CT-guided transforaminal cervical and lumbar epidural injections - 08/09/12
, S. Setbon a, A. Larde a, E. Malaquin a, B. Vanden Abeele a, J. Bocquet b
Corresponding author.
Benvenuto su EM|consulte, il riferimento dei professionisti della salute.
Articolo gratuito.
Si connetta per beneficiarne
Abstract |
Transforaminal injections are widely used. Serious complications including strokes and paraplegia have been reported after transforaminal injections of corticosteroids, and the Afssaps (2011) has issued a warning about their use [1]. The needle must be positioned in the posterior aspect of foramen, and its correct placement validated by an injection of contrast product. It is preferable to choose cortivazol (Altim®) as the corticoid for injection. This procedure is simple, reproducible, and durably effective in 60 to 70% of cases. Complications and adverse effects are rare but potentially serious: allergies, blood pressure surge, vasovagal syncope, transient exacerbation of pain, infection, stroke, and paraplegia. The aim of this course is to stress the need for rigor — in the indication, the technical performance of the procedure, and the overall management of the patient.
Il testo completo di questo articolo è disponibile in PDF.Keywords : Spine, Cervical, Lumbosacral roots, Interventional radiology, Complications
Mappa
Vol 93 - N° 9
P. 704-710 - Settembre 2012 Ritorno al numero
Articolo precedente
- Spinal injections: Medico-legal and insurance considerations
- V. Hazebroucq
- Approaches in injections for radicular pain: The transforaminal, epidural and transfacet approaches
- P. Brunner, N. Amoretti, F. Soares, E. Brunner, É. Cazaux, O. Brocq, S. Chanalet, M. Liberatore, J.-M. Cucchi, M.-Y. Mourou, G. Michelozzi, C. Robino
Benvenuto su EM|consulte, il riferimento dei professionisti della salute.