BIOMAT Database Logo BIOMAT Database Logo

Catheterization via Caudal Puncture of the Epidural Space with a 5F Angiography Catheter and a Coaxial Steerable 0.038" Guidewire for Delivery of Drugs and Adhesiolysis. 2008

D Gambacorta, and V Lunghi, and R Buontempo, and M Cirinei, and M Zocchi, and U Arrigucci, and D Gambacorta, and D De Falco
Neuroscience Department, Misericordia Hospital; Grosseto, Italy - dangambacorta@tiscali.it.

We describe a technique for epidural medication delivery with angiographic catheters and guidewires inserted via caudal puncture and advanced cephalad under fluoroscopic guidance in the treatment of painful spinal diseases. METHODS From November 2005 to September 2006 a total of 18 consecutive patients underwent adhesiolysis by an angiographic 5 French hockey-stick tip catheter and a coaxial 0.038" steerable guidewire inserted at the sacral hiatus and advanced cephalad under fluoroscopic guidance up to the site of adhesion. We obtained pain relief for more than three months in 61% of patients. There were no periprocedural/postprocedural complications. Our system of accessing the epidural space provides a safe means of delivering epidural medication, performing mechanical adhesiolysis and may be useful in the treatment of selected patients with painful spinal diseases.

UI MeSH Term Description Entries

Related Publications

D Gambacorta, and V Lunghi, and R Buontempo, and M Cirinei, and M Zocchi, and U Arrigucci, and D Gambacorta, and D De Falco
Superselective embolization for renal hemorrhage with a new coaxial catheter and steerable guidewire.
December 1988, Cardiovascular and interventional radiology,
D Gambacorta, and V Lunghi, and R Buontempo, and M Cirinei, and M Zocchi, and U Arrigucci, and D Gambacorta, and D De Falco
[Successful emergency superselective embolization for hemobilia with a new coaxial catheter and steerable guidewire].
September 1990, Rinsho hoshasen. Clinical radiography,
D Gambacorta, and V Lunghi, and R Buontempo, and M Cirinei, and M Zocchi, and U Arrigucci, and D Gambacorta, and D De Falco
A coaxial catheter and steerable guidewire used to embolize branches of the splanchnic arteries.
August 1990, AJR. American journal of roentgenology,
D Gambacorta, and V Lunghi, and R Buontempo, and M Cirinei, and M Zocchi, and U Arrigucci, and D Gambacorta, and D De Falco
Coaxial laser energy delivery using a steerable catheter in canine coronary arteries.
January 1987, American heart journal,
D Gambacorta, and V Lunghi, and R Buontempo, and M Cirinei, and M Zocchi, and U Arrigucci, and D Gambacorta, and D De Falco
Inadvertent Dural Puncture during Caudal Approach by the Introducer Needle for Epidural Adhesiolysis Caused by Anatomical Variation.
April 2013, The Korean journal of pain,
D Gambacorta, and V Lunghi, and R Buontempo, and M Cirinei, and M Zocchi, and U Arrigucci, and D Gambacorta, and D De Falco
A multipurpose steerable catheter for left-sided cardiac catheterization.
January 1989, The American journal of cardiology,
D Gambacorta, and V Lunghi, and R Buontempo, and M Cirinei, and M Zocchi, and U Arrigucci, and D Gambacorta, and D De Falco
The use of a novel nitinol guidewire to facilitate transseptal puncture and left atrial catheterization for catheter ablation procedures.
October 2011, Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology,
D Gambacorta, and V Lunghi, and R Buontempo, and M Cirinei, and M Zocchi, and U Arrigucci, and D Gambacorta, and D De Falco
Strayed guidewire into the epidural space during internal jugular vein puncture in a paediatric patient.
September 2021, European heart journal. Case reports,
D Gambacorta, and V Lunghi, and R Buontempo, and M Cirinei, and M Zocchi, and U Arrigucci, and D Gambacorta, and D De Falco
Retrograde left atrial catheterization with a new steerable cardiac catheter.
February 1990, American heart journal,
D Gambacorta, and V Lunghi, and R Buontempo, and M Cirinei, and M Zocchi, and U Arrigucci, and D Gambacorta, and D De Falco
Continuous segmental epidural anesthesia with catheter via the caudal canal; a preliminary note.
November 1949, Anesthesiology,
Copied contents to your clipboard!