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Spinal cord stimulation for patients with inoperable chronic critical leg ischemia

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摘要 BACKGROUND: Because of the prevalence of diabetes, the treatment of diabetic foot is stillchallenging. Even an exactly proved effective and practical method can't be listed except vascularsurgery which is not a long-term way for it. Spinal cord stimulation (SCS) is a very promising option inthe treatment algorithm of inoperable chronic critical leg ischemia (CLI).DATA SOURCES: We searched Pubmed database with key words or terms such as "spinalcord stimulation", "ischemic pain" and "limb ischemia" appeared in the last fi ve years.RESULTS: The mechanism of SCS is unclear. Two theories have emerged to interpretthe benefits of SCS. Pain relief from SCS can be confirmed by a majority of the studies, whilelimb salvage and other more ambitious improvements have not come to an agreement. Thecomplications of SCS are not fatal, but most of them are lead migration, lead connection failure,and local infection.CONCLUSIONS: SCS is a safe, promising treatment for patients with inoperable CLI. It iseffective in pain reduction compared with traditional medical treatment.
出处 《World Journal of Emergency Medicine》 SCIE CAS 2011年第4期262-266,共5页 世界急诊医学杂志(英文)
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