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Intravascular escape during lumbar transforaminal anterior epidural steroid injection: A retrospective study.
Sari, Sinem; Amasyali, Saliha Yeter; Yilmaz, Mehmet Emre; Turan, Yasemin; Yilmaz, Ali; Akyol, Ali; Köseoglu, Ömer Faruk Kutsi; Aydin, Osman Nuri.
Afiliación
  • Sari S; Department of Anesthesiology and Reanimation, Adnan Menderes University Faculty of Medicine, Aydin, Turkey.
  • Amasyali SY; Division of Algology, Department of Physical Medicine and Rehabilitation, Adnan Menderes University Faculty of Medicine, Aydin, Turkey.
  • Yilmaz ME; Division of Algology, Department of Anesthesiology and Reanimation, Adnan Menderes University Faculty of Medicine, Aydin, Turkey.
  • Turan Y; Department of Physical Medicine and Rehabilitation, Adnan Menderes University Faculty of Medicine, Aydin, Turkey.
  • Yilmaz A; Department of Neurosurgery, Adnan Menderes University Faculty of Medicine, Aydin, Turkey.
  • Akyol A; Division of Algology, Department of Neurology, Adnan Menderes University Faculty of Medicine, Aydin, Turkey.
  • Köseoglu ÖFK; Department of Radiology, Adnan Menderes University Faculty of Medicine, Aydin, Turkey.
  • Aydin ON; Division of Algology, Department of Anesthesiology and Reanimation, Adnan Menderes University Faculty of Medicine, Aydin, Turkey.
Agri ; 33(2): 84-88, 2021 Apr.
Article en En | MEDLINE | ID: mdl-33913130
OBJECTIVES: Demonstrate of accidental intravascular injection during lumbar transforaminal anterior epidural steroid injection (TAESI) performed with three-dimensional imaging angiography (3DIA) and fluoroscopy. METHODS: We assessed 20 (9 males and 11 females) patients (with a total of 40 levels) whose images were received with simultaneously 3DIA and fluoroscopy-guided TAESI between January 2016 and September 2016 as retrospective. Injections were carried out in the lumbar fourth intervertebral space bilaterally and performed in the same way all of the cases. RESULTS: The mean age and body mass index of the patients were 47.9±2.72 years and 26.95±1.21, respectively. There were 10 patients with disc herniation, seven patients with spinal stenosis, and three patients with failed back surgery syndrome. In 3D imaging, vascular escape was detected in the 7 levels (17.5%) which were thought to be no escape in the fluoroscopy imaging. CONCLUSION: In chronic lumbar radiculopathy patients, intravascular escapes may occur during the fluoroscopic TAESI procedure. To avoid intravascular injections during TAESI procedure, it may be appropriate to use different imaging methods that can give more detailed results such as 3D angiography.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Radiculopatía Tipo de estudio: Observational_studies Límite: Female / Humans / Male Idioma: En Revista: Agri Asunto de la revista: NEUROLOGIA Año: 2021 Tipo del documento: Article País de afiliación: Turquía Pais de publicación: Turquía
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Radiculopatía Tipo de estudio: Observational_studies Límite: Female / Humans / Male Idioma: En Revista: Agri Asunto de la revista: NEUROLOGIA Año: 2021 Tipo del documento: Article País de afiliación: Turquía Pais de publicación: Turquía