Department of Interventional Radiology, McGovern Medical School, University of Texas Health Science Center, Houston, Texas; Department of Interventional Radiology, Washington University School of Medicine, St. Louis, Missouri.
Interventional Radiology, Emory University School of Medicine, Atlanta, Georgia.
J Vasc Interv Radiol. 2024 Jan;35(1):69-73. doi: 10.1016/j.jvir.2023.09.030. Epub 2023 Oct 4.
This was a retrospective, observational, descriptive study to evaluate the safety and 6-month effectiveness of percutaneous cryoablation of the stellate ganglion for the treatment of complex regional pain syndrome (CRPS). Eight patients with CRPS diagnosed by Budapest criteria were treated with this procedure. CRPS symptom severity was assessed prior to the procedure and at 3-month intervals after the procedure using a novel CRPS scoring system-the Budapest score-created by the authors. The mean Budapest score prior to and 6 months (187 days, SD ± 43) after stellate ganglion cryoablation was 7.0 (SD ± 2.0) (n = 6) and 3.8 (SD ± 2.3) (n = 6), respectively, showing a decrease of 3.2 (SD ± 1.7) (n = 6; P = .006). There were no major adverse events due to the procedure, and there was only 1 minor adverse event. Stellate ganglion cryoablation is a feasible, safe, and minimally invasive procedure that may represent an efficacious adjunct treatment option for select patients with CRPS.
这是一项回顾性、观察性、描述性研究，旨在评估经皮星状神经节冷冻消融术治疗复杂性区域疼痛综合征（CRPS）的安全性和 6 个月疗效。8 例符合布达佩斯标准诊断为 CRPS 的患者接受了该手术。在手术前和手术后 3 个月间隔使用作者创建的新的 CRPS 评分系统-布达佩斯评分来评估 CRPS 症状严重程度。在星状神经节冷冻消融术前和术后 6 个月（187 天，SD ± 43）的平均布达佩斯评分为 7.0（SD ± 2.0）（n=6）和 3.8（SD ± 2.3）（n=6），分别下降了 3.2（SD ± 1.7）（n=6；P=.006）。由于手术没有发生重大不良事件，只有 1 例轻微不良事件。星状神经节冷冻消融术是一种可行、安全、微创的方法，可能是治疗特定 CRPS 患者的有效辅助治疗选择。
