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|dc.identifier.citation||Journal of Medical Imaging and Radiation Oncology, 2002; 46(2):163-166||-|
|dc.description||The definitive version is available at www.blackwell-synergy.com||-|
|dc.description.abstract||Demographic, clinical and laboratory data were retrospectively collected from records of 146 cases of CT fluoroscopy-guided chemical lumbar sympathectomy for the palliation of inoperable peripheral vascular disease (PVD) between January 1997 and August 1999. Of these, 16% had claudication, 39% had rest pain and 44% had ischaemic ulcers or gangrene. Seventy-three percent of elective cases were outpatients. At 3 months, 27 cases were lost to follow up, leaving 119 cases. Within 3 months, improvement, defined as doubling of the walking distance, cessation of rest pain or healing of ulcers, occurred in 30.3% of cases. No change was observed in 45.4% of cases and 24.3% of cases deteriorated. Patients with ulcers or gangrene had significantly poorer results than those without any ischaemic lesions, as only 19% versus 39% of patients improved (P < 0.05). The presence of hypertension, diabetes mellitus, hyperlipidaemia and smoking had no value in predicting clinical outcome (P > 0.05). There were no major complications noted. CT fluoroscopy-guided chemical lumbar sympathectomy is safe and effective, with a complication rate of less than 1%, and efficacy of at least 30% measured within 3 months. It is a simple and minimally invasive procedure, easily performed on an outpatient basis. CT fluoroscopy-guided chemical lumbar sympathectomy should be considered for all patients in the early stages of inoperable PVD.||-|
|dc.description.statementofresponsibility||Victoria K.M. Tay, Robert Fitridge and Mark L.H. Tie||-|
|dc.publisher||Blackwell Science Asia Pty Ltd||-|
|dc.subject||Peripheral vascular disease||-|
|dc.title||Computed tomography fluoroscopy-guided chemical lumbar sympathectomy: Simple, safe and effective||-|
|dc.identifier.orcid||Fitridge, R. [0000-0001-6258-5997]||-|
|Appears in Collections:||Aurora harvest 7|
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