Key result
A measurement <10 mm Hg was associated with negative clinical dynamics after spinal neurostimulation in patients with critical lower limb ischemia (OR 3.2, 95% CI 2.2-54.1, p=0.002).
Why the study?
Long-term outcomes of spinal neurostimulation in patients with critical lower limb ischemia were not well established.
Does spinal neurostimulation improve long-term outcomes in patients with critical lower limb ischemia?
Observational
Does spinal neurostimulation improve long-term outcomes in patients with critical lower limb ischemia?
In patients with critical lower limb ischemia, specific baseline hemodynamic and atherosclerotic factors are associated with poorer clinical and hemodynamic responses to spinal neurostimulation.
Answers are grounded in this paper and cite their sources.
May aid risk stratification for spinal neurostimulation; leaves open need for prospective validation in critical limb ischemia.
AIM: To evaluate long-term outcomes of spinal neurostimulation (SNS) in patients with critical lower limb ischemia (CLI). MATERIAL AND Ankle-brachial index (ABI) was also determined. RESULTS: <10 mm Hg was associated with negative clinical dynamics after SNS (OR 3.2, CI 2.2-54.1, p=0.002). Coronary artery disease with supra-aortic vessels lesion was associated with reduced ABI after SNS (OR 2.1, CI 1.4-3.8, p=0.001).
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Клинкова et al. (2018) conducted an observational in Critical lower limb ischemia. Spinal neurostimulation (SNS) was evaluated on Negative clinical dynamics after SNS (OR 3.2, 95% CI 2.2-54.1, p=0.002). A measurement <10 mm Hg was associated with negative clinical dynamics after spinal neurostimulation in patients with critical lower limb ischemia (OR 3.2, 95% CI 2.2-54.1, p=0.002).
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