Risk of intravascular injection in transforaminal epidural injections

Anaesthesia

Volumn 65, Issue 9, 2010, Pages 917-921

  Nahm, F S ^a   Lee, C J ^b   Lee, S H ^b   Kim, T H ^b   Sim, W S ^b   Cho, H S ^b   Park, S Y ^c   Kim, Y C ^c   Lee, S C ^c  

^a Seoul National University Bundang Hospital   (South Korea)

^b Sungkyunkwan University School of Medicine   (South Korea)

^c Seoul National University Hospital   (South Korea)

Author keywords

[No Author keywords available]

Indexed keywords

IOPAMIDOL;

ADULT; AGED; ANESTHESIOLOGICAL TECHNIQUES; ARTICLE; BLOOD VESSEL INJURY; CERVICAL SPINE; CONTRAST ENHANCEMENT; CONTROLLED STUDY; DRUG ADMINISTRATION ROUTE; FEMALE; FLUOROSCOPY; HUMAN; INCIDENCE; LUMBAR SPINE; MAJOR CLINICAL STUDY; MALE; PROSPECTIVE STUDY; SACRAL SPINAL CORD; SPINAL PAIN; SPINE SURGERY; STATISTICAL SIGNIFICANCE; THORACIC SPINE;

AGED; ANESTHETICS, LOCAL; BACK PAIN; BLOOD VESSELS; FEMALE; FLUOROSCOPY; HUMANS; INJECTIONS, EPIDURAL; LIDOCAINE; MALE; MIDDLE AGED; PROSPECTIVE STUDIES; RISK FACTORS;

EID: 77956166528     PISSN: 00032409     EISSN: 13652044     Source Type: Journal    
DOI: 10.1111/j.1365-2044.2010.06447.x     Document Type: Article

References (26)

1. Vad VB, Bhat AL, Lutz GE, Cammisa F. Transforaminal epidural steroid injections in lumbosacral radiculopathy: a prospective randomized study. Spine (Phila Pa 1976) 2002 27 : 11 6.
2. Ackerman WE III., Ahmad M. The efficacy of lumbar epidural steroid injections in patients with lumbar disc herniations. Anesthesia and Analgesia 2007 104 : 1217 1222.
3. Schaufele MK, Hatch L, Jones W. Interlaminar versus transforaminal epidural injections for the treatment of symptomatic lumbar intervertebral disc herniations. Pain Physician 2006 9 : 361 366.
4. Stalcup ST, Crall TS, Gilula L, Riew KD. Influence of needle-tip position on the incidence of immediate complications in 2217 selective lumbar nerve root blocks. Spine Journal 2006 6 : 170 176.
5. Pobiel RS, Schellhas KP, Eklund JA, et al. Selective cervical nerve root blockade: prospective study of immediate and longer term complications. American Journal of Neuroradiology 2009 30 : 507 511.
6. Huntoon MA, Martin DP. Paralysis after transforaminal epidural injection and previous spinal surgery. Regional Anesthesia and Pain Medicine 2004 29 : 494 495.
7. Tiso RL, Cutler T, Catania JA, Whalen K. Adverse central nervous system sequelae after selective transforaminal block: the role of corticosteroids. Spine Journal 2004 4 : 468 474.
8. Ziai WC, Ardelt AA, Llinas RH. Brainstem stroke following uncomplicated cervical epidural steroid injection. Archives of Neurology 2006 63 : 1643 1646.
9. Suresh S, Berman J, Connell DA. Cerebellar and brainstem infarction as a complication of CT-guided transforaminal cervical nerve root block. Skeletal Radiology 2007 36 : 449 452.
10. McMillan MR, Crumpton C. Cortical blindness and neurologic injury complicating cervical ransforaminal injection for cervical radiculopathy. Anesthesiology 2003 99 : 509 511.
11. Rozin L, Rozin R, Koehler SA, et al. Death during transforaminal epidural steroid nerve root block (C7) due to perforation of the left vertebral artery. American Journal of Forensic Medicine and Pathology 2003 24 : 351 355.
12. Muro K, O'Shaughnessy B, Ganju A. Infarction of the cervical spinal cord following multilevel transforaminal epidural steroid injection: case report and review of the literature. Journal of Spinal Cord Medicine 2007 30 : 385 388.
13. Lyders EM, Morris PP. A case of spinal cord infarction following lumbar transforaminal epidural steroid injection: MR imaging and angiographic findings. American Journal of Neuroradiology 2009 30 : 1691 1693.
14. Smuck M, Tang CT, Fuller BJ. Incidence of simultaneous epidural and vascular injection during cervical transforaminal epidural injections. Spine (Phila Pa 1976) 2009 34 : E751 5.
15. Furman MB, Giovanniello MT, O'Brien EM. Incidence of intravascular penetration in transforaminal cervical epidural steroid injections. Spine 2003 28 : 21 5.
16. Sullivan WJ, Willick SE, Chira-Adisai W, et al. Incidence of intravascular uptake in lumbar spinal injection procedures. Spine 2000 25 : 481 486.
17. Kim D, Han K, Kim C, Chae Y. Intravascular flow patterns in transforaminal epidural injections: a comparative study of the cervical and lumbar vertebral segments. Anesthesia and Analgesia 2009 109 : 233 239.
18. Smuck M, Fuller BJ, Yoder B, Huerta J. Incidence of simultaneous epidural and vascular injection during lumbosacral transforaminal epidural injections. Spine Journal 2007 7 : 79 82.
19. Rathmell JP, Aprill C, Bogduk N. Cervical transforaminal injection of steroids. Anesthesiology 2004 100 : 1595 1600.
20. Bogduk N. Thoracic transforaminal injections. In : Bogduk N, ed. Practice Guidelines Spinal Diagnostic and Treatment Procedures. San Francisco, Calif : International Spine Intervention Society, 2004 : 295 313.
21. Furman MB, O'Brien EM, Zgleszewski TM. Incidence of intravascular penetration in transforaminal lumbosacral epidural steroid injections. Spine 2000 25 : 2628 2632.
22. Manchikanti L, Cash KA, Pampati V, Damron KS, McManus CD. Evaluation of lumbar transforaminal epidural injections with needle placement and contrast flow patterns: a prospective, descriptive report. Pain Physician 2004 7 : 217 223.
23. Smuck M, Fuller BJ, Chiodo A, et al. Accuracy of intermittent fluoroscopy to detect intravascular injection during transforaminal epidural injections. Spine (Phila Pa 1976) 2008 33 : E205 10.
24. Hoeft MA, Rathmell JP, Monsey RD, Fonda BJ. Cervical transforaminal injection and the radicular artery: variation in anatomical location within the cervical intervertebral foramina. Regional Anesthesia and Pain Medicine 2006 31 : 270 274.
25. Karasek M, Bogduk N. Temporary neurologic deficit after cervical transforaminal injection of local anesthetic. Pain Medicine 2004 5 : 202 205.
26. McLean JP, Sigler JD, Plastaras CT, Garvan CW, Rittenberg JD. The rate of detection of intravascular injection in cervical transforaminal epidural steroid injections with and without digital subtraction angiography. PM & R 2009 1 : 636 642.