外周神经刺激器导线的针式浸润辅助剥离技术

IF 2.9 3区 医学 Q1 ANESTHESIOLOGY
Pain Medicine Pub Date : 2024-04-11 DOI:10.1093/pm/pnae025
Sam Nia, Alexandra Adler, Pascal Scemama, Bhavana Yalamuru
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引用次数: 0

摘要

导言:外周神经刺激是一种神经调节方式,越来越多地被用于治疗慢性疼痛。永久性周围神经刺激器系统虽然易于植入,但其设计目的是在植入部位留有疤痕。有关外周神经刺激器剥离技术的文献很少。方法 在本报告中,介绍了一种针头浸润辅助引线剥离技术。这种新型技术创伤小、成本低,并结合使用了透视和超声成像技术。结论 在许多情况下,可能需要对永久性外周神经刺激器进行剥离,如感染、导线侵蚀、患者要求或患者需要接受磁共振成像(MRI)检查。针对这些情况,我们提出了一种安全、有效且易于复制的新型针头浸润辅助剥离技术。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Needle infiltration assisted explantation technique for peripheral nerve stimulator leads
Introduction Peripheral nerve stimulation is a neuromodulation modality that is increasing used to treat chronic pain. The permanent peripheral nerve stimulator systems, while easy to place are designed to stay in place and scar at the implantation site. There is a paucity of literature on explantation techniques for peripheral nerve stimulators. Methods In this report describe a needle infiltration assisted technique for lead explantation. This novel technique is minimally invasive, cost effective and utilizes a combination of fluoroscopy and ultrasound imaging. We describe the successful use of this technique in 3 cases in our practice without any adverse events Conclusion There are many situations which might require a permanent peripheral nerve stimulator to be explanted such as infection, lead erosion, patient request or need for patient to undergo magnetic resonance imaging (MRI). In these scenarios, we propose a novel needle infiltration assisted technique of explantation that is safe, effective and easy to replicate.
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来源期刊
Pain Medicine
Pain Medicine 医学-医学:内科
CiteScore
6.50
自引率
3.20%
发文量
187
审稿时长
3 months
期刊介绍: Pain Medicine is a multi-disciplinary journal dedicated to pain clinicians, educators and researchers with an interest in pain from various medical specialties such as pain medicine, anaesthesiology, family practice, internal medicine, neurology, neurological surgery, orthopaedic spine surgery, psychiatry, and rehabilitation medicine as well as related health disciplines such as psychology, neuroscience, nursing, nurse practitioner, physical therapy, and integrative health.
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