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https://neurosurgery.directory/2019/04/05/intrathecal-drug-delivery-device-infection/
Apr 13, 2019 · Intrathecal Drug Delivery Device Infection A major complication of Intrathecal Drug Delivery Device (IDDD) implantationis infection. Morgalla et al., assessed IDD-related complications in 51 patients who had IDD systems implanted for the treatment of chronic pain or spasticity. Twelve patients (23.5%) presented a total of 22 complications. The main type of complication was catheter-related …
https://www.jpsmjournal.com/article/S0885-3924(99)00153-0/fulltext
Intrathecal drug administration via implanted pump is an effective treatment for intractable pain and spasticity but can be compromised by catheter-related complications. To determine the etiology of catheter-related complications, we have conducted a multicenter, prospective study of the long-term performance of a one-piece catheter system.Author: Kenneth A Follett, Claus P Naumann
https://www.britishpainsociety.org/static/uploads/resources/files/itdd_2015_pro_v3.pdf
4 Intrathecal drug delivery for the management of pain and spasticity in adults; Introduction and purpose The technique of intrathecal drug delivery (ITDD) is based on the principle that effective analgesia can be achieved by the action of some drugs at the dorsal horn where …File Size: 1MB
https://clinicalgate.com/complications-of-intrathecal-drug-delivery-systems/
Chapter Overview. Chapter Synopsis: Similar to any sort of implantation therapy for chronic pain, intrathecal drug delivery (ITDD) carries risks and can benefit from careful patient selection. A highly trained physician should always perform the operation because misplacement of needles in the intrathecal space can produce devastating consequences.
https://link.springer.com/chapter/10.1007/978-1-4939-2110-2_43
Unfortunately, despite the many positive attributes of these devices, they are not without risks. The complications can be classified as surgical, device related, or drug related. This chapter focuses on the complications of intrathecal drug delivery and options to assess and reduce risks.Author: Karina Gritsenko, Veronica Carullo, Timothy R. Deer
https://academic.oup.com/bjaed/article/14/1/27/336442
Sep 04, 2013 · Intrathecal drug delivery (ITDD) systems comprise an IT catheter connected to a drug reservoir, which may be externalized and connected to a pump, or fully implanted. Two groups of patients may benefit from ITDD: those with spasticity (baclofen) and those with refractory pain.Author: Louise Lynch
https://www.jpsmjournal.com/article/S0885-3924(99)00153-0/pdf
which can reduce catheter complication rates, and make intrathecal drug delivery systems safer, more reliable, and more cost-effective. The significance of most existing reports de-scribing catheter system complications is com-promised by small study populations, the retro-spective nature of …
https://aneskey.com/complications-of-intrathecal-drug-delivery/
Oct 16, 2016 · Another complication that can occur is a CSF leak, which may occur in as many as 20 % of patients with intrathecal drug delivery systems . Such leaks may present clinically with symptoms of a post–dural puncture headache (PDPH; e.g., nuchal rigidity, positional headache).
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3892916/
Jul 28, 2014 · Intrathecal drug delivery is an effective pain management option for patients with chronic and cancer pain. The delivery of drugs into the intrathecal space provides superior analgesia with smaller doses of analgesics to minimize side effects while significantly improving quality of life.Author: Gaurav Bhatia, Mary E Lau, Katharine M Koury, Padma Gulur
https://www.sciencedirect.com/science/article/pii/S1084208X11000735
Serious, life-threatening complications of intrathecal drug delivery systems (IDDS) trials and implants (catheter tip granulomas, accidental drug overdose, and unintentional abrupt cessation of therapy) are rare, but do occur.Author: James M. Hitt, James M. Hitt, Oscar A. de Leon-Casasola, Oscar A. de Leon-Casasola
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