Abstract
Ischemic vascular disease of the upper extremity is less common than peripheral arterial vascular disease of the lower limbs. Arterial occlusive vascular disease of the upper extremities as a result of severe generalized atherosclerotic disease represents a difficult therapeutic problem. In the presence of extensive distal atherosclerotic disease, arterial reconstruction is frequently impossible (15). Aggressive medical treatment has been the mainstay of treatment in these situations. Medical treatment, however, sometimes fails and tissue loss, dysfunctional limbs or major amputation may occur (16). The importance of the hand in daily living activities mandates aggressive therapeutic attempts.
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Augustinsson LE, Holm J, Carlsson AC, Jivegard L (1985) Epidural electrical stimulation in severe limb ischemia. Evidence of pain relief, increased blood flow and a possible limb-saving effect. Ann Surg 202: 104–111
Claeys L, Ktenidis K, Horsch S (1994) Transcutaneous oxygen tension in patients with critical limb ischemia treated by spinal cord stimulation. In: Horsch S, Claeys L (eds). Spinal cord stimulation. Darmstadt, Berlin, Heidelberg, New York, London, Paris: Steinkopff: 145–152
Fagrell B (1990) Techniques and normal findings. In: Bollinger A, Fagrell B (eds). Clinical capillaroscopy. Toronto, New York: Hogrefe and Huber: 1–9
Fiume D, Palombi M, Sciacca V, Tamorri M (1989) Spinal cord stimulation in peripheral ischemic pain. Pace 12: 698–704
Horsch S, Claeys L (1994) Epidural spinal cord stimulation in the treatment of severe peripheral arterial occlusive disease. Ann Vase Surg 8: 468–474
Jacobs MJHM, Breslau PJ, Slaaf DW, Reneman RS, Lemmens HAJ (1987) Nomenclature of Raynaud’s phenomenon. A capillary microscopic and hemorheologic study. Surgery 101: 136–145
Jacobs MJHM, Jörning PJG, Joshi SR, Kitslaar PJEHM, Slaaf DW, Reneman RS (1988) Epidural spinal cord electrical stimulation improves microvascular blood flow in severe limb ischemia. Ann Surg 207: 179–183
Jacobs MJHM, Jörning PJG, Beckers RJG et al. (1990) Foot salvage and improvement of microvascular blood flow as a result of epidural spinal cord electrical stimulation. J Vase Surg 12: 354–360
King TA, Marks J, Berrettoni BA, Seitz WH (1993) Arteriovenous reversal for limb salvage in unreconstructable upper extremity arterial occlusive disease. J Vase Surg 17: 924–933
Ktenidis K, Claeys L, Horsch S (1994) Epidural spinal cord stimulation (ESCS): implantation technique. In: Horsch S, Claeys L (eds) Spinal cord stimulation. Darmstadt, Berlin, Heidelberg, New York, London, Paris. Steinkopff: 75–82
Robaina FJ, Dominguez M, Diaz M, Rodriguez JL, de Vera JA (1989) Spinal cord stimulation for relief of chronic pain in vasospastic disorders of the upper limbs. Neurosurgery 24: 63–67
Sciacca V, Mingoli A, Di Marzo L, Maggiore C, Fiume D, Cavallaro A (1989) Predictive value of trans-cutaneous oxygen tension measurement in the indication for spinal cord stimulation in patients with peripheral vascular disease: preliminary results. Vasc Surg 23: 128–132
Tallis RC, Illis LS, Sedgwick EM, Hardwidge C, Garfield JS (1983) Spinal cord stimulation in peripheral vascular disease. J Neurol Neurosurg Psychiatry 46: 478–484
Tyml K, Ellis CG (1982) Evaluation of the flying spot technique as a television method for measuring red cell velocities in microvessels. Int J Micocirc Clin Exp 1: 145–155
Whitehouse WM (1984) Direct revascularisation for forearm and hand ischemia. In: Bergan JJ, Yao JST (eds). Evaluation and treatment of upper and lower extremity circulatory disorders. New York: Grune and Stratton
Yao JST, McDaniel MD, King TA (1984) Arterial surgery of the upper extremity. In: Bergan JJ (ed) Clinical surgery international: arterial surgery. London: Churchill Livingstone, pp 201–224
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© 1998 Springer-Verlag Berlin Heidelberg
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Bartels, C., Bechtel, M., Claeys, L., Ktenidis, K., Horsch, S. (1998). Spinal cord stimulation (SCS) in the treatment of non-reconstructable arterial occlusive disease of upper extremities. In: Horsch, S., Ktenidis, K. (eds) Critical Limb Ischemia Carotid Surgery. Steinkopff, Heidelberg. https://doi.org/10.1007/978-3-642-53788-2_12
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DOI: https://doi.org/10.1007/978-3-642-53788-2_12
Publisher Name: Steinkopff, Heidelberg
Print ISBN: 978-3-7985-1075-3
Online ISBN: 978-3-642-53788-2
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