The Difference of Intravascular Injection Rate During Lumbar Transforaminal Epidural Block Using Bent Needle Compared to Straight Needle: a Prospective Study
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 260
- 试验地点
- 2
- 主要终点
- Intravascular injection
研究概览
简要总结
The primary aim of this study was to compare intravascular injection rates during LTFESI between commonly used straight and bent chiba needles.
详细描述
Lumbar transforaminal epidural steroid injection (LTFESI) is widely used in clinical practice to effectively deliver injectate into the ventral epidural space. Complications associated with intravascular injection such as spinal cord infarction and paraplegia can occur during LTFESI. The incidence of intravascular injection during LTFESI was known as 9.9% ~ 17.7%. To improve the safety of the procedure, avoidance of intravascular injection is crucial, for which appropriate needle selection is important. Currently, the most commonly used block needles in LTFESI are straight or bent chiba needles.
The primary aim of this study was to compare intravascular injection rates during LTFESI between commonly used straight and bent chiba needles.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Screening
- 盲法
- Double (Participant, Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 80 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patients with radiating pain from lumbar spinal stenosis and herniated nucleus pulposus.
排除标准
- •Pregnancy, allergic to contrast media, patient refusal, and patients with persistent contraindication to nerve block such as coagulopathy and infection of the injection site.
结局指标
主要结局
Intravascular injection
时间窗: During procedure
Intravascular injection is defined as contrast media spreading out through the vascular channel during injection of contrast media under real time fluoroscopy
次要结局
- Ventral epidural spreading(up to 24 weeks)
- Procedure time(During procedure)
- Medial epidural spreading(up to 24 weeks)
研究者
Saeyoung Kim, MD, PhD
Professor
Kyungpook National University Hospital