• Stereotact Funct Neurosurg · Jan 2011

    Case Reports

    A technique of distal to proximal revision of peripheral neurostimulator leads: technical note.

    • Antonios Mammis and Alon Y Mogilner.
    • Department of Neurosurgery, Cushing Neurosciences Institutes, Hofstra University School of Medicine and North Shore University Hospital, Manhasset, NY, USA.
    • Stereotact Funct Neurosurg. 2011 Jan 1;89(2):65-9.

    BackgroundPeripheral nerve stimulation for chronic pain states is a safe and efficacious technique, being used with increasing frequency. The incidence of hardware-related complications requiring revision remains high.ObjectivesThe authors describe a technique of distal to proximal neurostimulator lead revision, which does not require the changing of generators or extension leads, and thus presumably will minimize further device-related complications.MethodsThe authors present a case series of 3 patients where the distal to proximal neurostimulator lead revision technique was utilized.ResultsThe technique was well tolerated in each instance and all patients reported >50% pain reduction at long-term follow-up.ConclusionsThe distal to proximal neurostimulator lead revision technique quickly and safely adjusts lead position, including both lead depth and lead tip location, without a need for replacement of components or revision of the entire system.Copyright © 2011 S. Karger AG, Basel.

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