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July 1931

PARAVERTEBRAL INJECTIONS OF ALCOHOL FOR THE RELIEF OF CARDIAC PAINA REVIEW OF EXPERIENCE TO DATE AND A REPORT OF NINE CASES

Author Affiliations

NEW YORK

From the Departments of Medicine and Surgery, College of Physicians and Surgeons of Columbia University and the Presbyterian Hospital.

Arch Intern Med (Chic). 1931;48(1):146-168. doi:10.1001/archinte.1931.00150010151010
Abstract

As experience accumulates following the introduction of a new therapeutic procedure, there comes a time when it is profitable to halt activity and critically appraise the value of what has been accomplished. Following such an analysis, ineffective measures are discarded, modifications often suggest themselves, and plans for further development of the method may be formulated. Cervical sympathectomy as a means of alleviating pain of cardiac origin has not stood the test of trial, and in America it has fallen into disuse. The many types of operation employed and the variability of results afford abundant evidence that ablation of any portions of the sympathetic chain in the neck cannot interrupt all of the nervous pathways concerned. Furthermore, the most intense suffering is encountered in patients with coronary disease, and as a rule it is inadvisable to submit such persons to an extensive surgical operation. When discomfort is so great that life

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