What is the clinical evidence from this study?

Study design: Observational. Population: Severe Angina Pectoris (n=20). Intervention: Spinal cord stimulation (SCS). Primary outcome: Complications and pain relief.

What question did this study set out to answer?

To evaluate the effectiveness of spinal cord stimulation in patients with severe angina pectoris who are not candidates for traditional surgical interventions.

April 1, 1989Pacing and Clinical Electrophysiology

Spinal Cord Electrical Stimulation in Severe Angina Pectoris: Surgical Technique, Intraoperative Physiology, Complications, and Side Effects

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Key result

In 20 patients with severe angina pectoris, spinal cord stimulation provided pain relief, with complications limited to 1 lead breakage and 1 lead migration.

Why the study?

Does spinal cord stimulation provide pain relief in patients with severe refractory angina pectoris?

Population

20 patients with severe angina pectoris who were not candidates for angioplasty or coronary bypass or in…

Design

Case_series

Authors

LAL.-E. AugustinssonSahlgrenska University Hospital

Discussion

Member takes

Implication

SCS may relieve refractory angina unsuitable for revascularization; leaves open need for RCTs to confirm benefit and safety.

Key Points

To evaluate the effectiveness of spinal cord stimulation in patients with severe angina pectoris who are not candidates for traditional surgical interventions.
Twenty patients treated with spinal cord stimulation at T1,T2 levels since June 1985.
No injections were used in the procedure.
Follow-up included monitoring complications and patient-reported pain relief.
Relief of pain reported by patients undergoing spinal cord stimulation as an alternative treatment.
One lead migration and one lead break occurred, both corrected during the procedure.
Overall patients experienced some pain relief, indicating feasibility of the approach.

Study Design

Type

Observational (n=20)

Structured PICO

Does spinal cord stimulation provide pain relief in patients with severe refractory angina pectoris?

Population

20 patients with severe angina pectoris who were not candidates for or had failed angioplasty or coronary bypass, treated with spinal cord stimulation.

Exposure

Spinal cord stimulation (SCS) at the T1,T2 level

Outcome

Relief of pain and procedural complicationspatient reported

Spinal cord stimulation may be a viable alternative for pain relief in patients with refractory angina pectoris who are unsuitable for or have failed surgical or percutaneous revascularization.

Cite This Study

L.-E. Augustinsson (1989) conducted an observational in Severe Angina Pectoris (n=20). Spinal cord stimulation (SCS) was evaluated on Complications and pain relief. In 20 patients with severe angina pectoris, spinal cord stimulation provided pain relief, with complications limited to 1 lead breakage and 1 lead migration.

synapsesocial.com/papers/6a65746e7c2dbb55f0f7221d https://doi.org/10.1111/j.1540-8159.1989.tb02716.x

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Spinal Cord Electrical Stimulation in Severe Angina Pectoris: Surgical Technique, Intraoperative Physiology, Complications, and Side Effects

Discussion

Member takes

Implication

Key Points

Study Design

Structured PICO

Cite This Study

Spinal Cord Electrical Stimulation in Severe Angina Pectoris: Surgical Technique, Intraoperative Physiology, Complications, and Side Effects

Discussion

Member takes

Implication

Key Points

Study Design

Structured PICO

Cite This Study

Also Consider

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