Ross Donald A, Byers Cornelia, Hall Timothy
Medford Neurological and Spine Clinic, and Rehabilitation Medicine Physicians, Medford, OR, USA.
Arch Phys Med Rehabil. 2005 May;86(5):1060-1. doi: 10.1016/j.apmr.2004.10.009.
We report a novel solution to a problem of repeated catheter migration that may aid others caring for patients with catheter migration problems. Catheter migration is a frequently reported complication of intrathecal drug delivery systems. We report on an ambulatory patient with a baclofen pump for control of spasticity due to cerebral palsy and dystonia; the patient suffered repeated episodes of catheter migration. The ultimate solution to the migrations was to place a pediatric pump in the lower thoracic, paraspinal region with the catheter entering the thoracic spine directly adjacent to the pump, thereby minimizing the differential motion between the pump and the spine, which was thought to be the cause of the repeated migration. This solution has not been previously described. Paraspinal pump placement may eliminate repeated catheter migration for patients with intrathecal drug pumps.
我们报告了一种针对反复出现的导管移位问题的新解决方案，这可能有助于其他护理有导管移位问题患者的人员。导管移位是鞘内给药系统常见的并发症。我们报告了一名门诊患者，其使用巴氯芬泵来控制因脑瘫和肌张力障碍引起的痉挛；该患者反复出现导管移位情况。针对这些移位的最终解决方案是将一个儿科泵置于下胸部椎旁区域，导管直接进入紧邻泵的胸椎，从而使泵与脊柱之间的差异运动最小化，这种差异运动被认为是反复移位的原因。此前尚未描述过这种解决方案。椎旁泵置入可能消除鞘内药物泵患者的反复导管移位。
