{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2022,4,4]],"date-time":"2022-04-04T11:27:59Z","timestamp":1649071679107},"reference-count":31,"publisher":"FapUNIFESP (SciELO)","issue":"suppl 1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Acta Cir. Bras."],"published-print":{"date-parts":[[2005]]},"abstract":"<jats:p>OBJETIVOS: Analisar, em pacientes submetidos a simpaticotomia videotoracosc\u00f3pica para tratamento da Hiperidrose Prim\u00e1ria (HP), as conseq\u00fc\u00eancias hemodin\u00e2micas da desnerva\u00e7\u00e3o vascular das art\u00e9rias car\u00f3tidas e vertebrais ap\u00f3s a trans-sec\u00e7\u00e3o cir\u00fargica da cadeia simp\u00e1tica tor\u00e1cica (simpaticotomia), atrav\u00e9s da mensura\u00e7\u00e3o de par\u00e2metros ultra-sonogr\u00e1ficos. M\u00c9TODO: Vinte e quatro pacientes portadores de HP submetidos a quarenta e oito simpaticotomias tor\u00e1cicas endosc\u00f3picas foram avaliados atrav\u00e9s da mensura\u00e7\u00e3o da velocidade de pico sist\u00f3lico (VPS), velocidade de pico diast\u00f3lico (VPD), \u00edndice de pulsatibilidade (IP) e \u00edndice de resist\u00eancia (IR) nas art\u00e9rias car\u00f3tidas comuns, internas e externas, al\u00e9m da art\u00e9ria vertebral bilateralmente usando o eco-doppler duplex scan. As avalia\u00e7\u00f5es foram realizadas antes da interven\u00e7\u00e3o cir\u00fargica e trinta dias ap\u00f3s o procedimento. O teste de Wilcoxon foi usado na an\u00e1lise das diferen\u00e7as entre as vari\u00e1veis antes e depois da simpaticotomia. RESULTADOS: A simpaticotomia no n\u00edvel de T3 foi a trans-sec\u00e7\u00e3o mais realizada (95,83%), seja isoladamente (25%) ou associada a T4 (62,50%) ou a T2 (8,33%). Houve aumento significativo no IR e no IP da art\u00e9ria car\u00f3tida comum bilateralmente (p&lt;0,05). A VPD da art\u00e9ria car\u00f3tida interna diminuiu em ambos os lados (p&lt;0,05). A VPS e a VPD da art\u00e9ria vertebral direita tamb\u00e9m aumentaram (p&lt;0,05). Achados assim\u00e9tricos foram observados, de modo que art\u00e9rias do lado direito foram as mais freq\u00fcentemente afetadas. CONCLUS\u00d5ES: Altera\u00e7\u00f5es hemodin\u00e2micas foram observadas nas art\u00e9rias vertebral e car\u00f3tida ap\u00f3s simpaticotomia para tratamento de HP. VPS foi o par\u00e2metro mais freq\u00fcentemente alterado, principalmente nas art\u00e9rias do lado direito, representando altera\u00e7\u00f5es assim\u00e9tricas significantes nas art\u00e9rias car\u00f3tida e vertebral. Entretanto, s\u00e3o necess\u00e1rias pesquisas subseq\u00fcentes para verificar se essas altera\u00e7\u00f5es s\u00e3o definitivas ou tempor\u00e1rias, uma vez que as infer\u00eancias cl\u00ednicas somente ter\u00e3o valida\u00e7\u00e3o se as altera\u00e7\u00f5es forem permanentes.<\/jats:p>","DOI":"10.1590\/s0102-86502005000700018","type":"journal-article","created":{"date-parts":[[2006,1,9]],"date-time":"2006-01-09T18:33:47Z","timestamp":1136831627000},"page":"101-106","source":"Crossref","is-referenced-by-count":3,"title":["Efeitos da simpaticotomia endosc\u00f3pica sobre as art\u00e9rias car\u00f3tidas e vertebrais na terap\u00eautica cir\u00fargica da hiperidrose prim\u00e1ria"],"prefix":"10.1590","volume":"20","author":[{"given":"Jeancarlo F.","family":"Cavalcante","sequence":"first","affiliation":[{"name":"Universidade Federal do Rio Grande do Norte"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carlos Alberto Almeida","family":"Ara\u00fajo","sequence":"additional","affiliation":[{"name":"Universidade Federal do Rio Grande do Norte"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Manoel Ximenes","family":"Netto","sequence":"additional","affiliation":[{"name":"Hospital de Base do Distrito Federal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Francisco Ed\u00eanio R. da","family":"Costa","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Francisco de Freitas","family":"Diniz Filho","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aldo da Cunha","family":"Medeiros","sequence":"additional","affiliation":[{"name":"Universidade Federal do Rio Grande do Norte"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"530","reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"34","DOI":"10.1097\/00000658-197707000-00006","article-title":"Palmar Hyperhidrosis and Its Surgical Treatment - Report of 100 Cases","volume":"186","author":"Adar R","year":"1977","journal-title":"Ann Surg","ISSN":"http:\/\/id.crossref.org\/issn\/0003-4932","issn-type":"print"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"673","DOI":"10.1016\/S1078-5884(03)00382-4","article-title":"Evaluation of the impact of transthoracic endoscopic sympathectomy on patients with palmar hyperhydrosis","volume":"26","author":"Young O","year":"2003","journal-title":"Eur J Vasc Endovasc Surg","ISSN":"http:\/\/id.crossref.org\/issn\/1078-5884","issn-type":"print"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"387","DOI":"10.1016\/0022-3468(94)90574-6","article-title":"Palmar Hyperhidrosis in Children: Treatment with Video Endoscopic Laser Sympathectomy","volume":"29","author":"Kao MC","year":"1994","journal-title":"J Pediatr Surg","ISSN":"http:\/\/id.crossref.org\/issn\/0022-3468","issn-type":"print"},{"key":"ref4","first-page":"127","article-title":"Palmar hyperhidrosis: Intraoperative monitoring with laser Doppler blood flow as a guide for success after endoscopic thoracic sympathectomy","volume":"52","author":"Ng I","year":"2003","journal-title":"Neurosurgery","ISSN":"http:\/\/id.crossref.org\/issn\/0148-396X","issn-type":"print"},{"key":"ref5","first-page":"178","article-title":"Question\u00e1rio de qualidade de vida em pacientes com hiperidrose prim\u00e1ria","volume":"29","author":"De Campos JRK","year":"2003","journal-title":"J Pneumol","ISSN":"http:\/\/id.crossref.org\/issn\/0102-3586","issn-type":"print"},{"key":"ref6","doi-asserted-by":"crossref","first-page":"410","DOI":"10.1016\/j.athoracsur.2003.06.003","article-title":"Thoracoscopic sympathectomy for hyperhidrosis: Indications and results","volume":"77","author":"Doolabh N","year":"2004","journal-title":"Ann Thorac Surg","ISSN":"http:\/\/id.crossref.org\/issn\/0003-4975","issn-type":"print"},{"key":"ref7","doi-asserted-by":"crossref","first-page":"627","DOI":"10.1016\/S0950-821X(05)80603-6","article-title":"Transthoracic endoscopic sympathectomy for hyperhidrosis and Raynaud's phenomenon","volume":"8","author":"Sayers RD","year":"1994","journal-title":"Eur J Vasc Surg","ISSN":"http:\/\/id.crossref.org\/issn\/0950-821X","issn-type":"print"},{"key":"ref8","doi-asserted-by":"crossref","first-page":"266","DOI":"10.1097\/00005373-200008000-00012","article-title":"Sympathectomy for causalgia: experience with military injuries","volume":"49","author":"Hassantash SA","year":"2000","journal-title":"J Trauma","ISSN":"http:\/\/id.crossref.org\/issn\/0022-5282","issn-type":"print"},{"key":"ref9","doi-asserted-by":"crossref","first-page":"475","DOI":"10.1016\/0967-2109(95)94444-2","article-title":"Long QT syndrome: an indication for cervicothoracic sympathectomy","volume":"3","author":"Ouriel K MA","year":"1995","journal-title":"Cardiovasc Surg","ISSN":"http:\/\/id.crossref.org\/issn\/0967-2109","issn-type":"print"},{"key":"ref10","doi-asserted-by":"crossref","first-page":"H1696","DOI":"10.1152\/ajpheart.1997.273.4.H1696","article-title":"Stimulation of left stellate ganglion prolongs Q-T interval in patients with palmar hyperhidrosis","volume":"42","author":"Wong CW","year":"1997","journal-title":"Am J Physiol-Heart Circ Physiol"},{"key":"ref11","doi-asserted-by":"crossref","first-page":"97","DOI":"10.1016\/S0140-6736(95)90065-9","article-title":"Endoscopic transthoracic sympathicotomy for severe angina","volume":"345","author":"Wettervik C CG","year":"1995","journal-title":"Lancet","ISSN":"http:\/\/id.crossref.org\/issn\/0099-5355","issn-type":"print"},{"key":"ref12","doi-asserted-by":"crossref","first-page":"S95","DOI":"10.1016\/S1010-7940(99)00197-9","article-title":"Video-assisted thoracoscopic sympathectomy for severe intractable angina","volume":"16","author":"Khogali SS","year":"1999","journal-title":"Eur J Cardiothorac Surg","ISSN":"http:\/\/id.crossref.org\/issn\/1010-7940","issn-type":"print"},{"key":"ref13","doi-asserted-by":"crossref","first-page":"1091","DOI":"10.1001\/archsurg.1996.01430220085019","article-title":"Endoscopic sympathectomy treatment for craniofacial hyperhidrosis","volume":"131","author":"Kao MC","year":"1996","journal-title":"Arch Surg","ISSN":"http:\/\/id.crossref.org\/issn\/0004-0010","issn-type":"print"},{"key":"ref14","doi-asserted-by":"crossref","first-page":"17","DOI":"10.1016\/S1579-2129(06)60186-9","article-title":"Video-assisted thoracoscopic sympathectomy for the treatment of facial blushing: Ultrasonic scalpel versus diathermy","volume":"40","author":"Callejas MA","year":"2004","journal-title":"Arch Bronconeumol","ISSN":"http:\/\/id.crossref.org\/issn\/0300-2896","issn-type":"print"},{"key":"ref15","first-page":"158","article-title":"Thoracoscopic Sympathectomy: Indications and Complications","volume":"8","author":"George M","year":"2000","journal-title":"Surg Technol Int","ISSN":"http:\/\/id.crossref.org\/issn\/1090-3941","issn-type":"print"},{"key":"ref16","first-page":"360","article-title":"Compensatory sweating after upper thoracic sympathectomy","volume":"40","author":"Moya J","year":"2004","journal-title":"Prospective study of 123 cases. Arch Bronconeumol"},{"key":"ref17","doi-asserted-by":"crossref","first-page":"427","DOI":"10.1016\/j.athoracsur.2004.02.087","article-title":"Severity of compensatory sweating after thoracoscopic sympathectomy","volume":"78","author":"Licht PB","year":"2004","journal-title":"Ann Thorac Surg","ISSN":"http:\/\/id.crossref.org\/issn\/0003-4975","issn-type":"print"},{"key":"ref18","doi-asserted-by":"crossref","first-page":"85","DOI":"10.1016\/S0003-9993(97)90016-2","article-title":"Intraoperative monitoring of skin temperature changes of hands before, during, and after endoscopic thoracic sympathectomy: Using infrared thermograph and thermometer for measurement","volume":"78","author":"Chuang TY","year":"1997","journal-title":"Arch Phys Med Rehabil","ISSN":"http:\/\/id.crossref.org\/issn\/0003-9993","issn-type":"print"},{"key":"ref19","doi-asserted-by":"crossref","first-page":"463","DOI":"10.3171\/jns.1999.90.3.0463","article-title":"Changes in hemodynamics of the carotid and middle cerebral arteries before and after endoscopic sympathectomy in patients with palmar hyperhidrosis: preliminary results","volume":"90","author":"Jeng JS","year":"1999","journal-title":"J Neurosurg","ISSN":"http:\/\/id.crossref.org\/issn\/0022-3085","issn-type":"print"},{"key":"ref20","doi-asserted-by":"crossref","first-page":"137","DOI":"10.1016\/S1566-0702(03)00018-3","article-title":"Arterial sympathetic innervation and cerebrovascular diseases in original rat models","volume":"104","author":"Coutard M","year":"2003","journal-title":"Auton Neurosci"},{"key":"ref21","first-page":"544","article-title":"Effects of sympathetic nerves on cerebral vessels in dog, cat, and monkey","volume":"235","author":"Heistad DD MM","year":"1978","journal-title":"Am J Physiol","ISSN":"http:\/\/id.crossref.org\/issn\/0002-9513","issn-type":"print"},{"key":"ref22","first-page":"715","article-title":"Cardiovascular changes after bilateral upper dorsal sympathectomy: Short- and long-term effect","volume":"204","author":"Papa MZ","year":"1986","journal-title":"Ann Surg","ISSN":"http:\/\/id.crossref.org\/issn\/0003-4932","issn-type":"print"},{"key":"ref23","series-title":"Handbook of Physiology: The Cardiovascular System","first-page":"65","volume-title":"Vascular mechanics","author":"Dobrin PB","year":"1983"},{"key":"ref24","doi-asserted-by":"crossref","first-page":"458","DOI":"10.1113\/jphysiol.1961.sp006687","article-title":"The dynamic elastic properties of the arterial wall","volume":"156","author":"Bergel DH","year":"1961","journal-title":"J Physiol"},{"key":"ref25","first-page":"182","article-title":"Effects of pulsations on carotid sinus control of regional arterial hemodynamics","volume":"238","author":"Cox RH","year":"1980","journal-title":"Am J Physiol","ISSN":"http:\/\/id.crossref.org\/issn\/0002-9513","issn-type":"print"},{"key":"ref26","first-page":"1368","article-title":"Sympathetic activation decreases medium sized arterial compliance in humans","volume":"267","author":"Boutouyrie P","year":"1994","journal-title":"Am J Physiol","ISSN":"http:\/\/id.crossref.org\/issn\/0002-9513","issn-type":"print"},{"key":"ref27","doi-asserted-by":"crossref","first-page":"691","DOI":"10.1097\/00004872-199406000-00009","article-title":"Acute effects of smoking on radial artery compliance in humans","volume":"12","author":"Giannattasio C","year":"1994","journal-title":"J Hypertens","ISSN":"http:\/\/id.crossref.org\/issn\/0263-6352","issn-type":"print"},{"key":"ref28","doi-asserted-by":"crossref","first-page":"1085","DOI":"10.1161\/01.HYP.30.5.1085","article-title":"Effect of sympathectomy on mechanical properties of common carotid and femoral arteries","volume":"30","author":"Mangoni AAM, L.","year":"1997","journal-title":"Hypertension","ISSN":"http:\/\/id.crossref.org\/issn\/0194-911X","issn-type":"print"},{"key":"ref29","doi-asserted-by":"crossref","first-page":"463","DOI":"10.3171\/jns.1999.90.3.0463","article-title":"Changes in hemodynamics of the carotid and middle cerebral arteries before and after endoscopic sympathectomy in patients with palmar hyperhidrosis: preliminary results","volume":"90","author":"Jeng JS","year":"1999","journal-title":"J Neurosurg","ISSN":"http:\/\/id.crossref.org\/issn\/0022-3085","issn-type":"print"},{"key":"ref30","doi-asserted-by":"crossref","first-page":"1660","DOI":"10.1183\/09031936.96.09081660","article-title":"Thoracoscopic sympathicolysis for essential hyperhidrosis: effects on pulmonary function","volume":"9","author":"Noppen M","year":"1996","journal-title":"Eur Respir J","ISSN":"http:\/\/id.crossref.org\/issn\/0903-1936","issn-type":"print"},{"key":"ref31","doi-asserted-by":"crossref","first-page":"1097","DOI":"10.1136\/thx.50.10.1097","article-title":"Cardiopulmonary exercise testing following bilateral thoracoscopic sympathicolysis in patients with essential hyperhidrosis","volume":"50","author":"Noppen M","year":"1995","journal-title":"Thorax","ISSN":"http:\/\/id.crossref.org\/issn\/0040-6376","issn-type":"print"}],"container-title":["Acta Cirurgica Brasileira"],"original-title":[],"link":[{"URL":"http:\/\/www.scielo.br\/pdf\/acb\/v20s1\/25576.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,4,14]],"date-time":"2019-04-14T03:15:19Z","timestamp":1555211719000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.scielo.br\/scielo.php?script=sci_arttext&pid=S0102-86502005000700018&lng=pt&tlng=pt"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2005]]},"references-count":31,"journal-issue":{"issue":"suppl 1","published-print":{"date-parts":[[2005]]}},"alternative-id":["S0102-86502005000700018"],"URL":"https:\/\/doi.org\/10.1590\/s0102-86502005000700018","relation":{},"ISSN":["0102-8650"],"issn-type":[{"value":"0102-8650","type":"electronic"}],"subject":[],"published":{"date-parts":[[2005]]}}}