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Published in: Pain and Therapy 1/2020

Open Access 01-06-2020 | Spinal Cord Stimulation | Images in Practice

Images in Practice: Successful Recapture of Spinal Cord Stimulator Paresthesia Coverage via Generator Reprogramming in a Patient with a Severely Displaced Percutaneous Trial Lead

Authors: Ruben H. Schwartz, Ivan Urits, Marc Solomon, Vwaire Orhurhu, Alan D. Kaye, Omar Viswanath

Published in: Pain and Therapy | Issue 1/2020

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Excerpt

Migration of percutaneously implanted leads during spinal cord stimulator (SCS) trial is a significant complication that can substantially decrease the efficacy of spinal stimulation and subsequently affect the overall efficacy of the trial period.
The ability to recognize this via fluoroscopy and troubleshoot accordingly can potentially salvage the trial period still resulting in a successful overall trial.
Interventional pain medicine physicians should be quick to utilize fluoroscopy to assess location of the percutaneous leads during the trial period whenever there is a sudden, acute loss of paresthesia coverage.
Literature
1.
go back to reference Gazelka HM, Freeman ED, Hooten WM, et al. Incidence of clinically significant percutaneous spinal cord stimulator lead migration. Neuromodulation. 2015;18(2):123–5.CrossRef Gazelka HM, Freeman ED, Hooten WM, et al. Incidence of clinically significant percutaneous spinal cord stimulator lead migration. Neuromodulation. 2015;18(2):123–5.CrossRef
2.
go back to reference Osborne Michael D, Ghazi Salim M, Palmer Scott C, Boone Katherine M, Sletten Christopher D, Nottmeier Eric W. Spinal cord stimulator—trial lead migration study. Pain Med. 2011;12(2):204–8.CrossRef Osborne Michael D, Ghazi Salim M, Palmer Scott C, Boone Katherine M, Sletten Christopher D, Nottmeier Eric W. Spinal cord stimulator—trial lead migration study. Pain Med. 2011;12(2):204–8.CrossRef
Metadata
Title
Images in Practice: Successful Recapture of Spinal Cord Stimulator Paresthesia Coverage via Generator Reprogramming in a Patient with a Severely Displaced Percutaneous Trial Lead
Authors
Ruben H. Schwartz
Ivan Urits
Marc Solomon
Vwaire Orhurhu
Alan D. Kaye
Omar Viswanath
Publication date
01-06-2020
Publisher
Springer Healthcare
Published in
Pain and Therapy / Issue 1/2020
Print ISSN: 2193-8237
Electronic ISSN: 2193-651X
DOI
https://doi.org/10.1007/s40122-019-00142-7

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