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Case Reports
Hypodermis Tension Loop: A New Preventative Measure for Lead Migration in the Morbidly Obese.
- Sayed E Wahezi and Jay M Shah.
- Montefiore Medical Center/Albert Einstein College of Medicine, Bronx, NY, USA.
- Pain Physician. 2015 Nov 1; 18 (6): E1123-6.
AbstractElectrode migration/displacement is reported to be the most common complication of spinal cord stimulator (SCS) implantation, with the literature reporting incidences from 13.2% to 22.6%. There have been numerous publications describing techniques preventing lead migration, with most involving tying leads to skin and fascia for trial and permanent leads, respectively. However, few have addressed how to prevent migration in the case of hypermobile tissue seen in the morbidly obese. We describe the creation of subcutaneous tension loops to prevent lead migration.
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