PRIMEIRA DESCRIÇÃO DO USO BEM SUCEDIDO DE TERAPIA DE ESTIMULAÇÃO DE MEDULA ESPINAL MULTIPLEXADA COM ALVOS DIFERENCIAIS (DTM SCS) NO TRATAMENTO DE ANGINA PECTORIS REFRATÁRIA (APR)
Palavras-chave:
Refractory angina, Spinal cord stimulation, DTM SCSResumo
No âmbito da Doença Arterial Coronariana (DAC), o tratamento da angina ainda é restrito a nitratos, betabloqueadores e revascularização coronariana. O que essas vias têm em comum é que agem com base na relação
oferta-demanda de oxigenação miocárdica, seja reduzindo a frequência cardíaca, implementando o metabolismo celular ou mesmo aumentando a reserva coronariana de fluxo. Com o objetivo de melhorar a qualidade
de vida dos pacientes, descrevemos um caso de Angina Pectoris Refratária (APR) que foi submetido à Estimulação de Medula Espinal Multiplexada com Alvos Diferenciais (STM SCS).
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Referências
Gallone G, Baldetti L, Tzanis G, Gramegna M, Latib A, Colombo A, Henry TD, Giannini F. Refractory Angina: from pathophysiology to new therapeutic nonpharmacological technologies. JACC Cardiovasc Interv. 2020 Jan 13;13(1):1-19. doi: 10.1016/j.jcin.2019.08.055. PMID: 31918927.
https://www.sciencedirect.com/science/article/pii/S1936879819320588?via%3Dihub
Willis WD. The pain system. The neural basis of nociceptive transmission in the mammalian nervous system. Pain Headache. 1985;8:1-346.
Garcia K, Wray JK, Kumar S. Spinal Cord Stimulation. [Updated 2022 Jul 10]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK553154/
Kumar K, Toth C, Nath RK, Laing P. Epidural spinal cord stimulation for treatment of chronic pain--some predictors of success. A 15-year experience. Surg Neurol. 1998 Aug;50(2):110-20; discussion 120-1
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;107:149–158.
Lee SH, Jeong HJ, Jeong SH, Lee HG, Choi JI, Yoon MH, Kim WM. Spinal cord stimulation for refractory angina pectoris -a case report-. Korean J Pain. 2012 Apr;25(2):121-5. doi: 10.3344/kjp.2012.25.2.121. PMID: 22514782
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 Dec;9(1):13.
Eliasson T, Augustinsson LE, Mannheimer C. Spinal cord stimulation in severe angina pectoris--presentation of current studies, indications and clinical experience. Pain. 1996 May-Jun;65(2-3):169-179. PMID: 31985947
Sanderson JE, Ibrahim B, Waterhouse D, Palmer RB. Spinal electrical stimulation for intractable angina--long-term clinical outcome and safety. Eur Heart J. 1994 June;15(6):810–814. doi: 10.1093/oxfordjournals.eurheartj.a060589
Fishman M, Cordner H, Justiz R, Provenzano D, Merrell C, Shah B, Naranjo J, Kim P, Calodney A, Carlson J, Bundschu R, Sanapati M, Mangal V, Vallejo R. Twelve-month results from multicenter, open-label, randomized controlled clinical trial comparing differential target multiplexed spinal cord stimulation and traditional spinal cord stimulation in subjects with chronic intractable back pain and leg pain. Pain Pract. 2021 Nov;21(8):912-923. doi: 10.1111/papr.13066. PMID: 34363307.
