Buerger's disease surgery
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Buerger's disease Microchapters |
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Buerger's disease surgery On the Web |
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1];Associate Editor(s)-in-Chief: Hadeel Maksoud M.D.[2]
Overview
Surgery is usually not feasible in Buerger's disease since the integrity of the distal vessels usually does not allow for revascularization, nevertheless, surgical intervention may be considered in order to maintain peripheral blood flow as much possible. Surgical intervention may also be carried out in order to provide pain relief, such as sympathectomy.
Surgery
Surgery is usually not feasible in Buerger's disease since the integrity of the distal vessels usually does not allow for revascularization, nevertheless, surgical intervention may be considered in order to maintain peripheral blood flow as much possible. Surgical intervention may also be carried out in order to provide pain relief, such as sympathectomy.
Revascularization
- The mainstay of treatment for Buerger's disease is smoking cessation.
- Bypass surgery may be an appropriate intervention in those with severe ischemia.
- An autologous vein or an omental graft is often used to save compromised limbs.
- Grafts may also be used to treat non-healing ulcers in those who have abstained from smoking.
Endovascular intervention
Thrombolytic therapy with low dose intra-arterial streptokinase has been found to improve the chances of limb salvage in gangrenous or pre-gangrenous limbs.
Sympathectomy and spinal cord stimulation
Lumbar and thoracic sympathectomy, and spinal cord stimulation may be performed to control pain symptoms.