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Case report: Dorsal root ganglion stimulator lead fracture.

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Title: Case report: Dorsal root ganglion stimulator lead fracture.
Authors: Kochat, Suhas, Byers, Jacob, Yi, Peter K.
Source: Pain Practice. Apr2024, Vol. 24 Issue 4, p673-676. 4p.
Subjects: Chronic pain treatment, Neuralgia, Electrotherapeutics, Chronic pain, Complex regional pain syndromes, Artificial implants, Treatment effectiveness, Surgical complications, Sensory ganglia, Neural stimulation, Spinal cord, Electrodes, Fluoroscopy
Abstract: Background: One of the unique advances in neuromodulation for chronic pain has been spinal cord stimulators (SCS) and dorsal root ganglion stimulators (DRG‐S). These devices have aided in conditions such as neuropathic pain, complex regional pain syndromes, failed back surgery, and peripheral neuropathies. With these benefits, however, complications from implantable stimulators have included lead fractures and migration. The authors reviewed a lead migration, kinking, and subsequent fracture event involving a patient with complex regional pain syndrome (CRPS) II, who was treated with a DRG‐S. Case Presentation: The case report follows this patient, from their past medical history to assessment of appropriate qualifications for neuromodulation, to successful surgical placement, to follow‐up care. The authors further monitored assessment of inefficacy of pain relief, and identification of lead migration and kinking through imaging. In the process of removal, due to lead stress, lead fracturing occurred. After lead removal, the leads were fully replaced, and the patient was followed up and experienced improved pain relief. Conclusion: The case report assesses probable mechanisms of lead fracture and considerations for physicians for future assessment and triage of neuromodulation efficacy. [ABSTRACT FROM AUTHOR]
Copyright of Pain Practice is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Case report: Dorsal root ganglion stimulator lead fracture.
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  Data: <searchLink fieldCode="AR" term="%22Kochat%2C+Suhas%22">Kochat, Suhas</searchLink><br /><searchLink fieldCode="AR" term="%22Byers%2C+Jacob%22">Byers, Jacob</searchLink><br /><searchLink fieldCode="AR" term="%22Yi%2C+Peter+K%2E%22">Yi, Peter K.</searchLink>
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  Data: <searchLink fieldCode="JN" term="%22Pain+Practice%22">Pain Practice</searchLink>. Apr2024, Vol. 24 Issue 4, p673-676. 4p.
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  Data: <searchLink fieldCode="DE" term="%22Chronic+pain+treatment%22">Chronic pain treatment</searchLink><br /><searchLink fieldCode="DE" term="%22Neuralgia%22">Neuralgia</searchLink><br /><searchLink fieldCode="DE" term="%22Electrotherapeutics%22">Electrotherapeutics</searchLink><br /><searchLink fieldCode="DE" term="%22Chronic+pain%22">Chronic pain</searchLink><br /><searchLink fieldCode="DE" term="%22Complex+regional+pain+syndromes%22">Complex regional pain syndromes</searchLink><br /><searchLink fieldCode="DE" term="%22Artificial+implants%22">Artificial implants</searchLink><br /><searchLink fieldCode="DE" term="%22Treatment+effectiveness%22">Treatment effectiveness</searchLink><br /><searchLink fieldCode="DE" term="%22Surgical+complications%22">Surgical complications</searchLink><br /><searchLink fieldCode="DE" term="%22Sensory+ganglia%22">Sensory ganglia</searchLink><br /><searchLink fieldCode="DE" term="%22Neural+stimulation%22">Neural stimulation</searchLink><br /><searchLink fieldCode="DE" term="%22Spinal+cord%22">Spinal cord</searchLink><br /><searchLink fieldCode="DE" term="%22Electrodes%22">Electrodes</searchLink><br /><searchLink fieldCode="DE" term="%22Fluoroscopy%22">Fluoroscopy</searchLink>
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  Label: Abstract
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  Data: Background: One of the unique advances in neuromodulation for chronic pain has been spinal cord stimulators (SCS) and dorsal root ganglion stimulators (DRG‐S). These devices have aided in conditions such as neuropathic pain, complex regional pain syndromes, failed back surgery, and peripheral neuropathies. With these benefits, however, complications from implantable stimulators have included lead fractures and migration. The authors reviewed a lead migration, kinking, and subsequent fracture event involving a patient with complex regional pain syndrome (CRPS) II, who was treated with a DRG‐S. Case Presentation: The case report follows this patient, from their past medical history to assessment of appropriate qualifications for neuromodulation, to successful surgical placement, to follow‐up care. The authors further monitored assessment of inefficacy of pain relief, and identification of lead migration and kinking through imaging. In the process of removal, due to lead stress, lead fracturing occurred. After lead removal, the leads were fully replaced, and the patient was followed up and experienced improved pain relief. Conclusion: The case report assesses probable mechanisms of lead fracture and considerations for physicians for future assessment and triage of neuromodulation efficacy. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
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  Data: <i>Copyright of Pain Practice is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=176496847
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        Value: 10.1111/papr.13335
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        Type: general
      – SubjectFull: Neuralgia
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      – SubjectFull: Electrotherapeutics
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      – SubjectFull: Complex regional pain syndromes
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      – SubjectFull: Artificial implants
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      – SubjectFull: Treatment effectiveness
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      – SubjectFull: Surgical complications
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      – SubjectFull: Sensory ganglia
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      – SubjectFull: Neural stimulation
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      – SubjectFull: Spinal cord
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      – SubjectFull: Electrodes
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      – SubjectFull: Fluoroscopy
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    Titles:
      – TitleFull: Case report: Dorsal root ganglion stimulator lead fracture.
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              Text: Apr2024
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