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2 . 2026

The role of lumbar sympathectomy in the treatment of lower limb ischemia. 100 years of practice and research (review)

Abstract

This article presents literature data on the history, mechanism of action, clinical application, and effectiveness of lumbar sympathectomy in the treatment of lower extremity ischemia. The results of numerous studies are compared and the seminal works on this topic are examined in more detail, with a particular focus on systematic reviews. It concludes that lumbar sympathectomy remains a recommended surgical procedure when other treatments are impossible or ineffective.

Keywords:lumbar sympathectomy; atherosclerosis; chronic lower limb ischemia with a clinical picture of intermittent claudication; critical lower limb ischemia

Authors’ contribution. Study conception and design, data collection and handling, draft manuscript preparation – Valov S.L.; manuscript revision – Lutikov V.G.

For citation: Valov S.L., Lutikov V.G. The role of lumbar sympathectomy in the treatment of lower limb ischemia. 100 years of practice and research (review). Angiology and Vascular Surgery. Journal named after Academician A.V. Pokrovsky. 2026; 32 (2): 20–6. DOI: https://doi.org/10.33029/1027-6661-2026-32-2-20-26

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CHIEF EDITOR
Academician of the Russian Academy of Sciences Doctor of Medical Sciences, Professor, President of the Russian Society of Angiologists and Vascular Surgeons

 

In accordance with the decision of the Presidium of the Russian Society of Angiologists and Vascular Surgeons, the journal "Angiology and Vascular Surgery" will be named after Academician A.V. Pokrovsky starting from No. 2/2022.


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