التهاب الوريد الخثاري المسدود مع ألم الراحة أو الآفات التغذوية عندما لم يحقق الإيلوبروست الوريدي الشفاء

References

DOI: 10.1155/2013/156905

• In a randomized study, 152 patients with Buerger's disease presenting with rest pain, with or without trophic changes, received intravenous iloprost or placebo.
• Sympathectomy may be performed to decrease arterial spasm in patients with Buerger's disease.
• In situ bypass should be considered in patients with severe ischemia who have target vessels.
• Omentopexy is an attractive option, but it needs proper mobilization of omentum by experts and more surgical time, increasing complications.
• In a study by Patwa and Krishnan who used Ilizaro's technique for TAO patient, a vertical tibial osteotomy with horizontal distraction was performed.
• Sympathectomy has been shown to provide short-term pain relief and to promote ulcer healing in some patients with Buerger's disease, but no long-term benefit has been confirmed.
• It was seen that in 60 patients followed up for 5 yrs there was significant improvement in 53 patient in terms of ulcer healing, decrease in major amputation, rest pain, and claudication distance.

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