European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery
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Eur J Vasc Endovasc Surg · Feb 2001
ReviewThe results of spinal cord stimulation in critical limb ischaemia: a review.
to determine which patients with unreconstructible critical limb ischaemia (CLI) might benefit from spinal cord stimulation (SCS). ⋯ randomised studies show no benefit of SCS over conservative therapy in patients with non-reconstructible CLI. However, data from experimental and non-randomised studies suggest this may be due to sub-optimal patient selection for SCS. Further trials are needed to identify subgroups who may benefit from SCS.
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Eur J Vasc Endovasc Surg · Feb 2001
Trends in provision of distal arterial reconstruction in Scotland 1989-1999.
to establish if access to distal arterial reconstructive surgery is equally distributed within the health boards of Scotland and to establish if any variations in practice are reflected in lower limb amputation. ⋯ rates of distal arterial reconstruction in Scotland fall well below those in other European countries. It is likely that insufficient distal operations are undertaken to sufficiently impact on amputation rates. The study recommends an increased provision of specialist vascular surgical expertise in Scotland.