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Repetitive Obstruction of an Intrathecal Catheter in a Patient with an Intrathecal Drug Delivery System : A Case Report
수막강 내 약물주입기를 가진 환자에서 수막강 내 카테터의 반복적 폐쇄 소견 시 관리의 증례보고 - 수막강 내 카테터의 반복적 폐쇄

첫 페이지 보기
  • 발행기관
    대한척추통증학회 바로가기
  • 간행물
    Pain Bulletin 바로가기
  • 통권
    Vol. 1 No. 1 (2022.12)바로가기
  • 페이지
    pp.39-43
  • 저자
    Jinwoo Shim, Jiyoung Lee, Junghan Kim, Young Hoon Kim
  • 언어
    한국어(KOR)
  • URL
    https://www.earticle.net/Article/A480177

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원문정보

초록

영어
Despite advancements in device and implantation techniques, complications related to intrathecal drug delivery systems are common and may also produce acute withdrawal syndromes. Catheter-related problems are one of the main causes of these complications. The authors present a case of repeated loss of effectiveness of an intrathecal morphine pump following successful implantation in a patient with chronic pancreatitis. The patients experienced pain relief after implantation, but after 3 months, he complained of a sudden worsening of pain. We checked pump-catheter system based on the protocol. Lumbar spine radiographs were obtained to confirm the correct placement of both the pump and the catheter. Pump malfunction was excluded by activating the bolus mode to rotate the pump’s roller. The entire length of the catheter from the pump to the tip was then examined under fluoroscopy and a myelogram was obtained. There was no evidence of a fracture or kink, nor was there leakage at the catheter’s lumen or tip. The patient’s pain was well controlled for a short period, but the patient suffered episodes of repeated aggravation. Despite retraction of the catheter by a few centimeters, his pain recurred. A surgical exploration of the pump-catheter system was then scheduled based on our suspicion that the catheter was partially clogged. The catheter showed no apparent defects or leakage. After the replacement, the patient’s pain decreased substantially. When intrathecal drug delivery systems failure is suspected and all troubleshooting steps have failed to identify the defect, replacing the catheter system may be the final option.

목차

Abstract
증례보고
고찰
참고문헌

키워드

Catheter access port Catheter-related problems Intrathecal drug delivery system Obstruction

저자

  • Jinwoo Shim [ 심진우 | St. Mary’s SK Pain Clinic ]
  • Jiyoung Lee [ 이지영 | Department of Anesthesiology and Pain Medicine, Seoul St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea ]
  • Junghan Kim [ 김정한 | Department of Anesthesiology and Pain Medicine, Seoul St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea ]
  • Young Hoon Kim [ 김영훈 | Department of Anesthesiology and Pain Medicine, Seoul St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea ]

참고문헌

자료제공 : 네이버학술정보

간행물 정보

발행기관

  • 발행기관명
    대한척추통증학회 [The Korean Spinal Pain Society]
  • 설립연도
    2016
  • 분야
    의약학>정형외과학
  • 소개
    본회는 대한척추통증학회 (The Korean Spinal Pain Society : KSPS)라고 칭한다. 본회의 목적은 척추통증의학의 발전과 회원 상호간의 친목을 도모하는데 있다.

간행물

  • 간행물명
    Pain Bulletin
  • 간기
    반년간
  • pISSN
    2951-3782
  • eISSN
    3140-3689
  • 수록기간
    2022~2026
  • 십진분류
    KDC 514 DDC 617

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