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Percutaneous adjustment method for transversely migrated spinal cord stimulation leads: a technical report.
Jeon, Sang Yoon; Ji, Jae Young; Yoo, Sie Hyeon; Chon, Jin Young; Jung, Sung Hoon; Moon, Ho Sik.
Afiliación
  • Jeon SY; Department of Anesthesiology and Pain Medicine, Cheju Halla General Hospital, Cheju, Korea.
  • Ji JY; Department of Anesthesiology and Pain Medicine, College of Medicine, Soonchunhyang University Cheonan Hospital, Cheonan, Korea.
  • Yoo SH; Department of Anesthesiology and Pain Medicine, College of Medicine, Soonchunhyang University Cheonan Hospital, Cheonan, Korea.
  • Chon JY; Department of Anesthesiology and Pain Medicine, Yeouido St. Mary's Hospital, College of Medicine, The Catholic University of Korea, 10 63-ro, Yeoungdeungpo-gu, Seoul, 150-713, Korea.
  • Jung SH; Department of Anesthesiology and Pain Medicine, Yeouido St. Mary's Hospital, College of Medicine, The Catholic University of Korea, 10 63-ro, Yeoungdeungpo-gu, Seoul, 150-713, Korea.
  • Moon HS; Department of Anesthesiology and Pain Medicine, Yeouido St. Mary's Hospital, College of Medicine, The Catholic University of Korea, 10 63-ro, Yeoungdeungpo-gu, Seoul, 150-713, Korea. mhsjshgma@gmail.com.
J Anesth ; 29(6): 953-6, 2015 Dec.
Article en En | MEDLINE | ID: mdl-26094104
Lead migration is the most common complication of spinal cord stimulation (SCS). However, the only corrective method for lead migration is revision surgery, which may cause additional complications. Here, we describe a new technique for adjusting a transversely migrated SCS lead. The medical records of four patients diagnosed with complex regional pain syndrome (n = 3) or failed back surgery syndrome (n = 1) who underwent implantation of percutaneous leads for SCS were retrospectively reviewed. Transverse lead migration was diagnosed radiographically after patients reported recurrence of pain or numbness in treated sites. The guide wire from the SCS implant kit was bent and inserted into the target epidural space using a 14-gauge Tuohy needle. When the guide wire contacted the migrated SCS lead, they were advanced to the correct location under C-arm guidance. After re-adjustment of the SCS lead, good coverage of the electrical stimulation was confirmed. Patients were followed for 9-19 months and they reported satisfactory pain relief and good electrical coverage after adjusting the SCS lead. Here, we describe a new technique for adjusting a transversely migrated SCS lead using a percutaneous epidural approach as a simple, safe, and cost-effective alternative to revision surgery.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Electrodos Implantados / Síndrome de Fracaso de la Cirugía Espinal Lumbar / Estimulación de la Médula Espinal Tipo de estudio: Guideline / Observational_studies Límite: Adult / Female / Humans / Male / Middle aged Idioma: En Revista: J Anesth Asunto de la revista: ANESTESIOLOGIA Año: 2015 Tipo del documento: Article Pais de publicación: Japón
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Electrodos Implantados / Síndrome de Fracaso de la Cirugía Espinal Lumbar / Estimulación de la Médula Espinal Tipo de estudio: Guideline / Observational_studies Límite: Adult / Female / Humans / Male / Middle aged Idioma: En Revista: J Anesth Asunto de la revista: ANESTESIOLOGIA Año: 2015 Tipo del documento: Article Pais de publicación: Japón