Incidence of intravascular injection and the spread of contrast media during S1 transforaminal epidural steroid injection by two approaches: anteroposterior vs oblique

被引：11
作者：
Kim, D. -H. [1 ]
Yoon, D. M. [1 ]
Yoon, K. B. [1 ]
机构：
[1] Yonsei Univ, Coll Med, Anesthesia & Pain Res Inst, Dept Anesthesiol & Pain Med, Seoul, South Korea
来源：
ANAESTHESIA | 2015年 / 70卷 / 08期
关键词：
DIGITAL-SUBTRACTION-ANGIOGRAPHY; FLUOROSCOPY; RADICULOPATHY; INJURY; RISK;
D O I：
10.1111/anae.13079
中图分类号：
R614 [麻醉学];
学科分类号：
100217 ;
摘要：
The aim of this randomised study was to compare the incidence of intravascular injections during S1 transforaminal epidural steroid injection performed in the anteroposterior and oblique views. We also compared epidural spread patterns of contrast media, which included 201 injections at the S1 level. The overall incidence of intravascular injection during S1 transforaminal epidural steroid injection in the anteroposterior view was 29% (29/99), significantly higher than in the oblique view (11%, 11/102, p=0.001). There were no significant differences between the two groups for epidural spread of contrast media in cases where intravascular injections did not occur (p=0.77). Performing S1 transforaminal epidural steroid injection in the oblique view rather than the anteroposterior view reduces the risk of intravascular injections.
引用
收藏
页码：975 / 984
页数：10
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