{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,22]],"date-time":"2026-01-22T07:13:22Z","timestamp":1769066002249,"version":"3.49.0"},"reference-count":26,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2011,5,13]],"date-time":"2011-05-13T00:00:00Z","timestamp":1305244800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Anaesthesia"],"published-print":{"date-parts":[[2011,8]]},"abstract":"<jats:title>Summary<\/jats:title>\n                  <jats:p>\n                    We retrospectively evaluated the safety and efficacy of computed tomography\u2010guided placement of percutaneous catheters in close proximity to the thoracic sympathetic chain by rating pain intensity and systematically reviewing charts and computed tomography scans. Interventions were performed 322 times in 293 patients of mean (SD) age 59.4 (17.0)\u2003years, and male to female ratio 105:188, with postherpetic neuralgia (n\u2003=\u2003103, 35.1%), various neuralgias (n\u2003=\u200388, 30.0%), complex regional pain syndrome (n\u2003=\u200369, 23.6%), facial pain (n\u2003=\u200317, 5.8%), ischaemic limb pain (n\u2003=\u20037, 2.4%), phantom limb pain (n\u2003=\u20034, 1.4%), pain following cerebrovascular accident (n\u2003=\u20032, 0.7%), syringomyelia (n\u2003=\u20032, 0.7%) and palmar hyperhidrosis (n\u2003=\u20031, 0.3%). The interventions were associated with a total of 23 adverse events (7.1% of all procedures): catheter dislocation (n\u2003=\u20039, 2.8%); increase in pain intensity (n\u2003=\u20038, 2.5%); pneumothorax (n\u2003=\u20033, 0.9%); local infection (n\u2003=\u20032, 0.6%); and puncture of the spinal cord (n\u2003=\u20031, 0.3%). Continuous infusion of 10\u2003ml.h\n                    <jats:sup>\u22121<\/jats:sup>\n                    ropivacaine 0.2% through the catheters decreased median (IQR [range]) pain scores from 8 (6\u20139 [2\u201310]) to 2 (1\u20133 [0\u201310]) (p\u2003&lt;\u20030.0001). Chemical neuroablation was necessary in 137 patients (46.8%). We conclude that this procedure leads to a significant reduction of pain intensity in otherwise obstinate burning or stabbing pain and is associated with few hazards.\n                  <\/jats:p>","DOI":"10.1111\/j.1365-2044.2011.06765.x","type":"journal-article","created":{"date-parts":[[2011,5,13]],"date-time":"2011-05-13T05:28:33Z","timestamp":1305264513000},"page":"699-708","source":"Crossref","is-referenced-by-count":22,"title":["Interventional management of intractable sympathetically mediated pain by computed tomography\u2010guided catheter implantation for block and neuroablation of the thoracic sympathetic chain: technical approach and review of 322 procedures"],"prefix":"10.1111","volume":"66","author":[{"given":"K.","family":"Agarwal\u2010Kozlowski","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"D. E.","family":"Lorke","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C. R.","family":"Habermann","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J.","family":"Schulte am Esch","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"H.","family":"Beck","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2011,5,13]]},"reference":[{"key":"e_1_2_6_2_2","doi-asserted-by":"publisher","DOI":"10.1602\/neurorx.2.4.650"},{"key":"e_1_2_6_3_2","first-page":"535","volume-title":"Infrared Thermal Imaging \u2013 Fundamentals, Research and Applications","author":"Agarwal K","year":"2010"},{"key":"e_1_2_6_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1098-7339(98)90058-X"},{"key":"e_1_2_6_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/0885-3924(89)90026-2"},{"key":"e_1_2_6_6_2","unstructured":"Pharmazeutische Zeitung 1998 143 Arzneimittelkommission. 255\/50\/98 Phenol\u2010haltige Sklerosierungsl\u00f6sungen"},{"key":"e_1_2_6_7_2","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-642-01549-6"},{"key":"e_1_2_6_8_2","doi-asserted-by":"publisher","DOI":"10.4065\/79.12.1533"},{"key":"e_1_2_6_9_2","doi-asserted-by":"publisher","DOI":"10.1097\/00002508-200211000-00001"},{"key":"e_1_2_6_10_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1533-2500.2007.00139.x"},{"key":"e_1_2_6_11_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.326.7390.635"},{"key":"e_1_2_6_12_2","doi-asserted-by":"crossref","first-page":"294","DOI":"10.36076\/ppj.2000\/3\/294","article-title":"Cervical sympathetic and stellate ganglion blocks","volume":"3","author":"Elias M","year":"2000","journal-title":"Pain Physician"},{"key":"e_1_2_6_13_2","doi-asserted-by":"publisher","DOI":"10.1097\/00002508-200112001-00018"},{"key":"e_1_2_6_14_2","doi-asserted-by":"publisher","DOI":"10.1213\/ane.0b013e31817e7065"},{"key":"e_1_2_6_15_2","first-page":"65","volume-title":"Anaesth Intensive Care","author":"Eldridge P","year":"2008"},{"key":"e_1_2_6_16_2","first-page":"633","volume-title":"Surgical Management of Pain","author":"Steel TR","year":"2002"},{"key":"e_1_2_6_17_2","doi-asserted-by":"publisher","DOI":"10.2214\/ajr.142.6.1201"},{"key":"e_1_2_6_18_2","doi-asserted-by":"publisher","DOI":"10.1148\/radiographics.16.6.8946536"},{"key":"e_1_2_6_19_2","first-page":"91","article-title":"Successful treatment of digital ulcers in a scleroderma patient with continuous bilateral thoracic sympathetic block","volume":"11","author":"Han KR","year":"2008","journal-title":"Pain Physician"},{"key":"e_1_2_6_20_2","doi-asserted-by":"publisher","DOI":"10.1055\/s-0028-1109306"},{"key":"e_1_2_6_21_2","first-page":"549","article-title":"The physiological effects of thoracic epidural anesthesia and analgesia on the cardiovascular, pulmonary and gastrointestinal systems","volume":"74","author":"Clemente A","year":"2008","journal-title":"Minerva Anestesiologica"},{"key":"e_1_2_6_22_2","doi-asserted-by":"publisher","DOI":"10.1510\/icvts.2007.162479"},{"key":"e_1_2_6_23_2","doi-asserted-by":"publisher","DOI":"10.1510\/icvts.2009.212365"},{"key":"e_1_2_6_24_2","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.4511"},{"key":"e_1_2_6_25_2","first-page":"200","article-title":"Endoscopic thoracic sympathicotomy in Japan","volume":"90","author":"Ueyama T","year":"2001","journal-title":"Annales Chirurgiae et Gynaecologiae"},{"key":"e_1_2_6_26_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-4975(01)02422-5"},{"key":"e_1_2_6_27_2","doi-asserted-by":"publisher","DOI":"10.1590\/S1516-31802003000500003"}],"container-title":["Anaesthesia"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fj.1365-2044.2011.06765.x","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/associationofanaesthetists-publications.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/j.1365-2044.2011.06765.x","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,28]],"date-time":"2025-10-28T17:46:02Z","timestamp":1761673562000},"score":1,"resource":{"primary":{"URL":"https:\/\/associationofanaesthetists-publications.onlinelibrary.wiley.com\/doi\/10.1111\/j.1365-2044.2011.06765.x"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2011,5,13]]},"references-count":26,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2011,8]]}},"alternative-id":["10.1111\/j.1365-2044.2011.06765.x"],"URL":"https:\/\/doi.org\/10.1111\/j.1365-2044.2011.06765.x","archive":["Portico"],"relation":{},"ISSN":["0003-2409","1365-2044"],"issn-type":[{"value":"0003-2409","type":"print"},{"value":"1365-2044","type":"electronic"}],"subject":[],"published":{"date-parts":[[2011,5,13]]}}}