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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 저널정보
- 영남대학교 의과대학 Journal of Yeungnam Medical Science Yeungnam University Journal of Medicine 제36권 제2호
- 발행연도
- 2019.1
- 수록면
- 109 - 114 (6page)
이용수
초록· 키워드
오류제보하기
Background: Transforaminal epidural block (TFEB) is an effective treatment option for radicular pain. To reduce complications from intravascular injection during TFEB, use of imaging modalities such as real-time fluoroscopy (RTF) or digital subtraction angiography (DSA) has been recommended. In this study, we investigated whether DSA improved the detection of intravascular injection during TFEB at the whole spine level compared to RTF. Methods: We prospectively examined 316 patients who underwent TFEB. After confirmation of final needle position using biplanar fluoroscopy, 2 mL of nonionic contrast medium was injected at a rate of 0.5 mL/s under RTF; 30 s later, 2 mL of nonionic contrast medium was injected at a rate of 0.5 mL/s under DSA. Results: Thirty-six intravascular injections were detected for an overall rate of 11.4% using RTF, with 45 detected for a rate of 14.2% using DSA. The detection rate using DSA was statistically different from that using RTF (p=0.004). DSA detected a significantly higher proportion of intravascular injections at the cervical level than at the thoracic (p=0.009) and lumbar (p=0.011) levels. Conclusion: During TFEB at the whole spine level, DSA was better than RTF for the detection of intravascular injection. Special attention is advised for cervical TFEB, because of a significantly higher intravascular injection rate at this level than at other levels.
목차
등록된 정보가 없습니다.
참고문헌 (25)
참고문헌 신청
Laxmaiah Manchikanti / 2015 / Comparison of the Efficacy of Caudal, Interlaminar, and Transforaminal Epidural Injections in Managing Lumbar Disc Herniation: Is One Method Superior to the Other? / The Korean Journal of Pain 28(1):11~21
Schaufele MK / 2006 / Interlaminar versus transforaminal epidural injections for the treatment of symptomatic lumbar intervertebral disc herniations / Pain Physician 9:361~366
Goodman BS / 2008 / Complications and pitfalls of lumbar interlaminar and transforaminal epidural injections / Curr Rev Musculoskelet Med 1:212~222
Waldman SD / 1989 / Complications of cervical epidural nerve blocks with steroids: a prospective study of 790 consecutive blocks / Reg Anesth 14:149~151
Manchikanti L / 2012 / Complications of fluoroscopically directed facet joint nerve blocks: a prospective evaluation of 7,500 episodes with 43,000 nerve blocks / Pain Physician 15:E143~E150
Schaufele MK / 2006 / Interlaminar versus transforaminal epidural injections for the treatment of symptomatic lumbar intervertebral disc herniations / Pain Physician 9:361~366
Goodman BS / 2008 / Complications and pitfalls of lumbar interlaminar and transforaminal epidural injections / Curr Rev Musculoskelet Med 1:212~222
Waldman SD / 1989 / Complications of cervical epidural nerve blocks with steroids: a prospective study of 790 consecutive blocks / Reg Anesth 14:149~151
Manchikanti L / 2012 / Complications of fluoroscopically directed facet joint nerve blocks: a prospective evaluation of 7,500 episodes with 43,000 nerve blocks / Pain Physician 15:E143~E150
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