Document Detail

Risk of intravascular injection in transforaminal epidural injections.
MedLine Citation:
PMID:  20645947     Owner:  NLM     Status:  MEDLINE    
Transforaminal epidural injection is an effective method for treating spinal pain but can cause devastating complications that result from accidental vascular uptake of the injectate or a direct vascular injury. We prospectively evaluated the patient factors that might be associated with intravascular uptake during transforaminal epidural injections. A total of 2145 injections were performed on 1088 patients under contrast-enhanced real-time fluoroscopic guidance. The collected data included the patient's age, sex, body mass index, diagnosis, injection level, side of injection, history of spinal surgery at the targeted level, and the number of injections at the targeted site. The overall incidence of intravascular injection was 10.5% (224/2145). The highest incidence was at the cervical level (28/136; 20.6%), followed by the sacral level (111/673; 16.5%), the thoracic level (23/280; 8.2%) and the lumbar level (64/1056; 6.1%). The difference was significant for the cervical and sacral level compared with the lumbar and thoracic levels (p < 0.001). Intravascular injection was not associated with the other patient characteristics studied.
F S Nahm; C J Lee; S H Lee; T H Kim; W S Sim; H S Cho; S Y Park; Y C Kim; S C Lee
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Anaesthesia     Volume:  65     ISSN:  1365-2044     ISO Abbreviation:  Anaesthesia     Publication Date:  2010 Sep 
Date Detail:
Created Date:  2011-01-04     Completed Date:  2011-01-24     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0370524     Medline TA:  Anaesthesia     Country:  England    
Other Details:
Languages:  eng     Pagination:  917-21     Citation Subset:  AIM; IM    
Copyright Information:
© 2010 The Authors. Journal compilation © 2010 The Association of Anaesthetists of Great Britain and Ireland.
Department of Anaesthesiology and Pain Medicine, Bundang Hospital, Seoul National University, Seongnam, Republic of Korea.
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MeSH Terms
Anesthetics, Local / administration & dosage*
Back Pain / etiology,  therapy*
Blood Vessels / injuries*
Injections, Epidural / adverse effects
Lidocaine / administration & dosage*
Middle Aged
Prospective Studies
Risk Factors
Reg. No./Substance:
0/Anesthetics, Local; 137-58-6/Lidocaine

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