Estimulación eléctrica de la médula espinal como terapia intervencionista de salvamento en la isquemia crítica de las extremidades inferiores: Una revisión

Omar Fernando Gomezese R.; Monica Zulay Castellanos; Camilo Espinel; José Federico Saaibi; Sebastian Ballestri- Ni; Juan Guillermo Barrera

doi:10.47924/neurotarget2010303

Authors

Omar Fernando Gomezese R. Pain Clinic of the Cardiovascular Foundation of Colombia
Monica Zulay Castellanos Industrial University of Santander
Camilo Espinel Cardiovascular Foundation Peripheral Vascular Surgery Service
José Federico Saaibi Head of the hemodynamics service of the Cardiovascular Foundation of Colombia
Sebastian Ballestri- Ni Member of the FCV Pain Clinic
Juan Guillermo Barrera Director of the Peripheral Vascular Surgery service of the Cardiovascular Foundation of Colombia

DOI:

https://doi.org/10.47924/neurotarget2010303

Keywords:

spinal cord stimulation, neuromodulation, critical ischemia, pain, lameness, lower limbs

Abstract

Severe chronic occlusive arterial disease and other vascular diseases, better yet, cases associated with critical ischemia unresponsive to pharmacological and surgical therapies are an important indication for spinal cord stimulation (SCS). This therapy represents a unique opportunity to influence the physiology and neuronal activity, therefore generating increased distal blood flow to significantly relieve pain and improve the quality of life in the long term. The SCS is a relatively straightforward procedure in experienced hands. After selecting the patient, the stimulating electrode is placed in the epidural space under local anesthesia and fluoroscopic guidance and produces paresthesias in the metameric territory transmitter of pain impulses. It is a safe technique for the treatment of patients with critical limb ischemia due to vascular occlusive disease, since it reduces its morbidity and mortality with low rates of complications.

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