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Angiology
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Lumbar Chemical Sympathectomy in End Stage of Arterial Disease: Early and Late Results

C. Vulpio

Department of General Surgery, Catholic University, Rome, Italy

A. Borzone

Department of General Surgery, Catholic University, Rome, Italy

C. Iannace

Department of General Surgery, Catholic University, Rome, Italy

S. Agnes

Department of General Surgery, Catholic University, Rome, Italy

A. Mascaro

Department of Anaesthesiology, Catholic University, Rome, Italy

M. De Santis

Department of Radiology, Catholic University, Rome, Italy

G. Mingrone

Department of Internal Medicine, Catholic University, Rome, Italy

R. Flore

Department of Angiology Service, Catholic University, Rome, Italy

P. Pola

Department of Angiology Service, Catholic University, Rome, Italy

M. Castagneto

Department of General Surgery, Catholic University, Rome, Italy

G. Salgarello

Department of General Surgery, Catholic University, Rome, Italy

Hemodynamic variables were used to evaluate the effectiveness of lumbar chemical sympathectomy in 20 patients with ischemic foot lesions. Early clinical improvement was obtained in 68% of the cases. The two-year cumulative limb salvage rate was 52%. Results indicate that lumbar chemical sympathectomy offers the same benefits as surgical sympathectomy and represents a useful al ternative in patients with advanced ischemic disease of the lower limb, decreas ing the rate and the level of amputations.

Angiology, Vol. 40, No. 11, 948-952 (1989)
DOI: 10.1177/000331978904001102


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