Implantable spinal cord stimulator to treat the ischemic manifestations of thromboangiitis obliterans (Buerger's disease) Jeffrey J. Swigris, DO, Jeffrey.

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Presentation transcript:

Implantable spinal cord stimulator to treat the ischemic manifestations of thromboangiitis obliterans (Buerger's disease) Jeffrey J. Swigris, DO, Jeffrey W. Olin, DO, Nagy A. Mekhail, MD, PhD Journal of Vascular Surgery Volume 29, Issue 5, Pages 928-935 (May 1999) DOI: 10.1016/S0741-5214(99)70221-1 Copyright © 1999 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig 1 A, Patient has multiple deep ischemic ulcerations on thumb, index finger, and middle finger of right hand. There is superficial ulceration on fifth finger (not shown). B, Ischemic ulcers have completely healed after placement of permanent implantable spinal cord stimulator. Journal of Vascular Surgery 1999 29, 928-935DOI: (10.1016/S0741-5214(99)70221-1) Copyright © 1999 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig 2 Diagnostic arteriogram of right arm and hand. Note severe disease below elbow (A-C). Interosseous artery is visualized (A), but brachial and radial arteries are both occluded (B). There are multiple occlusions of digital arteries (C). Journal of Vascular Surgery 1999 29, 928-935DOI: (10.1016/S0741-5214(99)70221-1) Copyright © 1999 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig 3 Popliteal artery is healthy (A), but there are no named blood vessels below popliteal artery on this arteriogram of the right leg (B). Journal of Vascular Surgery 1999 29, 928-935DOI: (10.1016/S0741-5214(99)70221-1) Copyright © 1999 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig 4 Algorithm for diagnosis of thromboangiitis obliterans (Buerger's disease). Journal of Vascular Surgery 1999 29, 928-935DOI: (10.1016/S0741-5214(99)70221-1) Copyright © 1999 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions