Abdullah Newaj, Muir Casey, Eldrige Jason S, Pingree Matthew J, Hagedorn Jonathan M
Department of Anesthesiology, Baylor College of Medicine, Houston, Texas, U.S.A.
Department of Anesthesiology, Division of Pain Medicine, Mayo Clinic, Rochester, Minnesota, U.S.A.
Pain Pract. 2020 Apr;20(4):405-411. doi: 10.1111/papr.12860. Epub 2019 Dec 15.
Radiofrequency ablation (RFA) and spinal cord stimulation (SCS) are 2 common modalities used in management of various pain conditions. RFA generates heat and an electromagnetic field that can theoretically interfere with the functionality and longevity of the SCS device. This is problematic for patients who need RFA and have previously undergone implantation of an SCS device.
We present a case highlighting the safe use of bipolar RFA in a patient who had previously undergone implantation of a cervical SCS device.
We also present device-specific industry guidelines and recommendations for performing RFA in patients following SCS device implantation.
射频消融（RFA）和脊髓刺激（SCS）是用于治疗各种疼痛病症的两种常见方式。RFA会产生热量和电磁场，理论上可能会干扰SCS设备的功能和使用寿命。这对于需要进行RFA且先前已植入SCS设备的患者来说是个问题。
我们呈现了一个病例，该病例突出显示了双极RFA在一名先前已植入颈椎SCS设备的患者中的安全使用情况。
我们还介绍了针对SCS设备植入后患者进行RFA的特定设备行业指南和建议。
