Harmandeep Singh1,2,3, Akshat Gargya1,2,3, Tiffany Lin1,2,3, Amitabh Gulati3. 1. Department of Anesthesiology, New York Presbyterian Hospital, New York, New York. 2. Weill Cornell Medical College, New York, New York. 3. Department of Anesthesiology and Critical Care, Memorial Sloan Kettering Cancer Center, New York, New York, USA.
Abstract
OBJECTIVE: With advances in peripheral nerve stimulation technology, there has been an emergence of new minimally invasive techniques to provide neurostimulation therapies for chronic pain. This technical note describes the utilization of ultrasonography for percutaneous placement of peripheral nerve stimulation leads at the sciatic, femoral, and lateral femoral cutaneous nerves. METHODS: Ultrasound can be utilized to localize a specific nerve, view neighboring soft tissue anatomy, and plan a needle trajectory. Various ultrasound techniques and transducer orientations allow for multiple options for lead placement relative to the targeted nerve. CONCLUSIONS: The option of ultrasound-guided percutaneous technique for neurostimulation lead placement allows this treatment modality to be made available to more patients with chronic pain in specific nerve distributions.
OBJECTIVE: With advances in peripheral nerve stimulation technology, there has been an emergence of new minimally invasive techniques to provide neurostimulation therapies for chronic pain. This technical note describes the utilization of ultrasonography for percutaneous placement of peripheral nerve stimulation leads at the sciatic, femoral, and lateral femoral cutaneous nerves. METHODS: Ultrasound can be utilized to localize a specific nerve, view neighboring soft tissue anatomy, and plan a needle trajectory. Various ultrasound techniques and transducer orientations allow for multiple options for lead placement relative to the targeted nerve. CONCLUSIONS: The option of ultrasound-guided percutaneous technique for neurostimulation lead placement allows this treatment modality to be made available to more patients with chronic pain in specific nerve distributions.
Authors: Steven P Cohen; Christopher A Gilmore; Richard L Rauck; Denise D Lester; Robert J Trainer; Thomas Phan; Leonardo Kapural; James M North; Nathan D Crosby; Joseph W Boggs Journal: Mil Med Date: 2019-07-01 Impact factor: 1.437
Authors: Richard L Rauck; Steven P Cohen; Christopher A Gilmore; James M North; Leonardo Kapural; Rosemary H Zang; Julie H Grill; Joseph W Boggs Journal: Neuromodulation Date: 2013-08-15