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  • Main Topics: Spinal Cord Stimulation In The Treatment Of Chronic Critical Limb Ischemia And Angina Pectoris
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Neurostimulation in patients with intractable angina pectoris

Rückenmarkstimulation bei refraktärer Angina pectoris

  • 19 Accesses


Background: The use of neurostimulation to relieve angina follows from its use in limb ischemia. In patients with “intractable” angina any therapy that improves quality of life would be of great importance. A new additional therapy for these patients is spinal cord stimulation (SCS).

Methods: Patients with severe angina pectoris, who do not respond adequately to anti-anginal medication and for whom a revascularization procedure is not a feasible option are regarded as having “intractable” angina pectoris. SCS has also been shown to relieve angina in patients with syndrome X.

Results: In patients treated with SCS an increase of working capacity and time to angina, and a fall in anginal attacks and nitrate intake was observed. Although there is some evidence that SCS is safe, there is a need to investigate the long-term effects of SCS. The method of neurostimulation is discussed in a patient with syndrome X, a patient with “intractable” angina pectoris and an inoperable patient with acute myocardial ischemia.

Conclusions: Neurostimulation is effective in the management of patients with “intractable” angina pectoris and in patients with syndrome X.


Grundlagen: Patienten mit schwerer Angina pectoris, bei welchen eine medikamentöse Behandlung wirkungslos bleibt und bei welchen keine Indikation zur Revaskularisation besteht, sind therapierefraktär. Die epidurale Rückenmarkstimulation bietet diesen Patienten eine neue Perspektive.

Methodik: Eine Indikation für die Rückenmarkstimulation wird bei Patienten mit therapierefraktärer Angina pectoris sowie bei Patienten mit dem Syndrom X gesehen.

Ergebnisse: Unter Behandlung mit der Rückenmarkstimulation wird eine signifikante Reduktion der Anzahl pektanginöser Anfälle, eine gesteigerte Lebensqualität sowie Leistungsfähigkeit beobachtet. Die praktische Anwendung der Rückenmarkstimulation illustrieren wir anhand von 3 Beispielen. Wir behandelten 1 Patienten mit dem Syndrom X, 1 Patienten mit therapierefraktärer Angina und 1 inoperablen Patienten mit akuter Myokardischämie.

Schlußfolgerungen: Die Rückenmarkstimulation erweist sich als effektive Therapie der persistierenden Angina pectoris bei konservativ und chirurgisch austherapierten Patienten.

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Correspondence to Margreeth Oosterga.

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Oosterga, M., de Jongste, M.J.L. Neurostimulation in patients with intractable angina pectoris. Acta Chir. Austriaca 32, 58–60 (2000).

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  • Refractory angina pectoris
  • neurostimulation
  • efficacy
  • safety
  • complications


  • Refraktäre Angina pectoris
  • Rückenmarkstimulation
  • Effektivität
  • Sicherheit
  • Komplikationen