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Technical Aspects of Peripheral Nerve Stimulation: Hardware and Complications

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Title: Technical Aspects of Peripheral Nerve Stimulation: Hardware and Complications
Author(s): Slavin, Konstantin V.
Subject(s): peripheral nerve stimulation migration erosion hardware failure device components
Abstract: Although commonly used in clinical practice, peripheral nerve stimulation (PNS) for treatment of chronic pain is performed mainly with devices developed and marketed for spinal cord stimulation applications. This may be one of the reasons why PNS approach is marked by a very high complication rate, as the anatomy of peripheral nerves and the surrounding soft tissues is quite different from epidural spinal space for which the current devices are designed. The chapter reviews integral components of PNS systems and accessories. It also lists variety of complications observed with PNS approach and points to the ways to minimize their incidence. Based on the literature data and the analysis of the author’s experience with PNS procedures it appears that although the rate of complications is relatively high, the morbidity associated with PNS approach is very minor and most problems may be resolved with simple re-operations, usually on outpatient basis. The reduction in complication rate is expected to occur when the hardware used in PNS procedures is appropriately adapted for PNS applications.
Issue Date: 2011
Publisher: Karger
Citation Info: Slavin, K. V. 2011. Technical Aspects of Peripheral Nerve Stimulation: Hardware and Complications. Progress in Neurological Surgery, 24: 189-202. DOI: 10.1159/000323275
Type: Article
Description: © 2011 S. Karger AG, Basel. Post print version of article may differ from published version. The definitive version is available through Karger at DOI: 10.1159/000323275.
URI: http://hdl.handle.net/10027/7771
ISSN: 0079-6492
Date Available in INDIGO: 2011-05-27
 

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