Directional electrodes in deep brain stimulation: Results of a survey by the European Association of Neurosurgical Societies (EANS)
Introduction: Directional Leads (dLeads) represent a new technical tool in Deep Brain Stimulation (DBS), and a rapidly growing population of patients receive dLeads. Research question: The European Association of Neurosurgical Societies(EANS) functional neurosurgery Task Force on dLeads conducted a...
| Main Authors: | , , , , , , , , , , , , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2024-01-01
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| Series: | Brain and Spine |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2772529424000122 |
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| author | P. Krauss P. Duarte-Batista M.G. Hart J.M. Avecillas-Chasin M.M. Bercu V. Hvingelby F. Massey L. Ackermans P.L. Kubben N.A. van der Gaag M.T. Krüger Olaf E.M.G. Schijns Tom Theys Dirk van Roost Daniel Delev Kostas Fountas Karl Rössler Antonio Goncalves Ferreira Tipu Aziz Francois Alesch Yaroslav Parpaley Ersoy Kocabicak Andrey Sitnikov Oystein Tveiten Marec von Lehe |
| author_facet | P. Krauss P. Duarte-Batista M.G. Hart J.M. Avecillas-Chasin M.M. Bercu V. Hvingelby F. Massey L. Ackermans P.L. Kubben N.A. van der Gaag M.T. Krüger Olaf E.M.G. Schijns Tom Theys Dirk van Roost Daniel Delev Kostas Fountas Karl Rössler Antonio Goncalves Ferreira Tipu Aziz Francois Alesch Yaroslav Parpaley Ersoy Kocabicak Andrey Sitnikov Oystein Tveiten Marec von Lehe |
| author_sort | P. Krauss |
| collection | DOAJ |
| description | Introduction: Directional Leads (dLeads) represent a new technical tool in Deep Brain Stimulation (DBS), and a rapidly growing population of patients receive dLeads. Research question: The European Association of Neurosurgical Societies(EANS) functional neurosurgery Task Force on dLeads conducted a survey of DBS specialists in Europe to evaluate their use, applications, advantages, and disadvantages. Material and methods: EANS functional neurosurgery and European Society for Stereotactic and Functional Neurosurgery (ESSFN) members were asked to complete an online survey with 50 multiple-choice and open questions on their use of dLeads in clinical practice. Results: Forty-nine respondents from 16 countries participated in the survey (n = 38 neurosurgeons, n = 8 neurologists, n = 3 DBS nurses). Five had not used dLeads. All users reported that dLeads provided an advantage (n = 23 minor, n = 21 major). Most surgeons (n = 35) stated that trajectory planning does not differ when implanting dLeads or conventional leads. Most respondents selected dLeads for the ability to optimize stimulation parameters (n = 41). However, the majority (n = 24), regarded time-consuming programming as the main disadvantage of this technology. Innovations that were highly valued by most participants included full 3T MRI compatibility, remote programming, and closed loop technology. Discussion and conclusion: Directional leads are widely used by European DBS specialists. Despite challenges with programming time, users report that dLeads have had a positive impact and maintain an optimistic view of future technological advances. |
| first_indexed | 2024-03-08T03:35:26Z |
| format | Article |
| id | doaj.art-90a9f59e4f1e4a10878ef3be906f3266 |
| institution | Directory Open Access Journal |
| issn | 2772-5294 |
| language | English |
| last_indexed | 2024-03-08T03:35:26Z |
| publishDate | 2024-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Brain and Spine |
| spelling | doaj.art-90a9f59e4f1e4a10878ef3be906f32662024-02-10T04:45:46ZengElsevierBrain and Spine2772-52942024-01-014102756Directional electrodes in deep brain stimulation: Results of a survey by the European Association of Neurosurgical Societies (EANS)P. Krauss0P. Duarte-Batista1M.G. Hart2J.M. Avecillas-Chasin3M.M. Bercu4V. Hvingelby5F. Massey6L. Ackermans7P.L. Kubben8N.A. van der Gaag9M.T. Krüger10Olaf E.M.G. Schijns11Tom Theys12Dirk van Roost13Daniel Delev14Kostas Fountas15Karl Rössler16Antonio Goncalves Ferreira17Tipu Aziz18Francois Alesch19Yaroslav Parpaley20Ersoy Kocabicak21Andrey Sitnikov22Oystein Tveiten23Marec von Lehe24Department of Neurosurgery, University Hospital Augsburg, Augsburg, Germany; Corresponding author.Neurosurgery Department, North Lisbon University Hospital Centre, Lisbon, PortugalSt George's, University of London & St George's University Hospitals NHS Foundation Trust, Institute of Molecular and Clinical Sciences, Neurosciences Research Centre, Cranmer Terrace, London, United KingdomDepartment of Neurosurgery. University of Nebraska Medical Center. Omaha, Nebraska, USADepartment of Pediatric Neurosurgery, Helen DeVos Children's Hospital, Corewell, USADepartment of Clinical Medicine - Nuclear Medicine and PET Center, Aarhus University, Aarhus, DenmarkUnit of Neurosurgery, National Hospital of Neurology and Neurosurgery, London, United KingdomDepartment of Neurosurgery, Maastricht University Medical Center, Maastricht, the NetherlandsDepartment of Neurosurgery, Maastricht University Medical Center, Maastricht, the NetherlandsDepartment of Neurosurgery, Haga Teaching Hospital, The Hague, the Netherlands; Department of Neurosurgery, Leiden University Medical Center, Leiden, the NetherlandsUnit of Neurosurgery, National Hospital of Neurology and Neurosurgery, London, United Kingdom; Department of Neurosurgery, University Medical Centre Freiburg, GermanyDepartment of Neurosurgery, University hospital Leuven, BelgiumDepartment of Neurosurgery, University hospital Leuven, BelgiumDepartment of Neurosurgery, University hospital Ghent, BelgiumDepartment of Neurosurgery, University hospital Aachen, GermanyDepartment of Neurosurgery, University hospital Larissa, GreeceDepartment of Neurosurgery, Medical University of Vienna, Vienna, AustriaDepartment of Neurosurgery, Hospital Santa Maria, Lisbon, PortugalDepartment of Neurosurgery, John Radcliffe hospital, Oxford, United KingdomDepartment of Neuromodulation, Zwickau, GermanyDepartment of Neurosurgery, University hospital Bochum, GermanyDepartment of Neurosurgery, University Samsun, TurkeyDepartment of Neurosurgery, Federal centre of treatment and rehabilitation, Moscow, RussiaDepartment of Neurosurgery, Haukeland university hospital, Bergen, NorwayDepartment of Neurosurgery, Ruppiner Kliniken, Neuruppin, GermanyIntroduction: Directional Leads (dLeads) represent a new technical tool in Deep Brain Stimulation (DBS), and a rapidly growing population of patients receive dLeads. Research question: The European Association of Neurosurgical Societies(EANS) functional neurosurgery Task Force on dLeads conducted a survey of DBS specialists in Europe to evaluate their use, applications, advantages, and disadvantages. Material and methods: EANS functional neurosurgery and European Society for Stereotactic and Functional Neurosurgery (ESSFN) members were asked to complete an online survey with 50 multiple-choice and open questions on their use of dLeads in clinical practice. Results: Forty-nine respondents from 16 countries participated in the survey (n = 38 neurosurgeons, n = 8 neurologists, n = 3 DBS nurses). Five had not used dLeads. All users reported that dLeads provided an advantage (n = 23 minor, n = 21 major). Most surgeons (n = 35) stated that trajectory planning does not differ when implanting dLeads or conventional leads. Most respondents selected dLeads for the ability to optimize stimulation parameters (n = 41). However, the majority (n = 24), regarded time-consuming programming as the main disadvantage of this technology. Innovations that were highly valued by most participants included full 3T MRI compatibility, remote programming, and closed loop technology. Discussion and conclusion: Directional leads are widely used by European DBS specialists. Despite challenges with programming time, users report that dLeads have had a positive impact and maintain an optimistic view of future technological advances.http://www.sciencedirect.com/science/article/pii/S2772529424000122Deep brain stimulationDBSDirectionalitydLeadsSteeringSurvey |
| spellingShingle | P. Krauss P. Duarte-Batista M.G. Hart J.M. Avecillas-Chasin M.M. Bercu V. Hvingelby F. Massey L. Ackermans P.L. Kubben N.A. van der Gaag M.T. Krüger Olaf E.M.G. Schijns Tom Theys Dirk van Roost Daniel Delev Kostas Fountas Karl Rössler Antonio Goncalves Ferreira Tipu Aziz Francois Alesch Yaroslav Parpaley Ersoy Kocabicak Andrey Sitnikov Oystein Tveiten Marec von Lehe Directional electrodes in deep brain stimulation: Results of a survey by the European Association of Neurosurgical Societies (EANS) Brain and Spine Deep brain stimulation DBS Directionality dLeads Steering Survey |
| title | Directional electrodes in deep brain stimulation: Results of a survey by the European Association of Neurosurgical Societies (EANS) |
| title_full | Directional electrodes in deep brain stimulation: Results of a survey by the European Association of Neurosurgical Societies (EANS) |
| title_fullStr | Directional electrodes in deep brain stimulation: Results of a survey by the European Association of Neurosurgical Societies (EANS) |
| title_full_unstemmed | Directional electrodes in deep brain stimulation: Results of a survey by the European Association of Neurosurgical Societies (EANS) |
| title_short | Directional electrodes in deep brain stimulation: Results of a survey by the European Association of Neurosurgical Societies (EANS) |
| title_sort | directional electrodes in deep brain stimulation results of a survey by the european association of neurosurgical societies eans |
| topic | Deep brain stimulation DBS Directionality dLeads Steering Survey |
| url | http://www.sciencedirect.com/science/article/pii/S2772529424000122 |
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