EFFECTIVENESS OF PERIARTERIAL SYMPATHECTOMY IN PATIENTS WITH ACRAL ISCHEMIA PAPER LIMB
In this work it was analyzed 31 patients who periarterial sympathectomy was performed. It has been demonstrated that desimpatithation of vessel during sympathectomy vasoconstrictors causes paralysis and thereby causes vasodilatation. The highest efficiency operation had Raynaud’s disease and obliterating atherosclerosis, obliterating at least thromboangiitis. It should be noted that according to Doppler ultrasound of the blood flow velocity in patients with occlusive thromboangiitis increased from 11±4.1 to 18±1.6 cm/sec, with an obliterating atherosclerosis with 14±5.8 to 33±5.2 Raynaud’s disease 13±3.2 to 26±4,1. In all groups there was a significant decrease in the pulsatile blood flow and resistance index. The clinical picture was observed reduction of pain, up until his disappearance and the recovery of the trophism of the fingers.