Evans Alexander R, Grossen Audrey A, Prather Kiana Y, Conner Andrew K
Department of Neurosurgery, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma, USA.
Neurosurg Pract. 2023 Mar 10;4(2):e00032. doi: 10.1227/neuprac.0000000000000032. eCollection 2023 Jun.
The second stage of deep brain stimulation requires the placement of an implantable pulse generator (IPG). Although the current placement technique achieves acceptable outcomes, device erosion has been reported. We describe a simple surgical option aimed at increasing device longevity by placing the hardware under the superficial pectoralis fascia.
We describe and illustrate the technique of placing the IPG in the subfascial space in a patient undergoing deep brain stimulation. In addition, we provide pearls and pitfalls to be mindful of when implementing this method.
In this technical report, we have outlined a simple alternative approach to the traditional subcutaneous IPG placement by placing the IPG under the superficial pectoralis fascia. This subfascial approach can potentially reduce complications and preserve device longevity.
脑深部刺激的第二阶段需要植入可植入式脉冲发生器（IPG）。尽管目前的植入技术取得了可接受的效果，但已有设备侵蚀的报道。我们描述了一种简单的手术方法，旨在通过将硬件置于胸大肌浅筋膜下以提高设备使用寿命。
我们描述并举例说明了在一名接受脑深部刺激的患者中将IPG置于筋膜下间隙的技术。此外，我们还提供了实施该方法时需要注意的要点和陷阱。
在本技术报告中，我们概述了一种简单的替代传统皮下IPG植入的方法，即将IPG置于胸大肌浅筋膜下。这种筋膜下方法可能会减少并发症并延长设备使用寿命。
