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Rates of lumbosacral transforaminal injections interpreted as intravascular: fluoroscopy alone or with digital subtraction.
- Source :
-
Anaesthesia . Nov2013, Vol. 68 Issue 11, p1120-1123. 4p. 2 Charts. - Publication Year :
- 2013
-
Abstract
- We investigated the rate of injections interpreted as intravascular during imaging of lumbosacral transforaminal epidural injections, using fluoroscopy alone or with digital subtraction. We evaluated 732 injections performed on 348 patients: 8.1% (59/732) and 10.5% (77/732) of injections were interpreted as intravascular during fluoroscopy and digital subtraction, respectively, p = 0.13. The odds ratio (95% CI) for interpreting injections as intravascular increased for both fluoroscopy and digital subtraction fluoroscopy, with: each year of age, 1.04 (1.01-1.07) and 1.03 (1.00-1.06), p = 0.011 and 0.024, respectively; sacral compared with lumbar injections, 10 (5-19) and 8 (5-15), p < 0.001 for both. The odds ratio for intravascular injection increased with three other variables during digital subtraction fluoroscopy: spinal stenosis, 5.1 (1.5-17.1), p = 0.009; failed back surgery syndrome, 4.3 (1.2-15.8), p = 0.025; compression fracture, 8.0 (1.6-39.4), p = 0.011. [ABSTRACT FROM AUTHOR]
Details
- Language :
- English
- ISSN :
- 00032409
- Volume :
- 68
- Issue :
- 11
- Database :
- Academic Search Index
- Journal :
- Anaesthesia
- Publication Type :
- Academic Journal
- Accession number :
- 91102324
- Full Text :
- https://doi.org/10.1111/anae.12362