Seoul, Korea. twkwon2@www.amc.seoul.kr
- Publication Type:Original Article
- Keywords:
Ischemia;
Limb salvage;
Sympathectomy
- MeSH:
Amputation;
Arteries;
Biopsy;
Extremities*;
Humans;
Ischemia*;
Limb Salvage;
Lower Extremity;
Mortality;
Sympathectomy*
- From:Journal of the Korean Society for Vascular Surgery
2001;17(2):238-241
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: Lumbar sympathectomy has been performed in critical lower limb ischemia patients who have no reconstructable arteries. However, much controversy still persists over the its physiologic & clinical effects. This study was performed to determine the value of lumbar sympathectomy as a treatment modality. METHOD: A consecutive series of 35 patients who underwent lumbar sympathectomy during October 1995 and February 1999 were included in this study, and clinical, angiographic and postoperative results were evaluated. RESULT: The limb salvage rate was obtained in 85.7% (30/35) of the cases. Morbidity was 8.6% (3/35) and there were no mortality. Prevention of major amputation was achieved in a significant percentage of patients who received lumbar sympathectomy. Sympathectomy was carried out in long segment and was confirmed by frozen biopsy intraoperatively. CONCLUSION: Lumbar sympathectomy is a valuable procedure for prevention of major amputation in critical limb ischemia patients who have no reconstructable arteries.
