ArticleJournal of anaesthesiology, clinical pharmacology
Comparison of the effect of lumbar sympathectomy in patients with or without vascular bypass surgery: A retrospective observational study.
Article in Journal of anaesthesiology, clinical pharmacology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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5 authors.
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Abstract
Background and Aims: Peripheral arterial disease (PAD) impairs blood flow to the extremities, leading to symptoms that impair quality of life (QOL). Lumbar sympathectomy (LS) has shown potential in symptom management, particularly in cases where medical therapy or vascular bypass surgery fails. However, limited evidence compares the efficacy of LS in patients with and without prior vascular bypass surgery. This study evaluates the differential impact of LS on pain relief, analgesic consumption, and QOL in these subgroups. Material and Methods: A retrospective observational study was conducted involving 34 PAD patients who underwent fluoroscopy-guided LS between September 2023 and June 2024. Patients without prior vascular bypass surgery (Group L, Results: Both groups showed significant improvements in VAS, OBAS, and QOL ( Conclusions: LS is effective in improving pain, reducing analgesic use, and enhancing QOL in PAD patients. Bypass-naïve patients demonstrated better immediate outcomes, suggesting tailored therapeutic benefits. Prospective studies are needed to confirm these findings.
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