Lumbar sympathectomy in the treatment of peripheral vascular occlusive disease

Berardi, Romeo S.; D, Siroospour

doi:10.1016/0002-9610(75)90391-8

Cited by 12 publications

(1 citation statement)

References 12 publications

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“…Some authors have reported significant improvement in gangrene and ischemic ulcers after treatment, [196][197][198] whereas others report no improvement. [199][200][201] Lee et al suggested the controversies over its effectiveness were most likely due to different patient selection criteria and reported long-term effectiveness of lumbar sympathectomy in limb salvage of patients with toe gangrene not amenable to surgical revascularization. 202 They later showed that the addition of lumbar sympathectomy with surgical revascularization procedures for blue toe syndrome enhanced healing of pre-gangrenous lesions with a 100% digital salvage rate.…”

Section: Ldl Apheresismentioning

confidence: 99%

Atheromatous embolization

Liew

Bartholomew

2005

Vasc Med

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Atheromatous embolization is a multisystem disease complicating advanced atherosclerosis. It occurs most often as a complication of angiography, an endovascular procedure or cardiovascular surgery. Atheromatous embolization can present in a subtle manner where it is often under-recognized, or with catastrophic results including myocardial infarction, strake or acute renal failure. It may mimic other disease processes and often goes underdiagnosed and undertreated. A high clinical suspicion is the key to diagnosis. Atheromatous embolization results in significant morbidity and mortality; therefore, early recognition followed by aggressive management may help to prevent end-organ damage and improve overall clinical outcomes. Management strategies should include risk factor modification, prevention of further insults by discontinuing or avoiding predisposing factors, supportive treatment and interventional or surgical approaches to remove the atheroembolic source. Atheromatous embolization is expected to increase as our population ages and the epidemics of diabetes mellitus and obesity increase.

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