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

Title
Incidence of intravascular injection and the spread of contrast media during S1 transforaminal epidural steroid injection by two approaches: anteroposterior vs oblique
Authors
D.-H. Kim;D. M. Yoon;K. B. Yoon
Issue Date
2015
Journal Title
Anaesthesia
ISSN
0003-2409
Citation
Anaesthesia, Vol.70(8) : 975~984, 2015
Abstract
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.
URI
http://onlinelibrary.wiley.com/doi/10.1111/anae.13079/abstract

http://ir.ymlib.yonsei.ac.kr/handle/22282913/140593
DOI
10.1111/anae.13079
Appears in Collections:
1. 연구논문 > 1. College of Medicine > Dept. of Anesthesiology and Pain Medicine
Yonsei Authors
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