Neuromodulation : journal of the International Neuromodulation Society
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Spinal cord stimulator (SCS) infections are common (2.5-13%) and may cause harm. It is unclear if a screening trial with definitive leads presents an increased infection risk. ⋯ Our infection rate (4.8%) compared favorably with our previous survey (7.5%). The reduced number of SCS infections is likely to be due to: strict asepsis, double layer hydrocolloid dressing during the trial, prophylactic antibiotics, operator experience, and patient education. Two-stage procedures with extended trials do not seem to increase the incidence of SCS infections.
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Case Reports
The use of laminectomy for the placement of a percutaneous spinal cord stimulation electrode.
The placement of a percutaneous electrode for trial stimulation to evaluate the effectiveness of spinal cord stimulation can be impossible because of epidural adhesions from previous spinal surgeries. The authors would like to describe a combination of techniques in order to place a percutaneous lead for a test phase. ⋯ This case demonstrates the possibility to use a combination of an open and percutaneous technique for trial spinal cord stimulation in patients with prior operations in the target area of stimulation.
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Case Reports
Repositioning of supraorbital nerve stimulation electrode using retrograde needle insertion: a technical note.
With growing interest and acceptance of peripheral nerve stimulation (PNS) approach, there is now an increasing need in developing clear procedural details to resolve frequent complications and minimize associated tissue injury. Migration and suboptimal positioning of PNS electrodes are one of the most commonly observed complications of PNS approach. ⋯ This technically simple approach to repositioning of cylindrical supraorbital electrodes using retrograde needle insertion eliminates the need for a more elaborate and invasive procedure. The technique can be used for electrode repositioning in most PNS applications.
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Case Reports
Abdominal angina due to obstruction of mesenteric artery treated with spinal cord stimulation: a clinical case.
Abdominal angina occurs in patients affected by mesenteric artery obstruction, causing postprandial episodes of visceral pain. The conventional treatment consists of vessels revascularization, but sometimes this is not applicable. ⋯ Spinal cord stimulation may be considered for abdominal angina, although there is still no evidence provided by controlled studies.