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http://dx.doi.org/10.3344/kjp.2012.25.2.121

Spinal Cord Stimulation for Refractory Angina Pectoris - A Case Report -  

Lee, Seong-Heon (Department of Anesthesiology and Pain Medicine, Chonnam National University Medical School)
Jeong, Hye-Jin (Department of Anesthesiology and Pain Medicine, Chonnam National University Medical School)
Jeong, Sin-Ho (Department of Anesthesiology and Pain Medicine, Chonnam National University Medical School)
Lee, Hyung-Gon (Department of Anesthesiology and Pain Medicine, Chonnam National University Medical School)
Choi, Jeong-Il (Department of Anesthesiology and Pain Medicine, Chonnam National University Medical School)
Yoon, Myung-Ha (Department of Anesthesiology and Pain Medicine, Chonnam National University Medical School)
Kim, Woong-Mo (Department of Anesthesiology and Pain Medicine, Chonnam National University Medical School)
Publication Information
The Korean Journal of Pain / v.25, no.2, 2012 , pp. 121-125 More about this Journal
Abstract
Refractory angina pectoris is defined as angina refractory to optimal medical treatment and standard coronary revascularization procedures. Despite recent therapeutic advances, patients with refractory angina pectoris are not adequately treated. Spinal cord stimulation is a minimally invasive and reversible technique which utilizes electrical neuromodulation by means of an electrode implanted in the epidural space. It has been reported to be an effective and safe treatment for refractory angina pectoris. We report a case of spinal cord stimulation which has effectively relieved chest pain due to coronary artery disease in a 40-year-old man. This is the first report of spinal cord stimulation for treatment of refractory angina pectoris in South Korea.
Keywords
chest pain; coronary artery disease; refractory angina pectoris; spinal cord stimulation;
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1 Ubbink DT, Vermeulen H. Spinal cord stimulation for critical leg ischemia: a review of effectiveness and optimal patient selection. J Pain Symptom Manage 2006; 31: S30-5.   DOI   ScienceOn
2 Kemler MA, Barendse GA, van Kleef M, de Vet HC, Rijks CP, Furnee CA, et al. Spinal cord stimulation in patients with chronic reflex sympathetic dystrophy. N Engl J Med 2000; 343: 618-24.   DOI   ScienceOn
3 Kumar K, Taylor RS, Jacques L, Eldabe S, Meglio M, Molet J, et al. Spinal cord stimulation versus conventional medical management for neuropathic pain: a multicentre randomised controlled trial in patients with failed back surgery syndrome. Pain 2007; 132: 179-88.   DOI   ScienceOn
4 Mannheimer C, Eliasson T, Andersson B, Bergh CH, Augustinsson LE, Emanuelsson H, et al. Effects of spinal cord stimulation in angina pectoris induced by pacing and possible mechanisms of action. BMJ 1993; 307: 477-80.   DOI   ScienceOn
5 Gibbons RJ, Abrams J, Chatterjee K, Daley J, Deedwania PC, Douglas JS, et al. ACC/AHA 2002 guideline update for the management of patients with chronic stable angina-summary article: a report of the American College of Cardiology/ American Heart Association Task Force on Practice Guidelines (Committee on the Management of Patients With Chronic Stable Angina). Circulation 2003; 107: 149-58.   DOI   ScienceOn
6 Melzack R, Wall PD. Pain mechanisms: a new theory. Science 1965; 150: 971-9.   DOI
7 Diedrichs H, Zobel C, Theissen P, Weber M, Koulousakis A, Schicha H, et al. Symptomatic relief precedes improvement of myocardial blood flow in patients under spinal cord stimulation. Curr Control Trials Cardiovasc Med 2005; 6: 7.   DOI   ScienceOn
8 Foreman RD, Linderoth B, Ardell JL, Barron KW, Chandler MJ, Hull SS Jr, et al. Modulation of intrinsic cardiac neurons by spinal cord stimulation: implications for its therapeutic use in angina pectoris. Cardiovasc Res 2000; 47: 367-75.   DOI   ScienceOn
9 Sanderson JE, Ibrahim B, Waterhouse D, Palmer RB. Spinal electrical stimulation for intractable angina--long-term clinical outcome and safety. Eur Heart J 1994; 15: 810-4.   DOI
10 Andersen C, Hole P, Oxhoj H. Does pain relief with spinal cord stimulation for angina conceal myocardial infarction? Br Heart J 1994; 71: 419-21.   DOI
11 Mannheimer C, Camici P, Chester MR, Collins A, DeJongste M, Eliasson T, et al. The problem of chronic refractory angina; report from the ESC Joint Study Group on the Treatment of Refractory Angina. Eur Heart J 2002; 23: 355-70.   DOI   ScienceOn
12 Andréll P, Yu W, Gersbach P, Gillberg L, Pehrsson K, Hardy I, et al. Long-term effects of spinal cord stimulation on angina symptoms and quality of life in patients with refractory angina pectoris--results from the European Angina Registry Link Study (EARL). Heart 2010; 96: 1132-6.   DOI   ScienceOn
13 Yu W, Maru F, Edner M, Hellström K, Kahan T, Persson H. Spinal cord stimulation for refractory angina pectoris: a retrospective analysis of efficacy and cost-benefit. Coron Artery Dis 2004; 15: 31-7.   DOI   ScienceOn
14 de Jongste MJ, Hautvast RW, Hillege HL, Lie KI. Efficacy of spinal cord stimulation as adjuvant therapy for intractable angina pectoris: a prospective, randomized clinical study. Working Group on Neurocardiology. J Am Coll Cardiol 1994; 23: 1592-7.   DOI   ScienceOn
15 Eddicks S, Maier-Hauff K, Schenk M, Muller A, Baumann G, Theres H. Thoracic spinal cord stimulation improves functional status and relieves symptoms in patients with refractory angina pectoris: the first placebo-controlled randomised study. Heart 2007; 93: 585-90.   DOI   ScienceOn
16 Borjesson M, Andrell P, Lundberg D, Mannheimer C. Spinal cord stimulation in severe angina pectoris--a systematic review based on the Swedish Council on Technology assessment in health care report on long-standing pain. Pain 2008; 140: 501-8.   DOI   ScienceOn
17 Taylor RS, De Vries J, Buchser E, Dejongste MJ. Spinal cord stimulation in the treatment of refractory angina: systematic review and meta-analysis of randomised controlled trials. BMC Cardiovasc Disord 2009; 9: 13.   DOI   ScienceOn
18 Lanza GA. Cardiac syndrome X: a critical overview and future perspectives. Heart 2007; 93: 159-66.
19 Svorkdal N. Treatment of inoperable coronary disease and refractory angina: spinal stimulators, epidurals, gene therapy, transmyocardial laser, and counterpulsation. Semin Cardiothorac Vasc Anesth 2004; 8: 43-58.   DOI   ScienceOn
20 Shealy CN, Mortimer JT, Reswick JB. Electrical inhibition of pain by stimulation of the dorsal columns: preliminary clinical report. Anesth Analg 1967; 46: 489-91.