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Our experience with spinal cord stimulation (SCS) in peripheral vascular disease
G C Bracale1, L Selvetella, F Mirabile
1Medical School of Naples, Department of Vascular Surgery, Italy.
Pacing and Clinical Electrophysiology : PACE
|April 1, 1989
Summary
Spinal cord stimulation (SCS) effectively treats severe ischemic pain in advanced arterial disease when other therapies fail. This method improves lower extremity blood flow and is a viable option for select patients.
Area of Science:
- Vascular Surgery
- Neuromodulation
- Pain Management
Background:
- Severe intractable ischemic pain is a challenge in advanced arterial disease.
- Conventional medical and surgical treatments may be insufficient.
- Spinal cord stimulation (SCS) offers a potential alternative therapy.
Purpose of the Study:
- To evaluate the role of spinal cord stimulation (SCS) in managing severe intractable ischemic pain.
- To define patient selection criteria for SCS implantation in peripheral vascular disease.
- To assess the impact of SCS on lower extremity blood flow.
Main Methods:
- Epidural electrodes were used for spinal cord stimulation (SCS).
- Patient selection followed specific criteria for peripheral vascular disease.
- Objective measures like plethysmography and telethermography assessed blood flow.
Main Results:
- Spinal cord stimulation (SCS) showed promising clinical results.
- Objective increases in lower extremity blood flow were observed.
- Specific indications and contraindications for SCS implantation were identified.
Conclusions:
- Spinal cord stimulation (SCS) may play a significant role in managing advanced arterial disease.
- Careful patient selection is crucial for successful SCS outcomes.
- SCS is a viable option for intractable ischemic pain when other treatments fail.