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Comparison of incidence of intravascular injections during transforaminal epidural steroid injection using different needle types

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Author(s)
Ji Hee HongYong Ho Lee
Keimyung Author(s)
Hong, Ji Hee
Department
Dept. of Anesthesiology & Pain Medicine (마취통증의학)
Journal Title
Korean Journal of Anesthesiology
Issued Date
2014
Volume
67
Issue
3
Abstract
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 TFESI compared to long-bevel needles. METHODS: From March 2013 to December 2013, 239 consecutive patients were enrolled and received 249 fluoroscopically guided TFESI using the classic technique. Confirmation of intravascular spread was done initially with real time fluoroscopy and then with digital subtraction angiography method in a same patient. Injection technique for TFESI was the same for both short-bevel and long-bevel needle types. RESULTS: The incidences of intravascular injections with the long-bevel and short-bevel needles were 15.0% (21/140) and 9.2% (4/140), respectively. More than half of intravascular injections occurred simultaneously with epidural injections (8.0%, 20/249). There were no statistically significant differences between the long-bevel and the short-bevel needles in the rates of intravascular injections (P = 0.17). CONCLUSIONS: Short-bevel needles did not demonstrate any benefits in reducing the incidence of intravascular injection.
Keimyung Author(s)(Kor)
홍지희
Publisher
School of Medicine
Citation
Ji Hee Hong and Yong Ho Lee. (2014). Comparison of incidence of intravascular injections during transforaminal epidural steroid injection using different needle types. Korean Journal of Anesthesiology, 67(3), 193–197. doi: 10.4097/kjae.2014.67.3.193
Type
Article
ISSN
2005-6419
DOI
10.4097/kjae.2014.67.3.193
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/38510
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Anesthesiology & Pain Medicine (마취통증의학)
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