Clinical results of lumbar sympathectomy

G. J. Collins, N. M. Rich, G. P. Clagett, J. M. Salander, M. J. Spebar

Research output: Contribution to journalArticlepeer-review

29 Scopus citations


Lumbar sympathectomy appears to be effective in relieving rest pain, particularly when the ankle : brachial systolic pressure ratio (ABR) is relatively high, i.e., greater than 0.35. The ABR seems to have less predictive value when advanced skin changes are present, and in such cases the extent of ischemic necrosis is probably the major determinant of outcome. A low, or even unrecordable ABR, does not remove all hope of a successful outcome. However, it makes success less likely and can be used as a guide in determining the risk : benefit ratio for individual patients.

Original languageEnglish
Pages (from-to)31-35
Number of pages5
JournalAmerican Surgeon
Issue number1
StatePublished - 1981
Externally publishedYes


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