Effectiveness of intravenous ilomedin infusion and smoking cessation in the treatment of acutely symptomatic Buerger disease.
Title | Effectiveness of intravenous ilomedin infusion and smoking cessation in the treatment of acutely symptomatic Buerger disease. |
Publication Type | Journal Article |
Year of Publication | 2015 |
Authors | Spanos, K., Georgiou E., Saleptsis V., Athanasoulas A., Sakkas L., & Giannoukas A. D. |
Journal | Angiology |
Volume | 66 |
Issue | 2 |
Pagination | 114-7 |
Date Published | 2015 Feb |
ISSN | 1940-1574 |
Keywords | Amputation, Analgesics, Ankle Brachial Index, Combined Modality Therapy, Disease-Free Survival, Exercise Tolerance, Female, Greece, Humans, Iloprost, Infusions, Intravenous, Limb Salvage, Male, Middle Aged, Pain Measurement, Patient Compliance, Platelet Aggregation Inhibitors, Predictive Value of Tests, Quality of Life, Recovery of Function, Risk Factors, Smoking, Smoking Cessation, Thromboangiitis Obliterans, Time Factors, Treatment Outcome, Vasodilator Agents, Walking |
Abstract | We assessed the effectiveness of iloprost treatment in the management of symptomatic Buerger disease (BD) and assessed smoking cessation compliance, based on a single-center experience. Thirteen patients with BD were treated with sessions of intravenous (IV) Ilomedin infusion. At 1-year follow-up, pain status alteration, number of analgesics required, ankle-brachial index (ABI) change, compliance with supervised smoking cessation, and amputation-free rate were recorded. The pain status improved considerably according to a visual analog scale, the number of analgesics required was significantly reduced, and all patients improved their pain-free walking distance, the ABI, and their self-reported quality of life. Only 2 patients required minor amputations. Combination of IV Ilomedin infusion, supervised smoking cessation, and a specific follow-up protocol may lead to improvement in pain-free walking distance, pain status, quality of life, and substantial reduction in amputation risk. |
DOI | 10.1177/0003319713516379 |
Alternate Journal | Angiology |
PubMed ID | 24366824 |