TY - JOUR
T1 - Peripheral nerve stimulation: Lead position monitoring by reconstruction CT angiography-A technical report
AU - Klase, Daniel
AU - Bischof, Arpad
AU - Haendler, Goetz
AU - Spuck, Sebastian
AU - Rasche, Dirk
AU - Tronnier, Volker
N1 - Copyright:
Copyright 2009 Elsevier B.V., All rights reserved.
PY - 2009/6
Y1 - 2009/6
N2 - Background: The authors investigated the possibility of improving positioning of stimulation leads in patients with chronic neuropathic peripheral nerve pain and good pain relief from implantation of a peripheral nerve stimulator (PNS). Methods: This pilot study includes four patients suffering from Chronic Regional Pain Syndrome type II (CRPS II) or neuropathic mononeuropathy treated with PNS therapy. The affected extremities and corresponding implantation sites were examined using computer tomographic scans (CT), additional CT angiography (CTA), reconstruction techniques and postprocessing procedures. Results: It was possible to prove a close relation between the implanted device and the neurovascular bundle in each of these cases. Thus, indirect lead position control was obtained. Conclusions: Computer tomographic techniques represent a reliable method for the position control of implanted peripheral nerve electrodes. Hence, this procedure should surpass general radiographies in detecting lead displacements.
AB - Background: The authors investigated the possibility of improving positioning of stimulation leads in patients with chronic neuropathic peripheral nerve pain and good pain relief from implantation of a peripheral nerve stimulator (PNS). Methods: This pilot study includes four patients suffering from Chronic Regional Pain Syndrome type II (CRPS II) or neuropathic mononeuropathy treated with PNS therapy. The affected extremities and corresponding implantation sites were examined using computer tomographic scans (CT), additional CT angiography (CTA), reconstruction techniques and postprocessing procedures. Results: It was possible to prove a close relation between the implanted device and the neurovascular bundle in each of these cases. Thus, indirect lead position control was obtained. Conclusions: Computer tomographic techniques represent a reliable method for the position control of implanted peripheral nerve electrodes. Hence, this procedure should surpass general radiographies in detecting lead displacements.
UR - http://www.scopus.com/inward/record.url?scp=67650383512&partnerID=8YFLogxK
U2 - 10.1007/s00701-009-0299-0
DO - 10.1007/s00701-009-0299-0
M3 - Journal articles
C2 - 19373432
AN - SCOPUS:67650383512
SN - 0001-6268
VL - 151
SP - 663
EP - 667
JO - Acta Neurochirurgica
JF - Acta Neurochirurgica
IS - 6
ER -