Percutaneous CT–Guided Sympathicolysis with Radiofrequency for the Treatment of Palmar Hyperhidrosis Paula García-Barquín, MD, Jesús Dámaso Aquerreta.

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Presentation transcript:

Percutaneous CT–Guided Sympathicolysis with Radiofrequency for the Treatment of Palmar Hyperhidrosis Paula García-Barquín, MD, Jesús Dámaso Aquerreta Beola, MD, PhD, José María Bondía Gracía, MD, PhD, Agustín España Alonso, MD, PhD, Juan Pérez Cajaraville, MD, Pablo Bartolomé Leal, MD, Gorka Bastarrika, MD, PhD Journal of Vascular and Interventional Radiology Volume 28, Issue 6, Pages 877-885 (June 2017) DOI: 10.1016/j.jvir.2017.02.025 Copyright © 2017 SIR Terms and Conditions

Figure 1 (a) Materials employed for RF sympathicolysis include syringes with saline serum and local anesthetic agent (Mepivacaine) (1). A 10-cm, 22-gauge Chiba needle (Cook) is used to reach the sympathetic chain (2). The RF electrodes are introduced through the needle (3). (b) A Neurotherm RF generator was employed. (c,d) Thoracic sympathicolysis of the T3/T4 level with a 22-gauge Chiba needle. The two needles are placed on either side of the vertebral body in the theoretical space where the sympathetic chain is located. Journal of Vascular and Interventional Radiology 2017 28, 877-885DOI: (10.1016/j.jvir.2017.02.025) Copyright © 2017 SIR Terms and Conditions

Figure 2 Example of the follow-up survey. Journal of Vascular and Interventional Radiology 2017 28, 877-885DOI: (10.1016/j.jvir.2017.02.025) Copyright © 2017 SIR Terms and Conditions

Figure 3 Differences in the degree of hyperhidrosis 1 month after the procedure were analyzed in 84 hands of 42 patients. Journal of Vascular and Interventional Radiology 2017 28, 877-885DOI: (10.1016/j.jvir.2017.02.025) Copyright © 2017 SIR Terms and Conditions

Figure 4 Differences in the degree of hyperhidrosis on long-term follow-up were analyzed in 84 hands of 42 patients. Journal of Vascular and Interventional Radiology 2017 28, 877-885DOI: (10.1016/j.jvir.2017.02.025) Copyright © 2017 SIR Terms and Conditions