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Unexpected extrusion of the implantable pulse generator of the spinal cord stimulator - A case report -
BACKGROUND: Despite significant technological advances in the implantable pulse generator (IPG), complications can still occur. We report a case that unexpected extrusion of the IPG of spinal cord stimulation (SCS) was promptly identified and successfully removed without any complications. CASE: Aft...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Korean Society of Anesthesiologists
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7861903/ https://www.ncbi.nlm.nih.gov/pubmed/33461245 http://dx.doi.org/10.17085/apm.20054 |
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author | Choi, Eun-Ji Ri, Hyun-Su Park, Hyeonsoo Kim, Hye-Jin Yoon, Ji-Uk Byeon, Gyeong-Jo |
author_facet | Choi, Eun-Ji Ri, Hyun-Su Park, Hyeonsoo Kim, Hye-Jin Yoon, Ji-Uk Byeon, Gyeong-Jo |
author_sort | Choi, Eun-Ji |
collection | PubMed |
description | BACKGROUND: Despite significant technological advances in the implantable pulse generator (IPG), complications can still occur. We report a case that unexpected extrusion of the IPG of spinal cord stimulation (SCS) was promptly identified and successfully removed without any complications. CASE: After a car accident 4 years ago, a 55-year-old male who was diagnosed with complex local pain syndrome in his right leg. The SCS was inserted with 2 leads, with the IPG being implanted in the right lower abdomen region. Four years later, he developed extrusion of the IPG from his abdominal region. This unexpected extrusion may have been related to pressure necrosis caused by continued compression of pocket site where a belt was frequently tied. The IPG and the leads were successfully removed without infection occurring. CONCLUSIONS: To prevent unexpected extrusion of IPG, it is necessary to consider in advance whether the pocket site is pressed against the belt. |
format | Online Article Text |
id | pubmed-7861903 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Korean Society of Anesthesiologists |
record_format | MEDLINE/PubMed |
spelling | pubmed-78619032021-02-10 Unexpected extrusion of the implantable pulse generator of the spinal cord stimulator - A case report - Choi, Eun-Ji Ri, Hyun-Su Park, Hyeonsoo Kim, Hye-Jin Yoon, Ji-Uk Byeon, Gyeong-Jo Anesth Pain Med (Seoul) Spinal Pain BACKGROUND: Despite significant technological advances in the implantable pulse generator (IPG), complications can still occur. We report a case that unexpected extrusion of the IPG of spinal cord stimulation (SCS) was promptly identified and successfully removed without any complications. CASE: After a car accident 4 years ago, a 55-year-old male who was diagnosed with complex local pain syndrome in his right leg. The SCS was inserted with 2 leads, with the IPG being implanted in the right lower abdomen region. Four years later, he developed extrusion of the IPG from his abdominal region. This unexpected extrusion may have been related to pressure necrosis caused by continued compression of pocket site where a belt was frequently tied. The IPG and the leads were successfully removed without infection occurring. CONCLUSIONS: To prevent unexpected extrusion of IPG, it is necessary to consider in advance whether the pocket site is pressed against the belt. Korean Society of Anesthesiologists 2021-01-31 2021-01-06 /pmc/articles/PMC7861903/ /pubmed/33461245 http://dx.doi.org/10.17085/apm.20054 Text en Copyright © the Korean Society of Anesthesiologists, 2021 This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Spinal Pain Choi, Eun-Ji Ri, Hyun-Su Park, Hyeonsoo Kim, Hye-Jin Yoon, Ji-Uk Byeon, Gyeong-Jo Unexpected extrusion of the implantable pulse generator of the spinal cord stimulator - A case report - |
title | Unexpected extrusion of the implantable pulse generator of the spinal cord stimulator - A case report - |
title_full | Unexpected extrusion of the implantable pulse generator of the spinal cord stimulator - A case report - |
title_fullStr | Unexpected extrusion of the implantable pulse generator of the spinal cord stimulator - A case report - |
title_full_unstemmed | Unexpected extrusion of the implantable pulse generator of the spinal cord stimulator - A case report - |
title_short | Unexpected extrusion of the implantable pulse generator of the spinal cord stimulator - A case report - |
title_sort | unexpected extrusion of the implantable pulse generator of the spinal cord stimulator - a case report - |
topic | Spinal Pain |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7861903/ https://www.ncbi.nlm.nih.gov/pubmed/33461245 http://dx.doi.org/10.17085/apm.20054 |
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