Thoracoscopic Sympathectomy for Raynaud's Phenomenon—A Long Term Follow-up Study

Thune, Tom; Ladegaard, Lars; Licht, Peter B.

doi:10.1016/j.ejvs.2006.01.017

Cited by 37 publications

(15 citation statements)

References 19 publications

(28 reference statements)

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“…2 A recent longitudinal follow-up study of patients undergoing thoracoscopic sympathectomy found that one third of patients had a long-lasting benefit by 40 months of follow-up. 3 Recurrence of symptoms after ETS treatment for Raynaud's phenomenon is likely to be multi-factorial and may not reflect failure of the procedure. Maga et al examined the microcirculatory status in 25 patients who received ETS for Raynaud's disease during the 5 years post procedure.…”

Section: Discussionmentioning

confidence: 99%

Severe Raynaud's phenomenon—A streamlined approach to acute management

Lee

Lomas

Handa

2011

International Journal of Surgery Case Reports

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Raynaud's phenomenon is an exaggerated vasospastic response to cold or emotional stress which not only may cause the patient severe pain but also critical ischaemia and necrosis of the digits. We report the case of a 69-year-old woman who presented with rest pain, impending ulceration and necrosis of finger tips due to an episode of left-sided Raynaud's phenomenon. Intravenous prostacyclin was administered successfully as a bridge to endoscopic thoracic sympathectomy. Vascular surgery units are ideally positioned for the acute management of severe Raynaud's phenomenon to provide continuity of care to patients with profound digital ischaemia and impending tissue loss.

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Section: Discussionmentioning

confidence: 99%

Severe Raynaud's phenomenon—A streamlined approach to acute management

Lee

Lomas

Handa

2011

International Journal of Surgery Case Reports

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“…This case showed that a thorough physical and radiological examination of the thorax carried out before endoscopic thoracic sympathectomy 3 , which is an advanced therapeutic approach in serious RP patients who experience frequent bouts and have trophic changes due to insufficient treatment can prevent complications during surgery by allowing identification of deformities such as PE. Further, identification of this co-existence enabled concurrent utilization of thoracoscopic surgical treatments for RP and PE.…”

Section: Discussionmentioning

confidence: 99%

Concurrent Surgical Treatment in Concomittance of Raynaud’s Phenomenon and Pectus Excavatum

Karapolat¹,

Yamac²,

Türkyılmaz³

et al. 2017

MMJ

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“…Although most patients with disorders of perfusion in the upper limbs experienced recurrence of complaints, after more than 5 years there was reduction of frequency and severity of attacks reported in 89.3% of patients 17 . Thune reports short term success of thoracoscopic sympathectomy of 83% in a group of 34 patients with Raynaud's phenomenon 18 . Long term effect however was reported only in one third of the patients.…”

Section: Discussionmentioning

confidence: 99%

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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Thoracoscopic Sympathectomy for Raynaud's Phenomenon—A Long Term Follow-up Study

Abstract: The majority of patients with Raynaud's phenomenon have an excellent immediate effect from thoracoscopic sympathectomy and one third achieve a long lasting effect. Side effects are frequent. We now only use thoracoscopic sympathectomy in severe cases of Raynaud's phenomenon.

Cited by 37 publications

References 19 publications

Severe Raynaud's phenomenon—A streamlined approach to acute management

Severe Raynaud's phenomenon—A streamlined approach to acute management

Concurrent Surgical Treatment in Concomittance of Raynaud’s Phenomenon and Pectus Excavatum

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

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