{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,11]],"date-time":"2026-07-11T16:36:56Z","timestamp":1783787816503,"version":"3.55.0"},"reference-count":20,"publisher":"SAGE Publications","issue":"8","license":[{"start":{"date-parts":[[2012,3,28]],"date-time":"2012-03-28T00:00:00Z","timestamp":1332892800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Hand Surg Eur Vol"],"published-print":{"date-parts":[[2012,10]]},"abstract":"<jats:p>This study investigates long-term clinical results (&gt; 10 years) of periarterial sympathectomy in chronic ischaemic digits compared with intermediate-term results (3 years). Periarterial sympathectomy via the palm and volar wrist was carried out on 11 hands of seven patients with digital ischaemia but no gangrene or severe ulceration. The aetiology of ischaemia was Buerger\u2019s disease in four hands, collagen disease in three hands, and repetitive digital trauma in four hands. Subjective symptoms were evaluated at a mean follow-up period of 12 years. The efficacy of surgery was assessed objectively using thermography and plethysmography. Although five of seven patients continued on oral vasodilators and antiplatelet agents until the final follow-up, improvement of symptoms was maintained in all patients between intermediate- and long-term evaluations. Our results suggest that periarterial sympathectomy via the palm and wrist could prevent long-term aggravation of symptoms of chronic digital ischaemia when combined with adequate postoperative drug therapy.<\/jats:p>","DOI":"10.1177\/1753193412441757","type":"journal-article","created":{"date-parts":[[2012,3,28]],"date-time":"2012-03-28T22:33:04Z","timestamp":1332973984000},"page":"788-793","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":24,"title":["Long-term follow-up of periarterial sympathectomy for chronic digital ischaemia"],"prefix":"10.1177","volume":"37","author":[{"given":"K.","family":"Murata","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S.","family":"Omokawa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Y.","family":"Kobata","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Y.","family":"Tanaka","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Nara Medical University, Nara, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"H.","family":"Yajima","sequence":"additional","affiliation":[{"name":"Department of Extremity Injury Center, Nara City Hospital, Nara, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S.","family":"Tamai","sequence":"additional","affiliation":[{"name":"Nara Hand Surgery Institute, Department of Orthopaedic Surgery, Nara Seibu Hospital, Nara, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2012,3,28]]},"reference":[{"key":"bibr1-1753193412441757","first-page":"110","volume":"15","author":"Egloff DV","year":"1982","journal-title":"Hand"},{"key":"bibr2-1753193412441757","doi-asserted-by":"publisher","DOI":"10.1016\/0266-7681(91)90007-B"},{"key":"bibr3-1753193412441757","doi-asserted-by":"publisher","DOI":"10.1016\/S0363-5023(80)80104-3"},{"key":"bibr4-1753193412441757","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2009.05.003"},{"key":"bibr5-1753193412441757","doi-asserted-by":"publisher","DOI":"10.1007\/s00776-005-0917-5"},{"key":"bibr6-1753193412441757","doi-asserted-by":"publisher","DOI":"10.1016\/S0094-1298(20)31321-3"},{"key":"bibr7-1753193412441757","doi-asserted-by":"publisher","DOI":"10.1016\/S0363-5023(10)80072-3"},{"key":"bibr8-1753193412441757","doi-asserted-by":"publisher","DOI":"10.1016\/S0363-5023(05)80419-8"},{"key":"bibr9-1753193412441757","doi-asserted-by":"publisher","DOI":"10.1016\/S0363-5023(98)80150-0"},{"key":"bibr10-1753193412441757","first-page":"1788","volume":"30","author":"Kotsis SV","year":"2003","journal-title":"J Rheumatol"},{"key":"bibr11-1753193412441757","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2007.08.003"},{"key":"bibr12-1753193412441757","first-page":"790","volume":"8","author":"Matsuda M","year":"1991","journal-title":"J Jpn Soc Surg Hand"},{"key":"bibr13-1753193412441757","doi-asserted-by":"publisher","DOI":"10.1053\/jhsu.1999.jhsu24a0173"},{"key":"bibr14-1753193412441757","doi-asserted-by":"publisher","DOI":"10.1016\/S0266-7681(05)80272-4"},{"key":"bibr15-1753193412441757","unstructured":"Pick J. 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