Franzetti I, De Nale A, Bossi A, Greco M, Morricone L, Ruggerini M, Meazza D, Sciolla A, Caviezel F, Oriani G
Institute of Medical and Surgical Sciences, San Donato, University of Milan.
Pacing Clin Electrophysiol. 1989 Apr;12(4 Pt 2):705-8. doi: 10.1111/j.1540-8159.1989.tb02719.x.
Epidural spinal electrostimulatory system (ESES) or dorsal column stimulation (DCS) may be used for the treatment of peripheral vascular diseases of the lower extremities. ESES has been used in our metabolic and surgical department as a way to ameliorate inadequate blood supply in patients suffering from diabetic foot (seven patients), painful chronic arterial narrowing, or inoperable occlusions (25 patients). The continuous stimulation by an implantable apparatus (Medtronic model Itrel, Medtronic, Inc., Minneapolis, MN, USA) led to a reduction or disappearance of pain, an improvement in plethysmographic curves, functional performance, and trophic lesions in about 75% of the patients. The system is safe and well-tolerated by patients.
硬膜外脊髓电刺激系统（ESES）或背柱刺激（DCS）可用于治疗下肢外周血管疾病。ESES已在我们的代谢与外科部门用于改善糖尿病足患者（7例）、疼痛性慢性动脉狭窄或无法手术的闭塞患者（25例）的血液供应不足。通过植入式装置（美敦力公司生产的Itrel型号，美敦力公司，明尼阿波利斯，明尼苏达州，美国）进行的持续刺激使约75%的患者疼痛减轻或消失，体积描记曲线、功能表现和营养性病变得到改善。该系统安全且患者耐受性良好。
