“…In our previous study using the same animal model, cervicothoracic sympathetic block by a local anesthetic induced a decrease in peripheral arterial blood flow in the lower extremities remaining innervated because of compensatory vasoconstriction. 13 In conclusion, thoracic sympathetic block by clipping induces a significant increase of peripheral arterial blood flow comparable to 2% mepivacaine, but the magnitude of blood flow induced by clipping is lower than that of radiofrequency thermocoagulation. Therefore, the sympathetic blocking potency of clipping may be less than that of radiofrequency thermocoagulation.…”