Spinal Cord Stimulation An Innovative Method in the Treatment of PVD
A pioneering group of authors describes in this book, for the first time, the state of the art of spinal cord stimulation for chronic critical limb ischemia. This method, a progeny of pacemaking in cardiac rhythm disorders, is a promising, innovative proc
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Svante Horsch · Luc Claeys
Editors
Spinal Cord Stimulation An Innovative Method in the Treatment of PVD
STEINKOPFF DARMSTADT SPRINGER INTERNATIONAL
The Editors: Prof. Dr. Svante Horsch Dr. Luc Claeys Krankenhaus Porz am Rhein Akademisches Lehrkrankenhaus der UniversiUit zu Koln Abteilung fur Allgemeinchirurgie GefaBchirurgie und Traumatologie Urbacher Weg 19 51149 Koln
Die Deutsche Bibliothek - CIP-Einheitsaufnahme Spinal cord stimulation: an innovative method in the treatment
of PVD / Svante Horsch; Luc Claeys (Hrsg.). - Darmstadt: Steinkopff; Berlin; Heidelberg; New York; London; Paris; Tokyo; Hong Kong; Barcelona; Budapest: Springer, 1994 ISBN-13: 978-3-642-48443-8 DOl: 10.1007/978-3-642-48441-4
e-ISBN-13: 978-3-642-48441-4
NE: Horsch, Svante [Hrsg.J
This work is subject to copyright. All rights are reserved, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilm or in any other way, and storage in data banks. Duplication of this publication or parts thereof is permitted only under the provisions of the German Copyright Law of September 9, 1965, in its current version, and permission for use must always be obtained from Steinkopff Verlag. Violations are liable for prosecution under the German Copyright Law. Copyright © 1994 by Dr. Dietrich Steinkopff Verlag GmbH & Co. KG, Darmstadt Medical Editor: Jens Fabry - English Editor: James C. Willis - Production: Heinz J. Schafer Umschlaggestaltung: Erich Kirchner, Heidelberg Softcover reprint of the hardcover 1st edition 1994
The use of general descriptive names, registered names, trademarks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. Typesetting: K + V Fotosatz GmbH, Beerfelden
Foreword
Chronic critical limb ischemia is one of the most common causes of disability and hospitalization, and is a frequent illness in the industrialized world. There have been significant achievements in diagnostic procedures as well as in the medical, invasive, and surgical treatment of chronic critical limb ischemia in recent years. Vascular reconstruction remains the treatment of choice for patients with severe peripheral arterial occlusive disease. However, once thrombosis of the bypass has occurred, secondary procedures to restore the patency are complex and associated with 3 - 5 patency rates of less than 50010. The ideal treatment in nonreconstructible peripheral arterial occlusive disease should allow the patient to retain his limb with no or minimal pain and to maintain a satisfactory level of independence. Spinal cord stimulation was introduced two decades ago by She ally and Mortimer for the treatment of intractable pain. It gained increased interest and has subsequently been used in various fields of application. Cook, 1973, noticed an improvement in lower limb blood flow in patients w
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