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- W2054214511 abstract "Aims. We conducted a survey of the literature on alternative therapies applied to atherosclerotic patients with unrevascularizable critical ischemia of the lower limbs. Some of those worth highlighting include: surgical lumbar sympathectomy (LS), chemical LS, prostaglandins and spinal cord electrostimulation. The aim was to obtain an objective view of the effectiveness of these therapies in this kind of patient. Development. We Gaffer an update on these therapeutic resources; their mechanisms of action, indications and complications are described from a review of the studies carried out in patients in Fontaine's stages III and IV (rest pains and ischemic ulcers, respectively), without any chance of revascularization or after failure of direct arterial surgery. Conclusions. After examining the effects and possible complications of these techniques, and based on the studies reported in the literature, it can be concluded that this type of therapy is purely a last resort, with dubious effectiveness in advanced stages of arteriosclerotic disease. It is, however still occasionally used in an attempt to save the limb or to improve the patient's quality of life when direct arterial surgery is impossible or has failed." @default.
- W2054214511 created "2016-06-24" @default.
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- W2054214511 date "2003-01-01" @default.
- W2054214511 modified "2023-10-17" @default.
- W2054214511 title "Profilaxis y tratamiento de la enfermedad tromboembólica en ancianos, cirugía y neoplasias" @default.
- W2054214511 doi "https://doi.org/10.1016/s0003-3170(03)79307-9" @default.
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