Abstract
Ischemic vascular disease of the upper extremity is less common than peripheral arterial vascular disease of the lower limbs. Peripheral vascular disease of the upper extremities as a result of severe generalized atherosclerotic disease or systemic vasospastic disorders presents a difficult therapeutic problem. In the presence of extensive distal atherosclerotic disease, arterial reconstruction is frequently impossible (14). Various vasospastic disorders may lead to severe ischemia of the upper extremity with distal necrosis and rest pain. Surgical treatment of these nonatherosclerotic lesions in the distal parts of the arterial tree is not feasible (15). Aggressive medical treatment has been the mainstay of treatment in these situations. However, medical treatment sometimes fails and tissue loss, dysfunctional limbs or major amputation may occur (15). The importance of the hand in daily living activities mandates aggressive therapeutic attempts.
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© 1995 Dr. Dietrich Steinkopff Verlag GmbH & Co. KG, Darmstadt
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Bartels, C., Claeys, L., Ktenidis, K., Horsch, S. (1995). Spinal cord stimulation for upper extremity ischemic vascular disease. In: Horsch, S., Claeys, L. (eds) Spinal Cord Stimulation II. Steinkopff. https://doi.org/10.1007/978-3-642-72527-2_23
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DOI: https://doi.org/10.1007/978-3-642-72527-2_23
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