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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
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
https://ir.ymlib.yonsei.ac.kr/handle/22282913/140593
DOI
10.1111/anae.13079
Appears in Collections:
1. Journal Papers (연구논문) > 1. College of Medicine (의과대학) > Dept. of Anesthesiology and Pain Medicine (마취통증의학교실)
Yonsei Authors
김도형(Kim, Do Hyeong) ; 윤경봉(Yoon, Kyoung Bong) ; 윤덕미(Yoon, Duck Mi)
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Full Text
http://onlinelibrary.wiley.com/doi/10.1111/anae.13079/abstract
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