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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

Authors
 D.-H. Kim  ;  D. M. Yoon  ;  K. B. Yoon 
Citation
 ANAESTHESIA, Vol.70(8) : 975-984, 2015 
Journal Title
 ANAESTHESIA 
ISSN
 0003-2409 
Issue Date
2015
MeSH
Adrenal Cortex Hormones/administration & dosage* ; Adult ; Aged ; Aged, 80 and over ; Angiography, Digital Subtraction ; Contrast Media/administration & dosage* ; Epidural Space/diagnostic imaging ; Extravasation of Diagnostic and Therapeutic Materials/diagnostic imaging* ; Female ; Fluoroscopy ; Humans ; Incidence ; Injections, Epidural ; Lumbosacral Region/diagnostic imaging* ; Male ; Middle Aged ; Young Adult
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.
Full Text
http://onlinelibrary.wiley.com/doi/10.1111/anae.13079/abstract
DOI
10.1111/anae.13079
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Anesthesiology and Pain Medicine (마취통증의학교실) > 1. Journal Papers
Yonsei Authors
Kim, Do Hyeong(김도형) ORCID logo https://orcid.org/0000-0003-2018-8090
Yoon, Kyoung Bong(윤경봉) ORCID logo https://orcid.org/0000-0002-4167-1375
Yoon, Duck Mi(윤덕미)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/140593
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