scholarly journals Sacral Bone

2020 ◽  
Author(s):  
Keyword(s):  
Author(s):  
M. Agnello ◽  
M. Vottero ◽  
P. Bertapelle

Abstract Background Up to 7.5% of tined-lead removals in patients having sacral neuromodulation (SNM) therapy are associated with a lead breakage. It is still unclear what adverse effects can be caused by unretrieved fragments. The aim of our study was to describe the lead removal technique we have been using for the last 2 years in our centre. Methods We retrospectively enrolled patients who had lead removal between January 2018 and January 2020 using our standardized technique. The novelty of the technique is in the use of the straight stylet, which is available in the quadripolar tined-lead kit. The stylet gives the electrode greater stiffness, reducing interactions with surrounding tissues and probability of damage or breakage during removal. Results In 59 patients (42 women, mean age 57.2 years [range 40–79 years]) the lead was removed using our standardized technique. In 44 of 59 patients, the tined-lead was removed within 2 months from the SNM-test, due to lack of beneficial effects. In 15 patients the electrode was removed because of failure of definitive implantation. Meantime from definitive implantable pulse generator (IPG) implantation to lead removal was 67.9 months. We recorded only 1 case of lead-breakage during removal: a female patient with a non-tined lead fixed on sacral bone, placed 18 years previously using an open technique. Conclusions Lead breakage during removal is not uncommon and adverse effects of retained fragments may occur. Our technique has been safely used for the last 2 years in our centre, with no episodes of lead breakage or retained fragments, except for one non-tined electrode.


1990 ◽  
Vol 34 (2) ◽  
pp. 142-149 ◽  
Author(s):  
K. KOZLOWSKI ◽  
A. BARYLAK ◽  
J. CAMPBELL ◽  
J.D. HOEFFEL ◽  
G. BELUFFI ◽  
...  

1996 ◽  
Vol 16 (1_suppl) ◽  
pp. 312-317
Author(s):  
Hanna Plotast ◽  
Alicja E. Grzegorzewska ◽  
Roman Junik ◽  
Jerzy Sowinski ◽  
Maciej Gernbicki

The aim of the study was a comparative analysis of bone scans in uremic patients treated with intermittent peritoneal dialysis (IPD) or hemodialysis (HD). Bone scintigraphy was performed using technetium Tc 99m etidronate (EHDP) in 28 uremics (age 46.0±13.5 years, x±SD) on IPD for 3.1±3.0 months and 28 uremics (age 43.5±11.6 years) on HD for 47.3±33.9 months. Serum c terminal parathormone (cPTH) exceeded 5.3±3.3 and 6.8±3.5 times the upper normal limit of 1.4 ng/mL in IPD and HD patients, respectively. Despite significant differences in dialysis treatment duration in IPD and HD patients, an increased Tc 99m EHDP uptake in bones was shown with similar frequency, when all the groups were compared. However, in the group of patients with serum cPTH exceeding four times the upper normal limit (n = 30) or in the age group less than 45 years old (n = 26), a greater marker uptake was observed in HD patients. Significant differences (p < 0.05) were shown in the cranial vault: 33% of HD patients (n = 18) with higher cPTH and 47% of those less than 45 years old (n = 15) revealed an increased marker uptake, whereas it was not observed in any IPD patient. When scans of HD patients dialyzed less than (n = 11) and more than (n = 17) 30 months were compared, a significantly higher appearance of increased marker uptake was shown in cranial vault (41% vs 0%, p < 0.02) and in sacral bone (82% vs 36%, p < 0.02) in patients with longer dialysis. The latter group of HD patients also showed an increased marker uptake in cranial vault compared to the entire group of PD patients (41% vs 7%, p < 0.01). Our studies suggest that bone scan changes, indicating secondary hyperparathyroidism, progress significantly with prolongation of dialysis treatment, especially in patients with higher cPTH levels of younger age.


2016 ◽  
Vol 33 (12) ◽  
Author(s):  
Pierfrancesco Franco ◽  
Riccardo Ragona ◽  
Francesca Arcadipane ◽  
Massimiliano Mistrangelo ◽  
Paola Cassoni ◽  
...  

PM&R ◽  
2020 ◽  
Vol 12 (12) ◽  
pp. 1279-1280
Author(s):  
Stephanie R. Douglas ◽  
Karen L. Troy ◽  
Adam S. Tenforde

2016 ◽  
Vol 119 ◽  
pp. S782
Author(s):  
V. Soyfer ◽  
B. Corn ◽  
Y. Meir ◽  
N. Honig ◽  
N. Shtraus
Keyword(s):  

2015 ◽  
Vol 42 (6Part9) ◽  
pp. 3293-3293
Author(s):  
S McGuire ◽  
S Bhatia ◽  
W Sun ◽  
Y Menda ◽  
L Ponto ◽  
...  

2012 ◽  
Vol 57 (No. 5) ◽  
pp. 270-273
Author(s):  
Z. Adamiak ◽  
A. Pomianowski ◽  
I. Otrocka-Domagala ◽  
M. Jaskolska

A canine patient with osteosarcoma of the sacrum was subjected to low-field magnetic resonance imaging with the following sequences: FSE, SE, 3D HYCE, X BONE, Fast STIR, GE STIR and Gradient Echo. Due to the size and location of the tumour, surgery was not performed, and the patient was euthanized. A histopathological analysis of the tumour revealed telangiectatic osteosarcoma. &nbsp; &nbsp;


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