Células-tronco de medula óssea em isquemia crítica de membros

Araújo, José Dalmo de; Filho, José Dalmo Araujo; Ciorlin, Emerson; Ruiz, Milton Artur; Greco, Oswaldo Tadeu; Ardito, Roberto Vito; Lago, Mario Roberto

doi:10.1590/s1516-84842009005000031

Cited by 3 publications

(2 citation statements)

References 57 publications

(73 reference statements)

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“…Critical lower limb ischemia is the most severe form of PAD and although revascularization is the gold standard treatment, it may not be applicable to all patients (6). In cases where revascularization is not possible, other treatment methods, such as analgesics, vasodilators, and anticoagulants, can relieve pain at rest and avoid amputations (7,8). Lumbar sympathetic block (LSB) is recommended in the case of persistent pain (9,10).…”

Section: Introductionmentioning

confidence: 99%

Effect of the Lumbar Sympathetic Block on Pain in Patients with Symptomatic Peripheral Arterial Disease-Retrospective Analysis

Kaya¹,

Celik²,

Akçaboy³

et al. 2022

JARSS

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Objective: To study the effect of lumbar sympathetic block (LSB) with a mixture of local anesthetics and steroids on pain in patients with chronic ischemic lower limb disease. Methods: Retrospectively 23 patients were reviewed with peripheral arterial disease who underwent LSB using a mixture of 8 mg of dexamethasone, 80 mg of 2% lidocaine, and 4 mL of saline at 2 levels, L2 and L4, under the guidance of fluoroscopy. Recordings of the Visual Analog Scale (VAS) scores at 3 days before the blockage, and 1 month and 3 months after treatment were obtained. Results: The study included 20 (87%) male and 3 (13%) female patients. The mean age of the patients was 59.65±13.33 years. The patients’ post-blockage 3rd day, and 1st and 3rd month VAS scores were significantly lower than the baseline VAS scores (p<0.05). The proportion of patients with 50% improvement in the VAS scores at 3rd days, and 1st and 3rd months was 47.8%, 21.7%, and 21.7%, respectively. No complications or side effects were observed. Conclusion: Lumbar sympathetic block with a mixture of local anesthetics and steroids appears to be effective in patients who have non-reconstructable arterial occlusive disease, with reduced pain scores and low complication rates. Keywords: Sympathetic nerve block, claudication, visual analog scale, peripheral arterial disease, pain

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Section: Introductionmentioning

confidence: 99%

Effect of the Lumbar Sympathetic Block on Pain in Patients with Symptomatic Peripheral Arterial Disease-Retrospective Analysis

Kaya¹,

Celik²,

Akçaboy³

et al. 2022

JARSS

View full text Add to dashboard Cite

show abstract

“…4 The recommended treatment aims to relieve symptoms and consists of the use of analgesics, prostaglandins and stem cells, the latter two remain experimental. 5 , 6 In case of refractory pain, lumbar sympathectomy is recommended. The aim of this article is to report the case of a patient with CLI, successfully treated with neurolitic block of the lumbar sympathetic chain, and perform a systematic review of lumbar sympathectomy as CLI treatment.…”

Section: Introductionmentioning

confidence: 99%