Intravascular Injection of Contrast During Lumbar Discography: A Previously Unreported Complication

Intravascular injection of contrast during lumbar discography: a previously unreported complication.

OBJECTIVE Report a case of intravascular contrast injection during lumbar discography. SETTING An academic University spine center. PATIENT Forty-year-old woman with L5-S1 degenerative disk disease and persistent low back pain. INTERVENTION The patient failed to respond to multiple conservative treatments. In consideration of surgical treatment, discography was requested. RESULTS A 22G ...

Progressive corneal vascularisation as a previously unreported complication of neonatal herpes simplex infection.

Complication during ultrasound-guided regional block: accidental intravascular injection of local anesthetic.

ULTRASOUND-GUIDED regional blocks are becoming increasingly popular among anesthesiologists. The ultrasonographic image allows real time visualization of anatomical structures, the progression of the needle, and the spread of the injected local anesthetic (LA). The visualization capabilities of ultrasound guidance (USG) are thought to increase the safety of regional blocks when compared with a ...

A complication during caudal steroid injection.

BACKGROUND AND OBJECTIVE Epidural injections in the lumbar spine are provided by caudal, lumbar interlaminar or transforaminal routes. Caudal epidural steroid injections are often used for low back pain. Fluoroscopic guidance has been frequently cited as a requirement for this procedure. In this case report, we demonstrate the importance of fluoroscopic guidance during caudal epidural injection...

Accuracy of Live Fluoroscopy to Detect Intravascular Injection During Lumbar Transforaminal Epidural Injections

BACKGROUND Complications following lumbar transforaminal epidural injection are frequently related to inadvertent vascular injection of corticosteroids. Several methods have been proposed to reduce the risk of vascular injection. The generally accepted technique during epidural steroid injection is intermittent fluoroscopy. In fact, this technique may miss vascular uptake due to rapid washout. ...