| Intravascular uptake during fluoroscopically guided cervical interlaminar steroid injection at C6-7: a case report. | |
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MedLine Citation:
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PMID: 18295636 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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We report 4 cases of intravascular venous uptake of contrast material during fluoroscopically guided cervical interlaminar epidural steroid injection at the C6-7 level. The blood vessel probably involved is the posterior internal vertebral venous plexus, which drains the interlaminar space and returns blood to the right atrium through the paired vertebral veins and right and left brachiocephalic veins. In all 4 cases, intravascular uptake occurred despite negative aspiration of blood before the contrast material was injected. All patients were successfully injected at the C7-T1 level. We recommend the use of fluoroscopic guidance and the injection of contrast to identify potential placement of the injection needle within the vascular space. Potential complications of intravascular venous uptake of contrast material and steroid solution are discussed. |
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Authors:
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Mark S Kaplan; Joseph Cunniff; John Cooke; Jeremy Giere Collins |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Archives of physical medicine and rehabilitation Volume: 89 ISSN: 1532-821X ISO Abbreviation: Arch Phys Med Rehabil Publication Date: 2008 Mar |
Date Detail:
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Created Date: 2008-02-25 Completed Date: 2008-03-12 Revised Date: 2008-06-16 |
Medline Journal Info:
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Nlm Unique ID: 2985158R Medline TA: Arch Phys Med Rehabil Country: United States |
Other Details:
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Languages: eng Pagination: 553-8 Citation Subset: AIM; IM |
Affiliation:
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Department of Orthopaedics and Physical Rehabilitation, Worcester, MA 01605-2982, USA. MarkSKaplanMD@comcast.net |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Cervical Vertebrae* Contrast Media / adverse effects Extravasation of Diagnostic and Therapeutic Materials / blood* Female Fluoroscopy / methods Follow-Up Studies Humans Injections, Epidural Male Middle Aged Risk Assessment Sampling Studies Sensitivity and Specificity Spinal Stenosis / drug therapy*, radiography Steroids / administration & dosage* |
| Chemical | |
Reg. No./Substance:
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0/Contrast Media; 0/Steroids |
| Comments/Corrections | |
Erratum In:
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Arch Phys Med Rehabil. 2008 Jun;89(6):1206 Note: Cunniff, Joseph [added] |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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