Epidural Blood Patch Using a Racz Catheter for Spontaneous Intracranial Hypotension With Unclear Leak Points

Using a Racz catheter (Brevi-XL™, Epimed Inc., NY, USA) to insert an epidural blood patch (EBP) may be an effective method of reaching the target epidural space in the cervical region. We would like to present a case, wherein a targeted EBP via Racz catheter was used in the management of spontaneous...

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Detalles Bibliográficos
Autores principales: Kanao-Kanda, Megumi, Hiroshima, Satoru, Sato, Izumi, Nagabuchi, Ririko, Kanda, Hirotsugu
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2022
Materias:
Anesthesiology
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9045798/
https://www.ncbi.nlm.nih.gov/pubmed/35494951
http://dx.doi.org/10.7759/cureus.23559
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author Kanao-Kanda, Megumi
Hiroshima, Satoru
Sato, Izumi
Nagabuchi, Ririko
Kanda, Hirotsugu
author_facet Kanao-Kanda, Megumi
Hiroshima, Satoru
Sato, Izumi
Nagabuchi, Ririko
Kanda, Hirotsugu
author_sort Kanao-Kanda, Megumi
collection PubMed
description Using a Racz catheter (Brevi-XL™, Epimed Inc., NY, USA) to insert an epidural blood patch (EBP) may be an effective method of reaching the target epidural space in the cervical region. We would like to present a case, wherein a targeted EBP via Racz catheter was used in the management of spontaneous intracranial hypotension. When the leak point is clear via imaging, EBP should be performed exactly at that point. However, if the leak point is unclear, with only a contrast agent pool detected via imaging, EBP should be performed to mask the entire region of the pool. In both cases, EBP via Racz catheter is a convenient and effective method for the management of spontaneous intracranial hypotension. Further cases may be needed to verify our results.
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spelling pubmed-90457982022-04-28 Epidural Blood Patch Using a Racz Catheter for Spontaneous Intracranial Hypotension With Unclear Leak Points Kanao-Kanda, Megumi Hiroshima, Satoru Sato, Izumi Nagabuchi, Ririko Kanda, Hirotsugu Cureus Anesthesiology Using a Racz catheter (Brevi-XL™, Epimed Inc., NY, USA) to insert an epidural blood patch (EBP) may be an effective method of reaching the target epidural space in the cervical region. We would like to present a case, wherein a targeted EBP via Racz catheter was used in the management of spontaneous intracranial hypotension. When the leak point is clear via imaging, EBP should be performed exactly at that point. However, if the leak point is unclear, with only a contrast agent pool detected via imaging, EBP should be performed to mask the entire region of the pool. In both cases, EBP via Racz catheter is a convenient and effective method for the management of spontaneous intracranial hypotension. Further cases may be needed to verify our results. Cureus 2022-03-28 /pmc/articles/PMC9045798/ /pubmed/35494951 http://dx.doi.org/10.7759/cureus.23559 Text en Copyright © 2022, Kanao-Kanda et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Anesthesiology
Kanao-Kanda, Megumi
Hiroshima, Satoru
Sato, Izumi
Nagabuchi, Ririko
Kanda, Hirotsugu
Epidural Blood Patch Using a Racz Catheter for Spontaneous Intracranial Hypotension With Unclear Leak Points
title Epidural Blood Patch Using a Racz Catheter for Spontaneous Intracranial Hypotension With Unclear Leak Points
title_full Epidural Blood Patch Using a Racz Catheter for Spontaneous Intracranial Hypotension With Unclear Leak Points
title_fullStr Epidural Blood Patch Using a Racz Catheter for Spontaneous Intracranial Hypotension With Unclear Leak Points
title_full_unstemmed Epidural Blood Patch Using a Racz Catheter for Spontaneous Intracranial Hypotension With Unclear Leak Points
title_short Epidural Blood Patch Using a Racz Catheter for Spontaneous Intracranial Hypotension With Unclear Leak Points
title_sort epidural blood patch using a racz catheter for spontaneous intracranial hypotension with unclear leak points
topic Anesthesiology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9045798/
https://www.ncbi.nlm.nih.gov/pubmed/35494951
http://dx.doi.org/10.7759/cureus.23559
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