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KMID : 0904020010170020238
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Journal of Korean Society for Vascular Surgery
2001 Volume.17 No. 2 p.238 ~ p.241
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Lumbar Sympathectomy in Patients with Threatened Limb Ischemia
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Abstract
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Purpose: Lumbar sympathectomy has been performed in critical lower limb ischemia patients who have no reconstructable arteries. However, much controversy still persists over the its physiologic & clinical effects. This study was performed to determine the value of lumbar sympathectomy as a treatment modality. Method: A consecutive series of 35 patients who underwent lumbar sympathectomy during October 1995 and February 1999 were included in this study, and clinical, angiographic and postoperative results were evaluated. Result: The limb salvage rate was obtained in 85.7% (30/35) of the cases. Morbidity was 8.6% (3/35) and there were no mortality. Prevention of major amputation was achieved in a significant percentage of patients who received lumbar sympathectomy. Sympathectomy was carried out in long segment and was confirmed by frozen biopsy intraoperatively. Conclusion: Lumbar sympathectomy is a valuable procedure for prevention of major amputation in critical limb ischemia patients who have no reconstructable arteries.
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