Orkut Sinan, Cazzato Roberto Luigi, Garnon Julien, Koch Guillaume, Autrusseau Pierre Alexis, de Marini Pierre, Bertucci Gregory, Shaygi Behnam, Weiss Julia, Gangi Afshin
Department of Interventional Radiology, University Hospital Strasbourg, Strasbourg, France.
Department of Radiology, London North West University Healthcare NHS Trust, A404 Watford Rd, Harrow, HA1 3UJ, UK.
Cardiovasc Intervent Radiol. 2024 Dec 20. doi: 10.1007/s00270-024-03934-3.
Pain management in interventional radiology (IR) encompasses a variety of advanced image-guided techniques to deliver minimally invasive treatments for various pain conditions. Key procedures include nerve blocks and neurolysis, which target specific nerves to provide substantial pain relief. Effective pain management in IR relies on a thorough understanding of regional anatomy, precise technique, and careful administration of local anesthetics, neurolytic agents, and corticosteroids. Complications are minimized through strict adherence to dosage guidelines and meticulous procedural protocols. These interventions significantly improve patient outcomes, reduce recovery times, and minimize the risk of chronic pain, underscoring the pivotal role of IR in contemporary pain management. In the present review, we will report the most common nerve blocks and neurolytic interventions performed in the IR field, by focusing on anatomy, imaging guidance, major procedural points, and expected complications.
介入放射学中的疼痛管理涵盖了多种先进的影像引导技术，用于为各种疼痛病症提供微创治疗。关键程序包括神经阻滞和神经溶解术，其针对特定神经以提供显著的疼痛缓解。介入放射学中的有效疼痛管理依赖于对局部解剖结构的透彻理解、精确的技术以及对局部麻醉剂、神经溶解剂和皮质类固醇的谨慎施用。通过严格遵守剂量指南和细致的操作流程，并发症可降至最低。这些干预措施显著改善了患者的治疗效果，缩短了恢复时间，并将慢性疼痛的风险降至最低，凸显了介入放射学在当代疼痛管理中的关键作用。在本综述中，我们将通过关注解剖结构、影像引导、主要操作要点和预期并发症，报告介入放射学领域最常见的神经阻滞和神经溶解干预措施。
