Spinal cord stimulation for the management of refractory angina pectoris

Journal of Pain and Symptom Management
Eric BuchserEric Albrecht

Abstract

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.

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Citations

Oct 1, 2006·Neuromodulation : Journal of the International Neuromodulation Society·Claus AndersenChristian Scherer
Oct 14, 2011·Neuromodulation : Journal of the International Neuromodulation Society·Louis Raso, Timothy Deer
Oct 27, 2011·Neuromodulation : Journal of the International Neuromodulation Society·Will M RoselliniLarry Cauller
Sep 4, 2009·Journal of Clinical Monitoring and Computing·Sreekumar KunnumpurathNalini Vadivelu
Dec 1, 2009·International Journal of Obstetric Anesthesia·D SommerfieldK McKeating A
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Oct 1, 2011·IEEE Transactions on Biomedical Circuits and Systems· Chia-Hao Hsu Chua-Chin Wang
Nov 12, 2016·International Journal of Cardiology·Tasnim F ImranMarie-Denise Gerhard-Herman
Nov 23, 2016·The Clinical Journal of Pain·Xiaoxiao PanLingqing Zeng
Aug 2, 2012·Neurologia Medico-chirurgica·Takaomi Taira, Shinichi Goto

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