Lumbar sympathectomy done for all EXCEPT: September 2012
Ans. B i.e. Intermittent claudication Three main indications of lumbar sympathetcomy: Causalgia Inoperative aerial occlusive disease with limb-threatening ischemia causing rest pain, limited ulceration, or superficial digital gangrene Symptomatic vasospastic disorders Sympathectomy It increases peripheral blood flow by vasodilation of aerioles in cutaneous vascular beds Good for: - Causalgia - Hyperhidrosis - Vasosopastic disorders (frostbite, Raynaud's) PVD Some inoperable patients may receive sufficient increases to help heal superficial ischemic ulcers and relieve rest pain - Sho-term - Pallative
Causalgia
Intermittent claudication
Rest pain
Raynaud's disease