Acta neurochirurgica
-
Acta neurochirurgica · Nov 2015
ReviewVagus nerve stimulation lead removal or replacement: surgical technique, institutional experience, and literature overview.
With the growing use of vagus nerve stimulation (VNS) as a treatment for refractory epilepsy, there is a growing demand for complete removal or replacement of the VNS system. We evaluate the safety and efficacy of complete removal or replacement of the VNS system and provide an extensive description of our surgical technique. ⋯ Complete removal or replacement of the VNS system including lead and coils is feasible and safe. Although initial results seem promising, further research and longer follow-up are needed to assess whether lead replacement may affect VNS effectiveness.