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Computer-Assisted Lead Placement for Peripheral Nerve Evaluation Test in a Candidate for Sacral Neuromodulation.
International Neurourology Journal ( IF 1.8 ) Pub Date : 2020-12-31 , DOI: 10.5213/inj.2040096.048
Gianluca Sampogna , Emanuele Montanari , Michele Spinelli

Our aim was to report the first case of computer-assisted lead placement (CALP) for a peripheral nerve evaluation (PNE) test in a 55-year-old woman affected by chronic pelvic pain, who was a candidate for sacral neuromodulation (SNM). The first PNE test failed due to nonoptimal lead placement. We utilized a surgical navigation system (SNS) with electromagnetic tracking to guide the lead placement to the S3 right nerve roots. Neither intra- nor postoperative complications occurred. After 2 weeks, the patient reported >50% symptom improvement, so she was recommended to receive a definitive SNM implant. Our case report demonstrated the feasibility and safety of CALP for the PNE test. Since the use of an SNS may guide easy and precise lead placement along the S3 afferent nerve roots, further studies are mandatory to outline the advantages and limits of this innovative technique.

中文翻译:

S神经调节候选人的外周神经评估试验的计算机辅助导联放置。

我们的目的是报告第一例计算机辅助导联放置(CALP)的病例,该病例在55岁的慢性骨盆疼痛患者中进行了外周神经评估(PNE)测试,该患者是神经调节(SNM)的候选人。第一次PNE测试由于导线放置不理想而失败。我们利用具有电磁跟踪功能的外科手术导航系统(SNS)来将引线放置到S3右神经根。术中或术后均未发生并发症。2周后,患者报告症状改善> 50%,因此建议她接受确定的SNM植入物。我们的案例报告证明了CALP用于PNE测试的可行性和安全性。由于使用SNS可以引导导线沿S3传入神经根轻松准确地定位,
更新日期:2021-01-09
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