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Phenol sympathectomy for vascular occlusive disease
Surgery, Gynecology & Obstetrics
|May 1, 1978
Summary
Phenol sympathectomy offers a simple, safe alternative for peripheral vascular disease. Success can be predicted by ankle systolic pressure, with >35 mmHg for pain relief and >60 mmHg for gangrene improvement.
Area of Science:
- Vascular Surgery
- Interventional Radiology
- Pain Management
Background:
- Peripheral vascular occlusive disease (PVOD) treatment often involves surgical lumbar sympathectomy as a final option.
- High variability in success rates and significant morbidity associated with surgical sympathectomy necessitate alternative approaches.
Purpose of the Study:
- To evaluate the efficacy and safety of phenol sympathectomy for PVOD.
- To identify predictive factors for successful outcomes following phenol sympathectomy.
Main Methods:
- A prospective study involving 52 patients undergoing phenol sympathectomy using a standardized technique.
- Analysis of clinical criteria and ankle systolic pressure measurements to predict procedural success.
Main Results:
- Phenol sympathectomy proved to be a simple and low-morbidity procedure.
- Patients with rest or night pain showed good response when ankle systolic pressure exceeded 35 mmHg.
- Digital gangrene cases responded favorably if ankle systolic pressure was above 60 mmHg.
Conclusions:
- Phenol sympathectomy is a viable and safe treatment for peripheral vascular disease.
- Ankle systolic pressure, combined with clinical assessment, effectively predicts patient response to phenol sympathectomy.