Fluoroscopic analysis of lumbar epidural contrast spread after retrograde interlaminar ventral epidural injection (RIVEI)
DC Field | Value | Language |
---|---|---|
dc.contributor.author | Jeong, Ji Seon | - |
dc.contributor.author | Shim, Jae Chol | - |
dc.contributor.author | Woo, Jung Pil | - |
dc.contributor.author | Shim, Jae Hang | - |
dc.date.accessioned | 2022-07-16T07:30:40Z | - |
dc.date.available | 2022-07-16T07:30:40Z | - |
dc.date.created | 2021-05-13 | - |
dc.date.issued | 2013-11 | - |
dc.identifier.issn | 2005-6419 | - |
dc.identifier.uri | https://scholarworks.bwise.kr/hanyang/handle/2021.sw.hanyang/161498 | - |
dc.description.abstract | Background: Retrograde interlaminar ventral epidural injection (RIVEI) may hypothetically be more effective if the catheter is placed at the ventrocaudal aspect of the exiting nerve. We tested that hypothesis by measuring ventral and dorsal epidural contrast flow during RIVEI. Methods: To perform RIVEI, a 17 G Tuohy needle was inserted to access the epidural space. A 19 G epidural catheter was inserted and advanced through the needle, passing in a caudal direction to the lower aspect of the contralateral pedicle. Fluoroscopic images were recorded at 1.5 ml increments of contrast. Based on the images of contrast dispersal, the extent of contrast spreading was assessed in 82 patients. Results: All 82 patients (100%) injected with 3.0 ml contrast medium demonstrated ventral epidural spreading. Mean spreading level from the catheter tip was 2.21 ± 0.93 with 3.0 ml of contrast. Spreading to the superior aspect of the supra-adjacent intervertebral disc was observed in 67/82 (81.7%) of RIVEIs with 3.0 ml of contrast injected into the ventral epidural space. We found that 3.0 ml of contrast reached the inferior aspect of the infra-adjacent intervertebral disc in 95.1% (78/82) of RIVEIs performed. Conclusions: Our findings imply that a one-level RIVEI may be sufficient in situations where a two-level injection would currently be used. © the Korean Society of Anesthesiologists, 2013. | - |
dc.language | 영어 | - |
dc.language.iso | en | - |
dc.publisher | the Korean Society of Anesthesiologists | - |
dc.title | Fluoroscopic analysis of lumbar epidural contrast spread after retrograde interlaminar ventral epidural injection (RIVEI) | - |
dc.type | Article | - |
dc.contributor.affiliatedAuthor | Shim, Jae Hang | - |
dc.identifier.doi | 10.4097/kjae.2013.65.5.431 | - |
dc.identifier.scopusid | 2-s2.0-84890478922 | - |
dc.identifier.bibliographicCitation | Korean Journal of Anesthesiology, v.65, no.5, pp.431 - 437 | - |
dc.relation.isPartOf | Korean Journal of Anesthesiology | - |
dc.citation.title | Korean Journal of Anesthesiology | - |
dc.citation.volume | 65 | - |
dc.citation.number | 5 | - |
dc.citation.startPage | 431 | - |
dc.citation.endPage | 437 | - |
dc.type.rims | ART | - |
dc.type.docType | Article | - |
dc.identifier.kciid | ART001820174 | - |
dc.description.journalClass | 1 | - |
dc.description.isOpenAccess | Y | - |
dc.description.journalRegisteredClass | scopus | - |
dc.description.journalRegisteredClass | kci | - |
dc.subject.keywordPlus | antiinfective agent | - |
dc.subject.keywordPlus | contrast medium | - |
dc.subject.keywordPlus | lidocaine | - |
dc.subject.keywordPlus | adult | - |
dc.subject.keywordPlus | article | - |
dc.subject.keywordPlus | caudal anesthesia | - |
dc.subject.keywordPlus | epidural catheter | - |
dc.subject.keywordPlus | epidural needle | - |
dc.subject.keywordPlus | epidural space | - |
dc.subject.keywordPlus | female | - |
dc.subject.keywordPlus | fluoroscopy | - |
dc.subject.keywordPlus | human | - |
dc.subject.keywordPlus | intervertebral disk | - |
dc.subject.keywordPlus | intervertebral disk hernia | - |
dc.subject.keywordPlus | low back pain | - |
dc.subject.keywordPlus | lumbar disk | - |
dc.subject.keywordPlus | major clinical study | - |
dc.subject.keywordPlus | male | - |
dc.subject.keywordPlus | middle aged | - |
dc.subject.keywordPlus | nerve root compression | - |
dc.subject.keywordPlus | spinal nerve | - |
dc.subject.keywordAuthor | Contrast media | - |
dc.subject.keywordAuthor | Epidural injections | - |
dc.identifier.url | https://ekja.org/journal/view.php?doi=10.4097/kjae.2013.65.5.431 | - |
Items in ScholarWorks are protected by copyright, with all rights reserved, unless otherwise indicated.
222, Wangsimni-ro, Seongdong-gu, Seoul, 04763, Korea+82-2-2220-1365
COPYRIGHT © 2021 HANYANG UNIVERSITY.
Certain data included herein are derived from the © Web of Science of Clarivate Analytics. All rights reserved.
You may not copy or re-distribute this material in whole or in part without the prior written consent of Clarivate Analytics.