Spinal Neuromodulation for Peripheral Arterial Disease of Lower Extremities: A Ten-Year Retrospective Analysis

Kretzschmar, Michael; Okaro, Udoka; Schwarz, Marcus; Reining, Marco; Lesser, Thomas

doi:10.1016/j.neurom.2023.10.186

Neuromodulation: Technology at the Neural Interface

2024

DOI: 10.1016/j.neurom.2023.10.186

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Spinal Neuromodulation for Peripheral Arterial Disease of Lower Extremities: A Ten-Year Retrospective Analysis

Michael Kretzschmar,

Udoka Okaro,

Marcus Schwarz

et al.

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Spinal Cord Stimulation for Intractable Chronic Limb Ischemia: A Narrative Review

Gazzeri,

Castrucci,

Leoni

et al. 2024

JCDD

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Critical limb ischemia (CLI) is the most severe form of peripheral arterial disease, significantly impacting quality of life, morbidity and mortality. Common complications include severe limb pain, walking difficulties, ulcerations and limb amputations. For cases of CLI where surgical or endovascular reconstruction is not possible or fails, spinal cord stimulation (SCS) may be a treatment option. Currently, SCS is primarily prescribed as a symptomatic treatment for painful symptoms. It is used to treat intractable pain arising from various disorders, such as neuropathic pain secondary to persistent spinal pain syndrome (PSPS) and painful diabetic neuropathy. Data regarding the effect of SCS in treating CLI are varied, with the mechanism of action of vasodilatation in the peripheral microcirculatory system not yet fully understood. This review focuses on the surgical technique, new modalities of SCS, the mechanisms of action of SCS in vascular diseases and the parameters for selecting CLI patients, along with the clinical outcomes and complications. SCS is a safe and effective surgical option in selected patients with CLI, where surgical or endovascular revascularization is not feasible.

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Spinal Cord Stimulation for Intractable Chronic Limb Ischemia: A Narrative Review

Gazzeri,

Castrucci,

Leoni

et al. 2024

JCDD

View full text Add to dashboard Cite

show abstract

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Spinal Neuromodulation for Peripheral Arterial Disease of Lower Extremities: A Ten-Year Retrospective Analysis

Cited by 1 publication

References 54 publications

Spinal Cord Stimulation for Intractable Chronic Limb Ischemia: A Narrative Review

Spinal Cord Stimulation for Intractable Chronic Limb Ischemia: A Narrative Review

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