From the Florida International University Herbert Wertheim College of Medicine, Miami, FL.
Broward Spine Institute, Hollywood, FL.
A A Pract. 2024 Apr 8;18(4):e01774. doi: 10.1213/XAA.0000000000001774. eCollection 2024 Apr 1.
Traditionally, intrathecal therapy has been used for pain amelioration in cancer patients, but now has indications for nonmalignant chronic pain conditions. Due to its expanding use, it is imperative to understand the risks and management of intrathecal pump implantation. This case illustrates a series of uncommon intrathecal pump complications in a 52-year-old woman with complex regional pain syndrome. Considering the complications outlined in this case, there is a need to conduct retrospective studies and establish guidelines to address when it is optimal to remove a chronically placed catheter as well as the proper technique for removal.
传统上,鞘内治疗已被用于癌症患者的疼痛缓解,但现在也有用于非恶性慢性疼痛疾病的适应症。由于其使用范围不断扩大,了解鞘内泵植入的风险和管理至关重要。本病例说明了一位 52 岁患有复杂性区域疼痛综合征的女性一系列罕见的鞘内泵并发症。考虑到本病例中概述的并发症,有必要进行回顾性研究并制定指南,以确定何时最佳移除长期放置的导管以及正确的移除技术。