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- W1962874504 abstract "espanolLas tecnicas de neuromodulacion suponen un abordaje no destructivo y reversible en el tratamiento del dolor. Su utilizacion se establece como estrategia de control del dolor no controlable dentro de las directrices de la O.M.S. y como alternativa a otras terapias invasivas menores o neuroablatibas que no han sido eficaces o que estan contraindicadas. De entre ellas el uso clinico de la estimulacion electrica medular (EEM) o neuroestimulacion, demuestra dia a dia su utilidad y eficacia en el tratamiento de diferentes sindromes de dolor cronico. Estudios de Cook y cols en 1.976, ya demostraron en sus trabajos la efectividad de esta tecnica en la manifestacion clinica del dolor isquemico asi como en la arterioesclerosis o vasculopatia diabetica, o en el dolor isquemico producido por vasoespasmo periferico, en entidades especificas como la Enfermedad de Buerguer, Esclerodermia o Sindrome de Raynaud. Durante la ultima decada, se ha extendido la utilizacion de la EEM en la cardiopatia isquemica de caracter intratable (angina de pecho refractaria a tratamientos, sindrome X,...) y la patologia vascular periferica, objeto de esta revision. Esta tecnica se presenta como una de las principales indicaciones con altos niveles de efectividad (80%), tanto en el aspecto clinico por el alivio sintomatico que produce, como en los beneficios isquemicos fisiopatologicos que induce la neuroestimulacion. EnglishThe Neuromodulation technologies are a not destructive and reversible approach in the treatment of the pain. They are used as a strategy for the control of untreatable pain according to the directives of the OMS and as an alternative of other invasive minor or neuroablatives therapies that have been not effective or that are not indicated. Between them the clinical use of spinal cord stimulation (SCS) has demonstrated its usefulness and efficiency in the treatment of different syndromes of chronic pain. Cook's and cols. in 1.976, demonstrated in their reports the efficiency of this technique in the clinical manifestation of ischemic pain as well as in the arteriosclerosis, diabetic vasculopaty, or in the ischemic pain related with peripheral vasospasm, in specific pathologies as the Buerguer's disease, Scleroderma or Raynaud's syndrome. During the last decade, the utilization of the SCS has spread in the ischemic cardiopathy of untreatable character (refractory angina pectoris, syndrome X,...) and vascular peripheral pathology, subject of this review. This technique appears as one of the main indications with high levels of efficiency (80%), so much in the clinical aspect for the symptomatic relief as well as in the ischemic physiopatologic benefits that induces the neuroestimulation." @default.
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- W1962874504 date "2008-07-01" @default.
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- W1962874504 title "Estimulación Medular (EEM) en el tratamiento de la enfermedad vascular periférica: Parte II" @default.
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