Radiofrequency thoracic sympathetic denervation a new option in the treatment of ischemic upper limb conditions

Michálek, Pavel; Gabrhelík, Tomáš; Doleček, Libor; Štádler, P; Sebesta, P; Roztočil, K

doi:10.33678/cor.2007.008

Cited by 2 publications

(3 citation statements)

References 10 publications

(16 reference statements)

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“…고 서술한 연구가 6편 38,[41][42][43][44][45] 이었고, 척추 후궁과 횡돌 기 사이라고 서술한 연구가 1편 36) 이었고, 4편 17,32,39,40) 의 연구는 삽입 지점을 극돌기를 기준으로 떨어진 구체적 인 거리를 제시하였는데, 각각 2.5 cm 39) , 4 cm 17) , 3.5~5 cm 40) , 4~6 cm 32) 였다. 그 외 3편 33,46,47) 의 연구에서는 삽 입 지점이 불명확하였다.…”

Section: 후방 척추 주위 접근법에서 흉추 교감신경절로의 접 근을 위해 삽입된 부위는 단순히 척추 사이(추간)이라unclassified

“…또는 척추체 주위(perivertebral body)라고 서술한 연구 가 8편 17,32,38,41,[43][44][45]47) 이었고, 척추체 중후방 1/3 지점이 라 서술한 연구가 3편 40,42,46) , 늑골 기준으로 2.5~3 cm 심부라고 서술한 연구가 1편 39) 이었고, 2편 33,36) 은 목표 지점이 불명확하였다.…”

Section: 후방 척추 주위 접근법에서 흉추 교감신경절로의 접 근을 위해 삽입된 부위는 단순히 척추 사이(추간)이라unclassified

“…흉추 교감신경절과 연관되어 수행된 연구의 대상 질 환에서 가장 많은 경우가 다한증으로 109편(66.9%)이 었다. 그 다음으로 상지 반사성 교감신경 이영양증 또 는 복합부위통증증후군(complex regional pain syndrome, CRPS)이 11편(6.7%), 안면 홍조가 7편(4.3%), 재발성 또는 보상성 다한증이 6편(3.7%), 레이노이드 증후군, 33) 을 포함하여 7편 32,33,36,38,41,43,44) 은 computed tomography (CT), 6편 17,33,40,42,45,46) 은 x-ray, c-arm 또는 형 광투시법, 1편 47) 은 초음파, 1편 39) 은 보조 없이 시행되었다.…”

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Analysis of Domestic and International Research Trends Targeting Thoracic Sympathetic Ganglia for Clinical Use of Korean Medicine: A Scoping Review

Park,

Lee,

Han

et al. 2024

J Korean Med Rehabil

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Objectives This scoping review aimed to suggest a Korean medicine approach by analyzing domestic and international clinical studies targeting the thoracic sympathetic ganglia. Methods This study was conducted based on Arksey and O'Malley's five steps and guided by the preferred reporting items for systematic reviews and meta-analyses extension for scoping reviews checklist and appendix. We searched seven electronic databases for studies on thoracic sympathetic ganglia reported untill August 23, 2023. The search terms used were 'thoracic sympathetic chain', 'thoracic paravertebral sympathetic ganglia', and 'thoracic paravertebral ganglion'. Results One hundred twenty-nine studies were finally selected. 90 papers were noncomparative studies (69.8%). The most common disease or symptom was hyperhidrosis (n=109, 66.9%), associated with the T1-7 levels of thoracic sympathetic ganglia (n=107, 65.6%). There were 17 studies (13.2%) of percutaneous approaches targeting the thoracic sympathetic ganglia, five studies (3.1%) targeting the mid-lower thoracic sympathetic ganglia. Conclusions This study broadly analyzed trends in domestic and international research targeting the thoracic sympathetic ganglia and attempted to propose a future Korean medicine approach. Further studies are needed.

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Section: 후방 척추 주위 접근법에서 흉추 교감신경절로의 접 근을 위해 삽입된 부위는 단순히 척추 사이(추간)이라unclassified

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Analysis of Domestic and International Research Trends Targeting Thoracic Sympathetic Ganglia for Clinical Use of Korean Medicine: A Scoping Review

Park,

Lee,

Han

et al. 2024

J Korean Med Rehabil

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Radiofrequency upper thoracic sympathectomy in the treatment of critical upper limb ischemia - a case series

Gabrhelík¹,

Stehlík²,

Adamus³

et al. 2013

BIOMED PAP

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Background. Patients with significant medical and social problems resulting from impaired perfusion of the upper limbs caused by micro-or macro-angiopathy are now frequent in clinical practice. Vasospastic disease of the upper limbs of combined origin is a difficult condition to treat by conservative methods and therapeutic strategies are usually multidisciplinary. In addition to standard pharmacotherapy, treatment may involve regional anaesthesia, thoracoscopic or radiofrequency sympathectomy and surgical treatment of defects, including plastic surgery. Methods. This paper describes our successful work in the treatment of upper limb critical ischemia using radiofrequency upper thoracic sympathectomy. Results. In three case reports we present the results of radiofrequency thermolysis applied to treat patients with chronic defects of the hand and fingers. These patients were diagnosed with upper limb critical ischemia of combined origin, standard conservative treatment methods failed and surgical intervention was originally not indicated, however, radiofrequency thermolysis proved to be beneficial. Conclusions. Radiofrequency thoracic sympathectomy could improve peripheral perfusion of the upper limbs and thereby contribute to healing of chronic defects, reduction of pain and improvement in the quality of life of the patients.

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Radiofrequency thoracic sympathetic denervation a new option in the treatment of ischemic upper limb conditions

Cited by 2 publications

References 10 publications

Analysis of Domestic and International Research Trends Targeting Thoracic Sympathetic Ganglia for Clinical Use of Korean Medicine: A Scoping Review

Analysis of Domestic and International Research Trends Targeting Thoracic Sympathetic Ganglia for Clinical Use of Korean Medicine: A Scoping Review

Radiofrequency upper thoracic sympathectomy in the treatment of critical upper limb ischemia - a case series

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