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Single-Stage Deep Brain Stimulator Placement for Movement Disorders: A Case Series

With more than two decades of experience and thousands of patients treated worldwide, deep brain stimulation (DBS) has established itself as an efficacious and common surgical treatment for movement disorders. However, a substantial majority of patients in the United States still undergo multiple, “...

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Detalles Bibliográficos
Autores principales: Brooks, Arrin, Hoyt, Alastair T.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8147611/
https://www.ncbi.nlm.nih.gov/pubmed/34063572
http://dx.doi.org/10.3390/brainsci11050592
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author Brooks, Arrin
Hoyt, Alastair T.
author_facet Brooks, Arrin
Hoyt, Alastair T.
author_sort Brooks, Arrin
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description With more than two decades of experience and thousands of patients treated worldwide, deep brain stimulation (DBS) has established itself as an efficacious and common surgical treatment for movement disorders. However, a substantial majority of patients in the United States still undergo multiple, “staged” surgeries to implant a DBS system. Despite several reports suggesting no significant difference in complications or efficacy between staged and non-staged approaches, the continued use of staging implies surgeons harbor continued reservations about placing all portions of a system during the index procedure. In an effort to eliminate multiple surgeries and simplify patient care, DBS implantations at our institution have been routinely performed in a single surgery over the past four years. Patients who underwent placement of new DBS systems at our institution from January 2016 to June 2019 were identified and their records were reviewed. Revision surgeries were excluded. Total operative time, length of stay and rates of surgical site infections, lead fracture or migration, and other complications were evaluated. This series expands the body of evidence suggesting placement of a complete DBS system during a single procedure appears to be an efficacious and well-tolerated option.
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spelling pubmed-81476112021-05-26 Single-Stage Deep Brain Stimulator Placement for Movement Disorders: A Case Series Brooks, Arrin Hoyt, Alastair T. Brain Sci Article With more than two decades of experience and thousands of patients treated worldwide, deep brain stimulation (DBS) has established itself as an efficacious and common surgical treatment for movement disorders. However, a substantial majority of patients in the United States still undergo multiple, “staged” surgeries to implant a DBS system. Despite several reports suggesting no significant difference in complications or efficacy between staged and non-staged approaches, the continued use of staging implies surgeons harbor continued reservations about placing all portions of a system during the index procedure. In an effort to eliminate multiple surgeries and simplify patient care, DBS implantations at our institution have been routinely performed in a single surgery over the past four years. Patients who underwent placement of new DBS systems at our institution from January 2016 to June 2019 were identified and their records were reviewed. Revision surgeries were excluded. Total operative time, length of stay and rates of surgical site infections, lead fracture or migration, and other complications were evaluated. This series expands the body of evidence suggesting placement of a complete DBS system during a single procedure appears to be an efficacious and well-tolerated option. MDPI 2021-05-03 /pmc/articles/PMC8147611/ /pubmed/34063572 http://dx.doi.org/10.3390/brainsci11050592 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Brooks, Arrin
Hoyt, Alastair T.
Single-Stage Deep Brain Stimulator Placement for Movement Disorders: A Case Series
title Single-Stage Deep Brain Stimulator Placement for Movement Disorders: A Case Series
title_full Single-Stage Deep Brain Stimulator Placement for Movement Disorders: A Case Series
title_fullStr Single-Stage Deep Brain Stimulator Placement for Movement Disorders: A Case Series
title_full_unstemmed Single-Stage Deep Brain Stimulator Placement for Movement Disorders: A Case Series
title_short Single-Stage Deep Brain Stimulator Placement for Movement Disorders: A Case Series
title_sort single-stage deep brain stimulator placement for movement disorders: a case series
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8147611/
https://www.ncbi.nlm.nih.gov/pubmed/34063572
http://dx.doi.org/10.3390/brainsci11050592
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