A Novel Percutaneous Technique to Implant Plate-Type Electrodes

D. Logé; O. De Coster; W. Pollet; T. Vancamp

doi:10.1055/s-0031-1287830

min - Minimally Invasive Neurosurgery, Inhaltsverzeichnis

Minim Invasive Neurosurg 2011; 54(05/06): 219-222
DOI: 10.1055/s-0031-1287830

Original Article

A Novel Percutaneous Technique to Implant Plate-Type Electrodes

D. Logé

¹Department of Anesthesiology and Pain Management, A.Z. St. Lucas, Gent, Belgium

,

O. De Coster

²Department of Anesthesiology and Pain Management, Stedelijk Ziekenhuis Roeselare, Roeselare, Belgium

,

W. Pollet

³St. Jude Medical Coordination Center, Zaventem, Belgium

,

T. Vancamp

⁴BRAI 2 N & Department of Neurosurgery, University Hospital Antwerp, Antwerp, Belgium

› Institutsangaben

Abstract

Background:

In spinal cord stimulation (SCS) mainly 2 distinctive implantation techniques can be recognized: the percutaneous and surgical technique.

Material and Methods:

A puncture is made with a blunt 14 gauge Tuohy needle. Once inside the epidural space the guide wire needs to be advanced in the epidural space, then the Tuohy needle is removed. The Epiducer is advanced under the guidance of lateral fluoroscopy, to confirm epidural entry. The S-series electrode is introduced through the sheet in the epidural space.

Conclusion:

We present a novel technique to introduce small profile paddle leads (S-Series^TM: St. Jude Medical – Neuromodulation Division, Plano, TX) in the epidural space via a percutaneous approach using the Epiducer^TM (St. Jude Medical – Neuromodulation Division, Plano, TX) lead delivery system.

Key words

SCS - percutaneous access - plate electrode - Epiducer^TM - perc-paddle lead

Volltext

Referenzen

References
1 Vangeneugden J. Implantation of surgical electrodes for spinal cord stimulation: classical midline laminotomy technique versus minimal invasive unilateral technique combined with spinal anaesthesia. Acta Neurochir Suppl 2007; 97: 111-114
2 Beems T, van Dongen RTM. Minimally invasive placement of epidural plate electrodes under local anaesthesia in spinal cord stimulation. Acta Neurochir Suppl 2007; 97: 105-109
3 North RB, Kidd DH, Olin JC et al. Spinal cord stimulation electrode design: Prospective, randomized, controlled trial comparing percutaneous and laminectomy electrodes – Part 1: Technical outcomes. Neurosurgery 2002; 51: 381-390
4 Logé D, De Coster O, Washburn S. A retrospective data collection study to evaluate the feasibility and safety of percutaneous introduction of a narrow paddle lead into the epidural space. Poster presented at the World Pain Congress (WIP), 2009 March 13–16; New York, USA
5 Logé D, De Coster O. A prospective evaluation to assess the safety of using a newly developed delivery system for percutaneous introduction of SCS paddle leads into the epidural space. Poster presented at the The North Americal Neuromodulation Society’s 13^th Annual Meeting, 2009 December 3–6; Las Vegas, USA