0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
ARTICLE |

ROLE OF LUMBAR SYMPATHECTOMY IN TREATMENT OF VASCULAR DISEASE

Frank V. Theis, M.D.
JAMA. 1957;164(12):1302-1306. doi:10.1001/jama.1957.02980120006002.
Text Size: A A A
Published online

• Lumbar sympathectomy was performed on 100 of 400 patients who had occlusive vascular disease. The operation was bilateral in 14 and unilateral in 86 patients; it consisted in removing that portion of the sympathetic chain between the diaphragm and the common iliac vessels, and generally included the second, third, and fourth lumbar ganglions. The first requirement in the selection of patients was the presence of subjective and objective evidence of vascular disease: intermittent claudication, rest pain, dependent congestion of the feet, weakness or absence of peripheral arterial pulsations confirmed by oscillometry, and poor skin temperature responses to vasodilator tests. The largest group consisted of 42 patients with main artery occlusion (proved by oscillometry) but good collateral circulation (proved by data on skin temperature and vasodilator responses); in this group the response to sympathectomy was excellent. Thorough preoperative study, careful preparation for surgery, and proper after-care contributed to good results. In properly selected cases the operation ends the hidrosis, mitigates the intermittent claudication, brings about the healing of lesions caused by ischemia, and frequently obviates the need of an amputation.

Topics

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Figures

Tables

References

CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Related Content

Customize your page view by dragging & repositioning the boxes below.

Jobs
brightcove.createExperiences();