Ultrasound-Guided Localization of Difficult-to-Access Refill Port of the Intrathecal Pump Reservoir
Ultrasound-Guided Localization of Difficult-to-Access Refill Port of the Intrathecal Pump Reservoir
复制标题
DOI：
10.1111/j.1525-1403.2009.00217.x
复制
发表时间：
2009-07-01
期刊：
影响因子：
2.8
通讯作者：
Shankar, Hariharan
中科院分区：
文献类型：
--
作者：
Shankar, Hariharan
导论.超声引导越来越多地用于许多慢性疼痛干预。这是一份使用超声成像进入鞘内泵的报告。病例报告。一名56岁的患者因慢性非恶性疼痛植入可编程鞘内给药系统，需要再灌注舒芬太尼。由于存在血清肿，使用制造商提供的模板尝试进入再填充端口很困难。在超声引导下，观察血清肿、储血器和再灌注端口，并成功进入泵。本文将全面介绍这种成像引导的再填充技术。由于患者在下一次访视期间继续收集液体，因此在超声引导下抽吸收集物。标本显示有少量舒芬太尼的蛋白质聚集。结论这是一个成功的证明，超声引导有助于进入继发于血清肿形成的泵储液器的难以进入的再填充端口。
Introduction. Ultrasound guidance is being increasingly utilized in many chronic pain interventions. This is a report of the use of ultrasound imaging for accessing an intrathecal pump. Case Report. A 56-year-old patient with a programmable implanted intrathecal drug delivery system for chronic non-malignant pain needed a pump refill of sufentanil. Attempts to access the refill port using the manufacturer supplied template were difficult because of the presence of a seroma. Using ultrasound guidance, the seroma, reservoir, and the refill port were visualized and the pump was successfully accessed. This imaging-guided refill technique is fully described in this article. As the patient continued to have a collection of fluid during his following visit, the collection was aspirated under ultrasound guidance. The specimen revealed a proteinaceous collection with minimal quantities of sufentanil. Conclusion. This is a successful demonstration of ultrasound guidance to facilitate access to a difficult-to-access refill port of a pump reservoir secondary to the formation of a seroma.