Device-Related Complications Associated with Cylindrical Lead Spinal Cord Stimulator Implants: A Comprehensive Review.

IF 3.2 2区医学 Q2 CLINICAL NEUROLOGY

Current Pain and Headache Reports Pub Date : 2024-09-01 Epub Date: 2024-06-08 DOI:10.1007/s11916-024-01280-0

Jamal Hasoon, Peter D Vu, Bakir Mousa, Anush Rita Markaryan, Zohal B Sarwary, Dorina Pinkhasova, Grant H Chen, Farah Gul, Christopher L Robinson, Thomas T Simopoulos, Jatinder Gill, Omar Viswanath

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引用次数: 0

Abstract

Purpose of review: Spinal cord stimulation (SCS) is an increasingly utilized therapy for the treatment of neuropathic pain conditions. Though minimally invasive and reversable, there are several important device-related complications that physicians should be aware of before offering this therapy to patients. The aim of this review is to synthesize recent studies in device-related SCS complications pertaining to cylindrical lead implantation and to discuss etiologies, symptoms and presentations, diagnostic evaluation, clinical implications, and treatment options.

Recent findings: Device-related complications are more common than biologic complications. Device-related complications covered in this review include lead migration, lead fracture, lead disconnection, generator failure, loss of charge, generator flipping, hardware related pain, and paresthesia intolerance. The use of SCS continues to be an effective option for neuropathic pain conditions. Consideration of complications prior to moving forward with SCS trials and implantation is a vital part of patient management and device selection. Knowledge of these complications can provide physicians and other healthcare professionals the ability to maximize patient outcomes.

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与圆柱形导线脊髓刺激器植入体有关的装置相关并发症：全面回顾。

综述目的：脊髓刺激（SCS）是治疗神经病理性疼痛的一种越来越常用的疗法。虽然这种疗法具有微创性和可逆性，但医生在为患者提供这种疗法之前应了解与设备相关的几种重要并发症。本综述旨在综合与圆柱形导联植入有关的设备相关 SCS 并发症的最新研究，并讨论病因、症状和表现、诊断评估、临床影响和治疗方案：设备相关并发症比生物并发症更为常见。本综述涉及的装置相关并发症包括导联移位、导联断裂、导联断开、发生器故障、电荷丢失、发生器翻转、硬件相关疼痛和麻痹不耐受。使用 SCS 仍是治疗神经病理性疼痛的有效方法。在进行 SCS 试验和植入之前考虑并发症是患者管理和设备选择的重要组成部分。了解这些并发症可以让医生和其他医疗保健专业人员最大限度地提高患者的治疗效果。

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

Current Pain and Headache Reports CLINICAL NEUROLOGY-

CiteScore

6.10

自引率

2.70%

发文量

审稿时长

6-12 weeks

期刊介绍： This journal aims to review the most important, recently published clinical findings regarding the diagnosis, treatment, and management of pain and headache. By providing clear, insightful, balanced contributions by international experts, the journal intends to serve all those involved in the care and prevention of pain and headache. We accomplish this aim by appointing international authorities to serve as Section Editors in key subject areas, such as anesthetic techniques in pain management, cluster headache, neuropathic pain, and migraine. Section Editors, in turn, select topics for which leading experts contribute comprehensive review articles that emphasize new developments and recently published papers of major importance, highlighted by annotated reference lists. An international Editorial Board reviews the annual table of contents, suggests articles of special interest to their country/region, and ensures that topics are current and include emerging research. Commentaries from well-known figures in the field are also provided.