Comparison of incidence of intravascular injections during transforaminal epidural steroid injection using different needle types
BackgroundInfrequent but serious complications of transforaminal epidural steroid injection (TFESI) occur due to inadvertent intravascular injections. A few studies reported that the different needle types can influence on the occurrences of intravascular incidence in TFESI. This study prospectively...
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| Format: | Article |
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Korean Society of Anesthesiologists
2014-09-01
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| Series: | Korean Journal of Anesthesiology |
| Subjects: | |
| Online Access: | http://ekja.org/upload/pdf/kjae-67-193.pdf |
| _version_ | 1819228865141145600 |
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| author | Ji Hee Hong Yong Ho Lee |
| author_facet | Ji Hee Hong Yong Ho Lee |
| author_sort | Ji Hee Hong |
| collection | DOAJ |
| description | BackgroundInfrequent but serious complications of transforaminal epidural steroid injection (TFESI) occur due to inadvertent intravascular injections. A few studies reported that the different needle types can influence on the occurrences of intravascular incidence in TFESI. This study prospectively evaluated whether short-bevel needle can reduce the incidences of intravascular injection of TFESI compared to long-bevel needles.MethodsFrom March 2013 to December 2013, 239 consecutive patients were enrolled and received 249 fluoroscopically guided TFESI using the classic technique. Confirmation of intravascular spread was done initially with real time fluoroscopy and then with digital subtraction angiography method in a same patient. Injection technique for TFESI was the same for both short-bevel and long-bevel needle types.ResultsThe incidences of intravascular injections with the long-bevel and short-bevel needles were 15.0% (21/140) and 9.2% (4/140), respectively. More than half of intravascular injections occurred simultaneously with epidural injections (8.0%, 20/249). There were no statistically significant differences between the long-bevel and the short-bevel needles in the rates of intravascular injections (P = 0.17).ConclusionsShort-bevel needles did not demonstrate any benefits in reducing the incidence of intravascular injection. |
| first_indexed | 2024-12-23T11:04:04Z |
| format | Article |
| id | doaj.art-9cb52f96aae94e1d807ff59f30430008 |
| institution | Directory Open Access Journal |
| issn | 2005-6419 2005-7563 |
| language | English |
| last_indexed | 2024-12-23T11:04:04Z |
| publishDate | 2014-09-01 |
| publisher | Korean Society of Anesthesiologists |
| record_format | Article |
| series | Korean Journal of Anesthesiology |
| spelling | doaj.art-9cb52f96aae94e1d807ff59f304300082022-12-21T17:49:32ZengKorean Society of AnesthesiologistsKorean Journal of Anesthesiology2005-64192005-75632014-09-0167319319710.4097/kjae.2014.67.3.1937916Comparison of incidence of intravascular injections during transforaminal epidural steroid injection using different needle typesJi Hee Hong0Yong Ho Lee1Department of Anesthesiology and Pain Medicine, Keimyung University Dongsan Hospital, Daegu, Korea.Department of Anesthesiology and Pain Medicine, Keimyung University Dongsan Hospital, Daegu, Korea.BackgroundInfrequent but serious complications of transforaminal epidural steroid injection (TFESI) occur due to inadvertent intravascular injections. A few studies reported that the different needle types can influence on the occurrences of intravascular incidence in TFESI. This study prospectively evaluated whether short-bevel needle can reduce the incidences of intravascular injection of TFESI compared to long-bevel needles.MethodsFrom March 2013 to December 2013, 239 consecutive patients were enrolled and received 249 fluoroscopically guided TFESI using the classic technique. Confirmation of intravascular spread was done initially with real time fluoroscopy and then with digital subtraction angiography method in a same patient. Injection technique for TFESI was the same for both short-bevel and long-bevel needle types.ResultsThe incidences of intravascular injections with the long-bevel and short-bevel needles were 15.0% (21/140) and 9.2% (4/140), respectively. More than half of intravascular injections occurred simultaneously with epidural injections (8.0%, 20/249). There were no statistically significant differences between the long-bevel and the short-bevel needles in the rates of intravascular injections (P = 0.17).ConclusionsShort-bevel needles did not demonstrate any benefits in reducing the incidence of intravascular injection.http://ekja.org/upload/pdf/kjae-67-193.pdfintravascularlong-bevelshort-beveltransforaminal epidural steroid injection |
| spellingShingle | Ji Hee Hong Yong Ho Lee Comparison of incidence of intravascular injections during transforaminal epidural steroid injection using different needle types Korean Journal of Anesthesiology intravascular long-bevel short-bevel transforaminal epidural steroid injection |
| title | Comparison of incidence of intravascular injections during transforaminal epidural steroid injection using different needle types |
| title_full | Comparison of incidence of intravascular injections during transforaminal epidural steroid injection using different needle types |
| title_fullStr | Comparison of incidence of intravascular injections during transforaminal epidural steroid injection using different needle types |
| title_full_unstemmed | Comparison of incidence of intravascular injections during transforaminal epidural steroid injection using different needle types |
| title_short | Comparison of incidence of intravascular injections during transforaminal epidural steroid injection using different needle types |
| title_sort | comparison of incidence of intravascular injections during transforaminal epidural steroid injection using different needle types |
| topic | intravascular long-bevel short-bevel transforaminal epidural steroid injection |
| url | http://ekja.org/upload/pdf/kjae-67-193.pdf |
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