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Spinal cord stimulation to achieve wound healing in a primary lower limb critical ischaemia referral centre |
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| Authors: | Giovanni De Caridi Mafalda Massara Antonio David Massimiliano Giardina Michele La Spada Francesco Stilo Francesco Spinelli Raffaele Grande Lucia Butrico Raffaele Serra |
| Affiliation: | 1. Cardiovascular and Thoracic Department, “Policlinico G. Martino” Hospital, University of Messina, Messina, Italy;2. Anesthesiological Sciences Department, “Policlinico G. Martino” Hospital, University of Messina, Messina, Italy;3. Department of Surgical and Medical Science, University Magna Graecia of Catanzaro, Catanzaro, Italy |
| Abstract: | Critical lower limb ischaemia is a diffuse pathology that could cause claudication, severe ischaemic pain and tissue loss. The common treatment includes modification of risk factors, pharmacological therapy and endovascular or surgical revascularisation of the lower limb to restore a pulsatile flow distally. Spinal cord stimulator is seen as a valid alternative in patients unsuitable for revascularisation after endovascular or surgical revascularisation failure and as adjuvant therapy in the presence of a functioning bypass in patients with extensive tissue loss and gangrene presenting a slow and difficult wound healing. We report our experience on spinal cord stimulation (SCS) indication and implantation in patients with critical lower limb ischaemia, at a high‐volume centre for the treatment of peripheral arterial disease. |
| Keywords: | Critical lower limb ischaemia Pain relief Spinal cord stimulation Surgical revascularisation Wound healing |