In 10 cases with advanced vascular occlusive disease the effect of epidural spinal electrical stimulation (ESES) on peripheral circulation has been tested by use of transcutaneous oxygen measurement (TcPO2), telethermography, and laser-speckle measurements. The values in all cases increased. Improvement was more pronounced during the first two to three weeks. Indications and limitations of this treatment modality are discussed.
Get full access to this article
View all access options for this article.
References
1.
Largiader J.: Therapie bei Verschluss der A. poplitea mit und ohne Beteiligung cruraler Arterien. Operative Massahmen. In: Aktuelle Diagnostik und Therapie der Angiologie, ed. by Kriessmann A.Stuttgart: Georg Thieme Verlag , 1988, pp 11-116.
2.
Augustinson LE, Holm J., Carlsson CA, et al: Epidural electrical stimulation in severe limb ischemia. Ann Surg202:104-110, 1985.
3.
Grunkemeier GL, Starr A.: Actuarial analysis of surgical results: Rationale and method. Ann Thorac Surg24:404-408, 1977.
4.
Fiume D.: Spinal cord stimulation in peripheral vascular pain. Appl Neurophysiol46:290-294, 1983.
5.
Tallis RC, Illis LS, Sedgwick EM, et al: Spinal cord stimulation in peripheral vascular disease. J Neurol Neurosurg Psychiatry46:478-484, 1983.
6.
B. Kaada: Vasodilatation induced by transcutaneous nerve stimulation in peripheral ischemia . Eur Heart J3:303-306, 1982.
7.
Sunder-Plassmann L., Messmer K., Becker HM: Tissue PO2 and transcutaneous PO2 as guidelines in experimental and clinical drug evaluation. Angiology32:686, 1981.
8.
Abendroth D. , Sunder-Plassmann L., Becker HM: Use of telethermography and transcutaneous PO2 for therapeutic control in arterial occlusive disease . In: The Thoracic and Cardiovascular Surgeon, vol 33. Stuttgart: George Thieme Verlag, 1986, p 25.
