Spinal cord stimulation for the management of refractory angina pectoris.

Détails

ID Serval
serval:BIB_D1678CB6083F
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Synthèse (review): revue aussi complète que possible des connaissances sur un sujet, rédigée à partir de l'analyse exhaustive des travaux publiés.
Collection
Publications
Titre
Spinal cord stimulation for the management of refractory angina pectoris.
Périodique
Journal of Pain and Symptom Management
Auteur(s)
Buchser E., Durrer A., Albrecht E.
ISSN
0885-3924 (Print)
ISSN-L
0885-3924
Statut éditorial
Publié
Date de publication
2006
Volume
31
Numéro
4 Suppl
Pages
S36-S42
Langue
anglais
Notes
Publication types: Journal Article ; Review
Publication Status: ppublish
Résumé
Despite sophisticated medical and surgical procedures, including percutaneous endovascular methods, a large number of patients suffer from chronic refractory angina pectoris. Improvement of pain relief in this category of patients requires the use of adjuvant therapies, of which spinal cord stimulation (SCS) seems to be the most promising. Controlled studies suggest that in patients with chronic refractory angina, SCS provides symptomatic relief that is equivalent to that provided by surgical or endovascular reperfusion procedures, but with a lower rate of complications and rehospitalization. Similarly, SCS proved cost effective compared to medical as well as surgical or endovascular approaches in a comparable group of patients. This technique is still met with reluctance by the medical community. Reasons for this disinclination may be related to incomplete understanding of the mechanism of action of SCS and the fact that SCS refers to the modulation of neuroendocrine parameters rather than to revascularization, which is currently the dominant treatment paradigm in coronary artery disease.
Mots-clé
Angina Pectoris/therapy, Chronic Disease, Electric Stimulation Therapy/methods, Electric Stimulation Therapy/trends, Humans, Physician's Practice Patterns, Practice Guidelines as Topic, Spinal Cord/physiopathology, Treatment Failure
Pubmed
Création de la notice
28/01/2008 11:41
Dernière modification de la notice
20/08/2019 16:51
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