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Catheter Obstruction of Intrathecal Drug Administration System -A Case Report-
Intrathecal drug administration system (ITDAS) can reduce the side effects while increasing the effectiveness of opioids compared to systemic opioid administration. Therefore, the use of ITDAS has increased in the management of cancer pain and chronic intractable pain. Catheter obstruction is a seri...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
The Korean Pain Society
2012
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3259138/ https://www.ncbi.nlm.nih.gov/pubmed/22259717 http://dx.doi.org/10.3344/kjp.2012.25.1.47 |
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author | Rhee, Seok Myeon Choi, Eun Joo Lee, Pyung Bok Nahm, Francis Sahngun |
author_facet | Rhee, Seok Myeon Choi, Eun Joo Lee, Pyung Bok Nahm, Francis Sahngun |
author_sort | Rhee, Seok Myeon |
collection | PubMed |
description | Intrathecal drug administration system (ITDAS) can reduce the side effects while increasing the effectiveness of opioids compared to systemic opioid administration. Therefore, the use of ITDAS has increased in the management of cancer pain and chronic intractable pain. Catheter obstruction is a serious complication of ITDAS. Here, we present a case of catheter obstruction by a mass formed at the side hole and in the lumen. A 37-year-old man suffering from failed back surgery syndrome received an ITDAS implantation, and the ITDAS was refilled with morphine every 3 months. When the patient visited the hospital 18 months after ITDAS implantation for a refill, the amount of delivered morphine sulfate was much less than expected. Movement of the pump rotor was examined with fluoroscopy; however, it was normal. CSF aspiration through the catheter access port was impossible. When the intrathecal catheter was removed, we observed that the side hole and lumen of the catheter was plugged. |
format | Online Article Text |
id | pubmed-3259138 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2012 |
publisher | The Korean Pain Society |
record_format | MEDLINE/PubMed |
spelling | pubmed-32591382012-01-18 Catheter Obstruction of Intrathecal Drug Administration System -A Case Report- Rhee, Seok Myeon Choi, Eun Joo Lee, Pyung Bok Nahm, Francis Sahngun Korean J Pain Case Report Intrathecal drug administration system (ITDAS) can reduce the side effects while increasing the effectiveness of opioids compared to systemic opioid administration. Therefore, the use of ITDAS has increased in the management of cancer pain and chronic intractable pain. Catheter obstruction is a serious complication of ITDAS. Here, we present a case of catheter obstruction by a mass formed at the side hole and in the lumen. A 37-year-old man suffering from failed back surgery syndrome received an ITDAS implantation, and the ITDAS was refilled with morphine every 3 months. When the patient visited the hospital 18 months after ITDAS implantation for a refill, the amount of delivered morphine sulfate was much less than expected. Movement of the pump rotor was examined with fluoroscopy; however, it was normal. CSF aspiration through the catheter access port was impossible. When the intrathecal catheter was removed, we observed that the side hole and lumen of the catheter was plugged. The Korean Pain Society 2012-01 2012-01-02 /pmc/articles/PMC3259138/ /pubmed/22259717 http://dx.doi.org/10.3344/kjp.2012.25.1.47 Text en Copyright © The Korean Pain Society, 2012 http://creativecommons.org/licenses/by-nc/3.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Rhee, Seok Myeon Choi, Eun Joo Lee, Pyung Bok Nahm, Francis Sahngun Catheter Obstruction of Intrathecal Drug Administration System -A Case Report- |
title | Catheter Obstruction of Intrathecal Drug Administration System -A Case Report- |
title_full | Catheter Obstruction of Intrathecal Drug Administration System -A Case Report- |
title_fullStr | Catheter Obstruction of Intrathecal Drug Administration System -A Case Report- |
title_full_unstemmed | Catheter Obstruction of Intrathecal Drug Administration System -A Case Report- |
title_short | Catheter Obstruction of Intrathecal Drug Administration System -A Case Report- |
title_sort | catheter obstruction of intrathecal drug administration system -a case report- |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3259138/ https://www.ncbi.nlm.nih.gov/pubmed/22259717 http://dx.doi.org/10.3344/kjp.2012.25.1.47 |
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