CT-Fluoroscopic Cervical Transforaminal Epidural Steroid Injections: Extraforaminal Needle Tip Position Decreases Risk of Intravascular Injection
نویسندگان
چکیده
منابع مشابه
CT-Fluoroscopic Cervical Transforaminal Epidural Steroid Injections: Extraforaminal Needle Tip Position Decreases Risk of Intravascular Injection.
BACKGROUND AND PURPOSE Cervical transforaminal epidural steroid injections are commonly performed for temporary pain relief or diagnostic presurgical planning in patients with cervical radiculopathy. Intravascular injection of steroids during the procedure can potentially result in cord infarct, stroke, and even death. CT-fluoroscopy allows excellent anatomic resolution and precise needle posit...
متن کاملCervical transforaminal epidural steroid injections
(TFESIs) play an important role in the conservative treatment of the symptoms of neck pain with a radicular component secondary to cervical herniated intervertebral disc (HIVD) or spinal stenosis (1-3). Although some investigators have reported no serious complications resulting from the use of cervical TFESIs, recent reports emphasize the risks of this procedure, including a high incidence of ...
متن کاملComparison of incidence of intravascular injections during transforaminal epidural steroid injection using different needle types
BACKGROUND Infrequent but serious complications of transforaminal epidural steroid injection (TFESI) occur due to inadvertent intravascular injections. A few studies reported that the different needle types can influence on the occurrences of intravascular incidence in TFESI. This study prospectively evaluated whether short-bevel needle can reduce the incidences of intravascular injection of TF...
متن کاملCT-guided cervical transforaminal steroid injections: where should the needle tip be located?
BACKGROUND AND PURPOSE The aim of CT-guided CTSI is to inject medication into the foraminal region where the nerve root is inflamed. The optimal location for needle placement and therapeutic delivery, however, remain uncertain. The purpose of this study was to investigate how needle positioning and angle of approach impact the transforaminal distribution of injectate. MATERIALS AND METHODS We...
متن کاملIncidence of intravascular penetration in transforaminal lumbosacral epidural steroid injections.
STUDY DESIGN A prospective, observational, human, in vivo study. OBJECTIVES To evaluate the incidence of vascular penetration during fluoroscopically guided, contrast-enhanced, transforaminal lumbar epidural steroid injections (ESIs) and determine whether a "flash" (blood in the needle hub) or aspiration of blood can be used to predict a vascular injection. SUMMARY OF BACKGROUND DATA Incorr...
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ژورنال
عنوان ژورنال: American Journal of Neuroradiology
سال: 2015
ISSN: 0195-6108,1936-959X
DOI: 10.3174/ajnr.a4603