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.

Adjuvant spinal cord stimulation improves wound healing of peripheral tissue loss due to steal syndrome of the hand: clinical challenge treating a difficult case / Caridi, Gd; Massara, M; David, A; Giardinam, ; Spada, Ml; Stilo, F; Spinelli, F; Grande, R; Butrico, L; de Franciscis, S; Serra, R.. - In: INTERNATIONAL WOUND JOURNAL. - ISSN 1742-4801. - 13:1(2016), pp. 72-76. [10.1111/iwj.12233]

Adjuvant spinal cord stimulation improves wound healing of peripheral tissue loss due to steal syndrome of the hand: clinical challenge treating a difficult case

Grande R;Butrico L;
2016

Abstract

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.
2016
Critical lower limb ischaemia; Pain relief; Spinal cord stimulation; Surgical revascularisation; Wound healin
01 Pubblicazione su rivista::01a Articolo in rivista
Adjuvant spinal cord stimulation improves wound healing of peripheral tissue loss due to steal syndrome of the hand: clinical challenge treating a difficult case / Caridi, Gd; Massara, M; David, A; Giardinam, ; Spada, Ml; Stilo, F; Spinelli, F; Grande, R; Butrico, L; de Franciscis, S; Serra, R.. - In: INTERNATIONAL WOUND JOURNAL. - ISSN 1742-4801. - 13:1(2016), pp. 72-76. [10.1111/iwj.12233]
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11573/1457742
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