Evaluation of Lumbar Sympathectomy in Peripheral Arterial Disorder of Lower Limbs

Abstract

Peripheral arterial disorders of the lower limbs, including chronic arterial ischemia, present significant clinical challenges. Lumbar sympathectomy has emerged as a potential therapeutic option to address these issues.

Aim: This study aimed to evaluate the efficacy and safety of lumbar sympathectomy in patients with chronic arterial ischemia in the lower limbs.

Methods: A prospective observational study was conducted on 60 patients admitted to a tertiary care center between December 2020 and June 2022. Demographic data, comorbidities, preoperative ankle-brachial index (ABI), and the location of arterial stenosis were documented. All patients underwent lumbar sympathectomy. Postoperative outcomes, including limb perfusion, pain relief, and ulcer healing, were assessed. Comparative analysis with existing literature from PubMed was conducted.

Results: Lumbar sympathectomy significantly improved limb perfusion, as indicated by a substantial increase in ABI. Pain relief was reported by 86.7% of patients, and 60% experienced improved ulcer healing rates. No intraoperative complications were observed. Comparative analysis with previous studies supported current findings.

Conclusion: Lumbar sympathectomy appears promising in enhancing limb perfusion, relieving pain, and promoting ulcer healing in patients with chronic arterial ischemia in the lower limbs. Long-term follow-up studies are warranted to confirm the durability of these benefits and assess potential complications. This procedure offers hope for improved outcomes in this challenging patient population.