Cargando…

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...

Descripción completa

Detalles Bibliográficos
Autores principales: Choi, Eun-Ji, Ri, Hyun-Su, Park, Hyeonsoo, Kim, Hye-Jin, Yoon, Ji-Uk, Byeon, Gyeong-Jo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Korean Society of Anesthesiologists 2021
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
_version_ 1783647170966061056
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
work_keys_str_mv AT choieunji unexpectedextrusionoftheimplantablepulsegeneratorofthespinalcordstimulatoracasereport
AT rihyunsu unexpectedextrusionoftheimplantablepulsegeneratorofthespinalcordstimulatoracasereport
AT parkhyeonsoo unexpectedextrusionoftheimplantablepulsegeneratorofthespinalcordstimulatoracasereport
AT kimhyejin unexpectedextrusionoftheimplantablepulsegeneratorofthespinalcordstimulatoracasereport
AT yoonjiuk unexpectedextrusionoftheimplantablepulsegeneratorofthespinalcordstimulatoracasereport
AT byeongyeongjo unexpectedextrusionoftheimplantablepulsegeneratorofthespinalcordstimulatoracasereport