Infection of a Retained Peripheral Nerve Stimulation Lead: A Case Report.

IF 0.5

A&A Practice Pub Date : 2022-11-01 DOI:10.1213/XAA.0000000000001626

John J Finneran, Bryan T Leek, Brian M Ilfeld, Baharin Abdullah, Engy T Said

引用次数: 0

Abstract

Percutaneous peripheral nerve stimulation is used to provide analgesia for weeks or even months. While infection of any percutaneously implanted object is a concern, it is exceedingly rare for helically coiled leads, with a reported incidence of less than 1 infection for every 32,000 indwelling days. We now report an infected helically coiled lead requiring sedation for extraction and complicated by lead fracture during removal, leaving a remnant in situ. The infection was successfully treated with oral antibiotics. We speculate on the cause of this infection and propose steps to prevent this complication, including the avoidance of sling-to-lead insertion site overlap.

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外周神经刺激导联感染1例报告。

经皮周围神经刺激可提供数周甚至数月的镇痛效果。虽然任何经皮植入物的感染都是一个问题，但螺旋缠绕导线的感染极为罕见，据报道每32,000天内的感染发生率不到1例。我们现在报告一个感染的螺旋卷曲的铅需要镇静拔出和复杂的铅断裂在移除，留下一个残余的原位。口服抗生素成功地治疗了感染。我们推测了这种感染的原因，并提出了预防这种并发症的步骤，包括避免吊索与导线插入部位重叠。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

A&A Practice ANESTHESIOLOGY-

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期刊介绍： A & A Case Reports, our new online journal publishing Case Reports, related Editorial Commentary, and Correspondence. Anesthesia & Analgesia 1 and Anesthesiology 2 recently announced that they were suspending publication of Case Reports. One reason is that Case Reports typically reduce the Impact Factor of a journal because they are rarely cited. Regardless of the merits of Impact Factor as a metric of journal worth, journals and their editors necessarily consider Impact Factor in strategic planning. At the same time, Case Reports are appreciated by readers for describing “real life” management of difficult or unusual cases not often encountered by practitioners. In a recent issue of Anesthesia & Analgesia, Steven Shafer1 identified many Case Reports whose publication launched productive careers dedicated to solving the puzzle posed by an unusual observation in a single patient.