Introduction: The algorithmic use of neurostimulation to treat chronic pain is routine. However, it is underutilized in managing pain and other symptoms relating to cardiovascular dysfunctions. The goal of this article is to focus on the clinical results from using spinal cord stimulation (SCS) in the realm of cardiovascular medicine.
Material and Methods: The current literature was reviewed, summarized and tabulated. This manuscript contains results from systematic reviews, randomized clinical trials and observational study search results on PubMed spanning the last 30 years. The official positioning statement from the International Neuromodulation Society Neuromodulation Appropriateness Consensus Committee (NACC) was also highlighted.
Results: Evidence supports that SCS is asafe, reversible, minimally-invasive and efficacious modality to mitigate chronic symptoms of refractory angina pectoris and critical limb ischemia.
Discussion: Spinal cord stimulation is effective in providing relief, improve quality of life and functional mobility in patients living with ischemic pain of systemic arterial occlusive disease.
Conclusion: Spinal cord stimulation should be considered early in the treatment algorithm among individuals with inoperable ischemic pain.
This atlas is an essential guide for all implanters, from beginners to the most advanced practitioners. The process of implanting and managing spinal cord stimulators, peripheral nerve stimulators, and intrathecal pumps, from the beginning through long-term management, is thoroughly discussed, as are the prevention and management of complications. Extensive photographs and detailed instructions make each segment a great learning event. The Atlas of Implantable Therapies for Pain Management is a “must-have” resource for any physician wishing to improve his or her skills in interventional pain treatment.
The newly published 2nd edition includes:
- Thorough revision of only single-source atlas on neurostimulation in pain medicine
- Step-by-step “how-to” guidance with extensive illustrations and detailed explanatory text
- Now enhanced with extensive real-time footage of essential surgical techniques
- Techniques for implanting spinal cord stimulators, peripheral nerve stimulators, and intrathecal pumps
- Long-term management of the technologies
Edited by master clinician-experts appointed by the American Academy of Pain Medicine, this is a state-of-the-art multidisciplinary textbook covering medical, interventional, and integrative approaches to the treatment and management of pain. It is designed as a practical and comprehensive primary reference for busy physicians and is also an up-to-date resource for preparing for certification examinations in pain medicine.
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