Esra ERTİLAV, Devran ERTİLAV
Cardiovascular Surgery and Interventions - 2026;13(2):61-65
Objectives: The aim of this study is comparing the effectiveness of non-surgical interventional methods in peripheral vascular disease. Patients and methods: The results of patients who underwent interventional procedures due to Fontaine stage 2-3 peripheral vascular disease in the algology clinic between June 2016 and December 2023 were evaluated. The numeric rating scale (NRS) scores were recorded before the procedure, at 1st month, 6th month and 12th month follow-ups after the procedure. The developing side effects and complications were evaluated. Results: Thirty-five patients were evaluated in the chemical neurolysis (CN), 32 patients in the radiofrequency thermocoagulation (RFT), 28 patients in the continuous epidural block (CEB), 34 patients in the combined CN and RFT, 38 patients in the combined CN+CEB group. In all groups, NRS scores were significantly lower at 1st and 6th months after the procedure compared to before the procedure (p<0.001, p<0.001, p<0.001, p<0.001, p<0.001, respectively). In the combined CN+RFT group, NRS scores were significantly lower at 12th month compared to before the procedure. Catheter migration was observed in 2 patients, but no major complications were recorded. Conclusion: Combined CN and RFT treatment applied to the sympathetic chain in peripheral vascular disease is an effective and safe method in long-term follow-up.
