The Korean Journal of Pain

  • 제27권2호
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  • Pages.178-185
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  • 2014
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  • 2005-9159(pISSN)
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  • 2093-0569(eISSN)
대한통증학회 (The Korean Pain Society)
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A Novel Balloon-Inflatable Catheter for Percutaneous Epidural Adhesiolysis and Decompression

  • Choi, Seong Soo (Department of Anesthesiology and Pain Medicine, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Joo, Eun Young (Department of Anesthesiology and Pain Medicine, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Hwang, Beom Sang (Department of Anesthesiology and Pain Medicine, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Lee, Jong Hyuk (Department of Anesthesiology and Pain Medicine, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Lee, Gunn (Department of Anesthesiology and Pain Medicine, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Suh, Jeong Hun (Department of Anesthesiology and Pain Medicine, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Leem, Jeong Gill (Department of Anesthesiology and Pain Medicine, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Shin, Jin Woo (Department of Anesthesiology and Pain Medicine, Asan Medical Center, University of Ulsan College of Medicine)
  • 투고 : 2013.10.28
  • 심사 : 2013.12.11
  • 발행 : 2014.04.01
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초록

Epidural adhesions cause pain by interfering with the free movement of the spinal nerves and increasing neural sensitivity as a consequence of neural compression. To remove adhesions and deliver injected drugs to target sites, percutaneous epidural adhesiolysis (PEA) is performed in patients who are unresponsive to conservative treatments. We describe four patients who were treated with a newly developed inflatable balloon catheter for more effective PEA and relief of stenosis. In the present patients, treatments with repetitive epidural steroid injection and/or PEA with the Racz catheter or the NaviCath did not yield long-lasting effects or functional improvements. However, PEA and decompression with the inflatable balloon catheter led to maintenance of pain relief for more than seven months and improvements in the functional status with increases in the walking distance. The present case series suggests that the inflatable balloon catheter may be an effective alternative to performing PEA when conventional methods fail to remove adhesions or sufficiently relieve stenosis.

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참고문헌

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피인용 문헌

  1. Efficacy of Percutaneous Adhesiolysis in the Treatment of Lumbar Post Surgery Syndrome vol.5, pp.3, 2015, https://doi.org/10.5812/aapm.26172v2
  2. Clinical Evaluation of Percutaneous Caudal Epidural Adhesiolysis With the Racz Technique for Low Back Pain Due to Contained Disc Herniation vol.In Press, pp.In Press, 2016, https://doi.org/10.5812/aapm.26749
  3. Comparative effectiveness of percutaneous epidural adhesiolysis for different sacrum types in patients with chronic pain due to lumbar disc herniation vol.95, pp.37, 2016, https://doi.org/10.1097/MD.0000000000004647
  4. Retrodiscal epidural balloon adhesiolysis through Kambinʼs triangle in chronic lumbar spinal stenosis vol.97, pp.41, 2018, https://doi.org/10.1097/MD.0000000000012791
  5. Factors for Predicting Favorable Outcome of Percutaneous Epidural Adhesiolysis for Lumbar Disc Herniation vol.2017, pp.None, 2017, https://doi.org/10.1155/2017/1494538
  6. Optimal Cut-Off Value of the Superior Articular Process Area as a Morphological Parameter to Predict Lumbar Foraminal Stenosis vol.2017, pp.None, 2014, https://doi.org/10.1155/2017/7914836
  7. Combined epidural adhesiolysis and balloon decompression can be effective in intractable lumbar spinal stenosis patients unresponsive to previous epidural adhesiolysis vol.98, pp.15, 2014, https://doi.org/10.1097/md.0000000000015114
  8. Relationship of Success Rate for Balloon Adhesiolysis with Clinical Outcomes in Chronic Intractable Lumbar Radicular Pain: A Multicenter Prospective Study vol.8, pp.5, 2014, https://doi.org/10.3390/jcm8050606
  9. Lumbar foraminal neuropathy: an update on non-surgical management vol.32, pp.3, 2014, https://doi.org/10.3344/kjp.2019.32.3.147
  10. Contrast Dispersion on Epidurography May Be Associated with Clinical Outcomes After Percutaneous Epidural Neuroplasty Using an Inflatable Balloon Catheter vol.21, pp.4, 2014, https://doi.org/10.1093/pm/pnz225
  11. Successful electrode insertion for spinal cord stimulation after balloon adhesiolysis in a patient with epidural adhesion - A case report - vol.16, pp.2, 2014, https://doi.org/10.17085/apm.20084