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  • Title: [Objective results of lumbar sympathectomy. Statistical study, based on vascular function tests].
    Author: Courbier R, Jausseran JM, Reggi M, Buril T, Forlot P, Ifrgane A.
    Journal: Nouv Presse Med; 1976 Mar 06; 5(10):633-6. PubMed ID: 772592.
    Abstract:
    A series of 100 unselected patients who had undergone low lumbar sympathectomy were studied using vascular function tests (digital plethysmography, hyperaemia test, rheography, measurement of segmental pressures and dynamic tests, walking tolerance on a conveyor belt, Strandness test). Statistical study of the results obtained showed that, above all, isolated lesions of atherosclerotic origin gave excellent results. Increase in walking tolerance and circulatory flow (rheographic quotient) were the only statistically valid parameters. Prediction of the effects of lumbar sympathectomy by Hillestad's hyperaemia test was confirmed. There were many failures amongst the other cases (diffuse lesions, leg artery involvement, diabetic type lesions). Lumbar sympathectomy is hence justified only in the presence of femoral lesions and in association with reconstructive aorto-iliac surgery in all cases when the distal bed consists of the deep femoral only.
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