Spinal cord stimulation to achieve wound healing in a primary lower limb critical ischaemia referral centre

被引：17

作者：

De Caridi, Giovanni ^{[1
]}

Massara, Mafalda ^{[1
]}

David, Antonio ^{[2
]}

Giardina, Massimiliano ^{[2
]}

La Spada, Michele ^{[1
]}

Stilo, Francesco ^{[1
]}

Spinelli, Francesco ^{[1
]}

Grande, Raffaele ^{[3
]}

Butrico, Lucia ^{[3
]}

de Franciscis, Stefano ^{[3
,4
]}

Serra, Raffaele ^{[3
,4
]}

机构：

[1] Univ Messina, Policlin G Martino Hosp, Dept Cardiovasc & Thorac, Messina, Italy

[2] Univ Messina, Policlin G Martino Hosp, Anesthesiol Sci Dept, Messina, Italy

[3] Magna Graecia Univ Catanzaro, Dept Surg & Med Sci, I-88100 Catanzaro, Italy

[4] Magna Graecia Univ Catanzaro, Int Res & Educ Program Clin & Expt Biotechnol, Interuniv Ctr Phlebolymphol CIFL, Catanzaro, Italy

来源：

INTERNATIONAL WOUND JOURNAL | 2016年 / 13卷 / 02期

关键词：

Critical lower limb ischaemia; Pain relief; Spinal cord stimulation; Surgical revascularisation; Wound healing; PERIPHERAL VASCULAR-DISEASE; CRITICAL LEG ISCHEMIA; VASODILATION; MECHANISMS;

D O I：

10.1111/iwj.12272

中图分类号：

R75 [皮肤病学与性病学];

学科分类号：

100206 ;

摘要：

Critical lower limb ischaemia is a diffuse pathology that could cause claudication, severe ischaemic pain and tissue loss. The common treatment includes modification of risk factors, pharmacological therapy and endovascular or surgical revascularisation of the lower limb to restore a pulsatile flow distally. Spinal cord stimulator is seen as a valid alternative in patients unsuitable for revascularisation after endovascular or surgical revascularisation failure and as adjuvant therapy in the presence of a functioning bypass in patients with extensive tissue loss and gangrene presenting a slow and difficult wound healing. We report our experience on spinal cord stimulation (SCS) indication and implantation in patients with critical lower limb ischaemia, at a high-volume centre for the treatment of peripheral arterial disease.

引用

页码：220 / 225

页数：6

共 27 条

[1] Spinal cord stimulation in the treatment of non-reconstructable stable critical leg ischaemia: Results of the European peripheral vascular disease outcome study (SCS-EPOS) [J].