Document Detail


An intrathecally located broken catheter used for an intrathecal drug delivery system.
MedLine Citation:
PMID:  23091331     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The intrathecal drug delivery system (ITDDS), an effective treatment tool for intractable spasticity and pain, is associated with various complications but breakage of the catheter is rare. We report the case of a 50-yr-old man with ITDDS, in whom an intrathecal catheter was severed, resulting in a 28.6-cm-long intrathecal fragment. The catheter completely retracted into the intrathecal space from the anchor site. The catheter was severed during spine flexion, and the total distal fragment was repositioned in the intrathecal space. Although the outcome of ITDDS was associated with the length or diameter of the broken catheter, no neurologic complications occurred in our patient. Thus, we inserted another catheter instead of removing the old one. Thereafter, the patient has been regularly followed up, and no neurologic complications have developed during the 28 months.
Authors:
Jae Hun Kim; Francis Sangun Nahm; Jee Eun Chang; Soo Young Park; Yong Chul Kim; Sang Chul Lee
Publication Detail:
Type:  Case Reports; Journal Article     Date:  2012-10-02
Journal Detail:
Title:  Journal of Korean medical science     Volume:  27     ISSN:  1598-6357     ISO Abbreviation:  J. Korean Med. Sci.     Publication Date:  2012 Oct 
Date Detail:
Created Date:  2012-10-23     Completed Date:  2013-05-09     Revised Date:  2013-07-11    
Medline Journal Info:
Nlm Unique ID:  8703518     Medline TA:  J Korean Med Sci     Country:  Korea (South)    
Other Details:
Languages:  eng     Pagination:  1278-81     Citation Subset:  IM    
Affiliation:
Department of Anesthesiology and Pain Medicine, Konkuk University Hospital, Seoul, Korea.
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MeSH Terms
Descriptor/Qualifier:
Brachial Plexus / injuries
Catheters
Drug Delivery Systems
Equipment Failure*
Fluoroscopy
Humans
Infusion Pumps, Implantable / adverse effects*
Injections, Spinal / instrumentation
Male
Middle Aged
Morphine / therapeutic use
Pain / drug therapy*,  etiology
Chemical
Reg. No./Substance:
57-27-2/Morphine
Comments/Corrections

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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