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Digital sympathectomy for vascular insufficiency.

E F Wilgis

    Hand Clinics
    |May 1, 1985
    PubMed
    Summary

    Digital sympathectomy offers benefits for select patients with chronic vascular insufficiency. Careful patient selection ensures minimal complications and encouraging surgical outcomes.

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    Area of Science:

    • Vascular Surgery
    • Interventional Cardiology

    Background:

    • Chronic vascular insufficiency significantly impacts patient quality of life.
    • Limited effective treatment options exist for severe cases.

    Purpose of the Study:

    • To evaluate the efficacy of digital sympathectomy in managing chronic vascular insufficiency.
    • To identify patient selection criteria for successful digital sympathectomy.

    Main Methods:

    • Preoperative patient evaluation including thorough assessment.
    • Utilizing the cold stress test to gauge vascular response.
    • Performing digital blockade to predict surgical outcomes.

    Main Results:

    • Digital sympathectomy demonstrated significant benefits in a select patient cohort.
    • Complications associated with the procedure were minimal.
    • Encouraging positive results were observed post-surgery.

    Conclusions:

    • Digital sympathectomy is a beneficial surgical option for carefully selected patients with chronic vascular insufficiency.
    • Rigorous preoperative evaluation and response to cold stress testing are crucial for patient candidacy.
    • The procedure shows promise with a low complication rate and positive outcomes.

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