A new approach using high volume blood patch for prevention of XXXX following intrathecal catheter pump exchange.

@entity1 @entity510 @entity5 @entity508 @entity158 @entity1286 @entity1772 @entity9737
BACKGROUND: In an observational study, complications of intrathecal catheter pumps necessitating surgical exchange were analyzed. Also the use of a high-volume prophylactic epidural blood patch (EBP) during surgery for preventing @entity9737 ( @entity9737 ) with a follow-up for 1 year is described. MATERIALS AND METHODS: In 22 @entity1 with refractory chronic @entity158 of @entity5 /noncancer origin or severe @entity508 , who were receiving intrathecal @entity1286 including adjuvants or @entity1772 for symptom relief, catheter exchange with or without pump was performed. In @entity1 with documented symptoms of @entity9737 following initial intrathecal catheter implantation, a prophylactic EBP with a high blood volume was used for @entity9737 prevention during surgery. Catheters were replaced using 40 mL EBP before entering dural space at a speed of 5mL/min into the epidural space. @entity1 were asked to quantify @entity158 experience and functional ability. RESULTS: From a sample of 72 @entity1 admitted for catheter exchange with or without pump, 22 @entity1 (33%) (12 male, 10 female) had a history of @entity9737 following initial implantation. Diagnostic and therapeutic measures occurring with malfunction of intrathecal catheter pump systems were described. Twenty-one @entity1 were successfully treated with prophylactic EBP, while one @entity1 could not be properly evaluated because of @entity510 as the underlying disease. CONCLUSIONS: A new approach using a high-volume prophylactic EBP for preventing @entity9737 following catheter exchange is presented. The efficacy and safety of this technique for 1 year follow-up have been evaluated and was found to be safe and potentially effective.
