Spinal cord stimulation in the treatment of chronic critical limb ischemia

Luc G.Y. Claeys; W. Berg; S. Jonas

doi:10.1007/978-3-211-33079-1_35

Spinal cord stimulation in the treatment of chronic critical limb ischemia

Luc G.Y. Claeys, W. Berg, S. Jonas

Marien Hospital Herne

Research output: Chapter in Book/Report/Conference proceeding › Chapter › peer-review

7 Scopus citations

Abstract

This paper reviews the clinical experience and proposed working mechanisms of spinal cord stimulation (SCS) in the treatment of chronic critical limb ischemia (CCLI). SCS appears to provide a significant long-term relief of ischemic pain and to improve healing of small ulcers, most likely due to effects on the nutritional skin blood flow. Despite these observations, randomized trials were not able to show limb salvage. Assessment of the microcirculatory skin blood flow, by means of transcutaneous oxygen pressure measurements and videocapillaromicroscopy, is necessary to evaluate the remaining microcirculatory reserve capacity likely to be exploited by SCS and to help identify patients that will benefit most from this treatment and in whom stimulation could lead to limb salvage.

Original language	English
Title of host publication	Operative Neuromodulation
Subtitle of host publication	Volume 1: Functional Neuroprosthetic Surgery. An Introduction
Publisher	Springer Wien
Pages	259-265
Number of pages	7
Edition	97 PART 1
ISBN (Print)	9783211330784
DOIs	https://doi.org/10.1007/978-3-211-33079-1_35
State	Published - 2007
Externally published	Yes

Publication series

Name	Acta Neurochirurgica, Supplementum
Number	97 PART 1
ISSN (Print)	0065-1419

Keywords

Spinal cord stimulation
chronic critical limb ischemia
ischemic pain
pain relief

Access to Document

10.1007/978-3-211-33079-1_35

Cite this

@inbook{c1b05b2cbf98451e98e5e6cb8872a40d,

title = "Spinal cord stimulation in the treatment of chronic critical limb ischemia",

abstract = "This paper reviews the clinical experience and proposed working mechanisms of spinal cord stimulation (SCS) in the treatment of chronic critical limb ischemia (CCLI). SCS appears to provide a significant long-term relief of ischemic pain and to improve healing of small ulcers, most likely due to effects on the nutritional skin blood flow. Despite these observations, randomized trials were not able to show limb salvage. Assessment of the microcirculatory skin blood flow, by means of transcutaneous oxygen pressure measurements and videocapillaromicroscopy, is necessary to evaluate the remaining microcirculatory reserve capacity likely to be exploited by SCS and to help identify patients that will benefit most from this treatment and in whom stimulation could lead to limb salvage.",

keywords = "Spinal cord stimulation, chronic critical limb ischemia, ischemic pain, pain relief",

author = "Claeys, {Luc G.Y.} and W. Berg and S. Jonas",

year = "2007",

doi = "10.1007/978-3-211-33079-1_35",

language = "English",

isbn = "9783211330784",

series = "Acta Neurochirurgica, Supplementum",

publisher = "Springer Wien",

number = "97 PART 1",

pages = "259--265",

booktitle = "Operative Neuromodulation",

edition = "97 PART 1",

}

Spinal cord stimulation in the treatment of chronic critical limb ischemia. / Claeys, Luc G.Y.; Berg, W.; Jonas, S.
Operative Neuromodulation: Volume 1: Functional Neuroprosthetic Surgery. An Introduction. 97 PART 1. ed. Springer Wien, 2007. p. 259-265 (Acta Neurochirurgica, Supplementum; No. 97 PART 1).

Research output: Chapter in Book/Report/Conference proceeding › Chapter › peer-review

TY - CHAP

T1 - Spinal cord stimulation in the treatment of chronic critical limb ischemia

AU - Claeys, Luc G.Y.

AU - Berg, W.

AU - Jonas, S.

PY - 2007

Y1 - 2007

N2 - This paper reviews the clinical experience and proposed working mechanisms of spinal cord stimulation (SCS) in the treatment of chronic critical limb ischemia (CCLI). SCS appears to provide a significant long-term relief of ischemic pain and to improve healing of small ulcers, most likely due to effects on the nutritional skin blood flow. Despite these observations, randomized trials were not able to show limb salvage. Assessment of the microcirculatory skin blood flow, by means of transcutaneous oxygen pressure measurements and videocapillaromicroscopy, is necessary to evaluate the remaining microcirculatory reserve capacity likely to be exploited by SCS and to help identify patients that will benefit most from this treatment and in whom stimulation could lead to limb salvage.

AB - This paper reviews the clinical experience and proposed working mechanisms of spinal cord stimulation (SCS) in the treatment of chronic critical limb ischemia (CCLI). SCS appears to provide a significant long-term relief of ischemic pain and to improve healing of small ulcers, most likely due to effects on the nutritional skin blood flow. Despite these observations, randomized trials were not able to show limb salvage. Assessment of the microcirculatory skin blood flow, by means of transcutaneous oxygen pressure measurements and videocapillaromicroscopy, is necessary to evaluate the remaining microcirculatory reserve capacity likely to be exploited by SCS and to help identify patients that will benefit most from this treatment and in whom stimulation could lead to limb salvage.

KW - Spinal cord stimulation

KW - chronic critical limb ischemia

KW - ischemic pain

KW - pain relief

UR - http://www.scopus.com/inward/record.url?scp=85052609946&partnerID=8YFLogxK

U2 - 10.1007/978-3-211-33079-1_35

DO - 10.1007/978-3-211-33079-1_35

M3 - Chapter

C2 - 17691385

AN - SCOPUS:85052609946

SN - 9783211330784

T3 - Acta Neurochirurgica, Supplementum

SP - 259

EP - 265

BT - Operative Neuromodulation

PB - Springer Wien

ER -

Spinal cord stimulation in the treatment of chronic critical limb ischemia

Abstract

Publication series

Keywords

Access to Document

Other files and links

Fingerprint

Cite this