Sympathectomy was once considered to be the treatment of last resort for severe, refractory Raynaud's. Though severe Raynaud's remains a challenging disorder to manage, nowadays, sympathectomy rarely if ever enters the therapeutic discussion. Though most patients with Raynaud's phenomenon observed ...

I still believe that there is a role, albeit limited, for digital sympathectomy. I do consider this in patients who have a critical ischemic event as one way to get them out of the crisis, if other strategies have failed or are not tolerated/accessible. This is not a good long-term treatment strateg...