当前位置： SCI文献检索 > World Neurosurgery期刊下所有文献 > Use of Pulsed Radiofrequency Energy Device (PEAK Plasmablade) in Neuromodulation Implant Revisions.

Use of Pulsed Radiofrequency Energy Device (PEAK Plasmablade) in Neuromodulation Implant Revisions.

Abstract：

BACKGROUND:Battery replacement or revision surgery for neuromodulation implants is conventionally performed using sharp dissection. Meticulous dissection within thick scar tissue is vital to avoid damage to surrounding lead(s), which could result in more extensive revision surgery. Traditional electrosurgery devices are contraindicated as the emitted energy can be transferred to the hardware, resulting in implant or tissue damage with severe consequent complications. OBJECTIVE:We report our experience and potential applications of a novel, pulsed monopolar radiofrequency energy device (PEAK PlasmaBlade, Medtronic PLC, Minneapolis, Minnesota, USA), which facilitates dissection around implants without the risk of damaging or transmitting energy through the system. METHODS:We conducted a 2-center retrospective study to review the indications, safety, and efficacy of the PlasmaBlade in 57 cases requiring either neuromodulation system replacement or revision. Deep brain stimulator (DBS) battery replacements were undertaken in 45 cases, 8 vagal nerve stimulator battery revisions, 2 intrathecal baclofen system revision, 1 DBS extension revision, and 1 DBS scar revision around the cranial portion of the lead. RESULTS:All cases proceeded without adverse event or damage to lead/generator and with a subjective and objective impression of significant time savings. Average operating times for battery replacements were reduced from 37 to 26 minutes (P = 0.015). CONCLUSION:In our experience, the PlasmaBlade is safe to use in revising/replacing neuromodulation implants. We observed no damage or transmission of energy to the implants or leads; additional advantages of the system include reduced operating times, less damage to surrounding tissue, and the potential to facilitate revision procedures in awake patients under local anesthesia.

journal_name

World Neurosurg

journal_title

World neurosurgery

authors

Ughratdar I,Kawsar KA,Mitchell R,Selway R,Ashkan K

doi

10.1016/j.wneu.2018.01.007

subject

Has Abstract

pub_date

2018-04-01 00:00:00

pages

31-36

eissn

1878-8750

issn

1878-8769

pii

S1878-8750(18)30046-9

journal_volume

112

pub_type

杂志文章,多中心研究

相关文献

World Neurosurgery文献大全
  • Long-Term Causes of Death and Excess Mortality After Carotid Artery Ligation.

    abstract：OBJECTIVE:Carotid artery ligation (CAL) is used to treat large and complex intracranial aneurysms. However, little is known about long-term survival and causes of death in patients who undergo the procedure. This study was intended to evaluate if patients who have undergone CAL have long-term excess mortality and what ...

    journal_title：World neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.wneu.2016.01.023

    authors： Ibrahim TF,Jahromi BR,Miettinen J,Raj R,Andrade-Barazarte H,Goehre F,Kivisaari R,Lehto H,Hernesniemi J

    更新日期：2016-06-01 00:00:00

  • Ultrasound Identification of Patients at Increased Risk of Intracranial Hemorrhage After Successful Endovascular Recanalization for Acute Ischemic Stroke.

    abstract：BACKGROUND:Intracranial hemorrhage (ICH) is the most feared complication of endovascular treatment (EVT) for acute ischemic stroke because of anterior circulation large vessel occlusion (LVO). The purpose of this study was to identify cerebral hemodynamic predictors of ICH and poor outcome in patients with successful r...

    journal_title：World neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.wneu.2019.01.198

    authors： Baracchini C,Farina F,Pieroni A,Palmieri A,Kulyk C,Viaro F,Gabrieli JD,Cester G,Causin F,Manara R

    更新日期：2019-05-01 00:00:00

  • Cervical Spinal Fusion: 16-Year Trends in Epidemiology, Indications, and In-Hospital Outcomes by Surgical Approach.

    abstract：BACKGROUND:The rate of cervical spinal fusion has been increasing significantly. However, there is a paucity of literature describing trends based on surgical approach using complete population databases. We investigated the approach-based trends in epidemiology, indications, and in-hospital outcomes of cervical spinal...

    journal_title：World neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.wneu.2018.02.004

    authors： Salzmann SN,Derman PB,Lampe LP,Kueper J,Pan TJ,Yang J,Shue J,Girardi FP,Lyman S,Hughes AP

    更新日期：2018-05-01 00:00:00

  • Comparison of Proximal Junctional Failure and Functional Outcomes Across Varying Definitions of Proximal Junctional Kyphosis.

    abstract：BACKGROUND:Proximal junctional kyphosis (PJK) is a well-recognized complication following surgery for adult spinal deformity (ASD); however, definitions for PJK and its clinical implications can significantly vary by study. This study compares multiple definitions of PJK and describes incidence and clinical significanc...

    journal_title：World neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.wneu.2020.10.034

    authors： Ton A,Alluri RK,Kang HP,Kim A,Hah RJ

    更新日期：2020-10-20 00:00:00

  • The pterional and suprabrow approaches for aneurysm surgery: a systematic review of intraoperative rupture rates in 9488 aneurysms.

    abstract：OBJECTIVE:To assess the safety of the suprabrow approach (SBCA) for aneurysm surgery by comparing intraoperative rupture rates with those for the standard pterional approach. METHODS:A systematic review of all literature published in or after 1997 was performed using specified search words. All articles described aneu...

    journal_title：World neurosurgery

    pub_type： 杂志文章,评审

    doi：10.1016/j.wneu.2013.02.072

    authors： Madhugiri VS,Ambekar S,Pandey P,Guthikonda B,Bollam P,Brown B,Ahmed O,Sonig A,Sharma M,Nanda A

    更新日期：2013-12-01 00:00:00

  • Primary Intracranial Epidermoid Carcinoma with Diffuse Leptomeningeal Carcinomatosis: Report of Two Cases.

    abstract：BACKGROUND:Malignant degeneration of epidermoid cyst (EC) with accompanying leptomeningeal carcinomatosis (LC) at presentation is extremely rare. We add two cases to the literature, including the first case of primary brainstem involvement with simultaneous diffuse LC, and discuss clinical and radiological cues to diff...

    journal_title：World neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.wneu.2015.11.039

    authors： Raheja A,Eli IM,Bowers CA,Palmer CA,Couldwell WT

    更新日期：2016-04-01 00:00:00

  • Reversal of Visual Impairment Associated with Vasospasm After Resection of Sphenoclinoidocavernous Meningioma with Intra-Arterial Verapamil.

    abstract：BACKGROUND:Visual loss can be encountered in the immediate, early, or even delayed postoperative period after resection of skull base meningiomas involving the optic apparatus. Various mechanisms for visual loss can include mechanical injury, vascular insult, optic nerve and chiasm edema, and vasospasm of the blood sup...

    journal_title：World neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.wneu.2016.06.052

    authors： Amuluru K,Al-Mufti F,Singh IP,Frohman LP,Gandhi CD,Liu JK

    更新日期：2016-08-01 00:00:00

  • Efficacy of the Endoscopic Triportal Transmaxillary Approach for Treating Lateral Middle Skull Base Tumors: A Technical Note and Retrospective Case Series.

    abstract：BACKGROUND:The endoscopic approach, chiefly via the maxillary sinus, has growing applications for the lateral skull base, and can be classified into the use of "endonasal" or "sublabial" entry. Although the endonasal transmaxillary approach has been well accepted, it has a limitation with respect to the lateral exposur...

    journal_title：World neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.wneu.2020.06.157

    authors： Umehara T,Kinoshita M,Hayama M,Shikina T,Fujimoto Y,Yohei M,Inohara H,Kishima H

    更新日期：2020-10-01 00:00:00

  • Surgical Resection and Histopathological Analysis of a Thrombosed Giant Fusiform MCA Aneurysm After Initial Treatment with a Flow Diversion Construct.

    abstract：BACKGROUND:We describe the histopathology of an unruptured giant calcified left middle cerebral artery (MCA) fusiform aneurysm initially treated with endovascular flow diversion. The flow diversion construct underwent postoperative in-stent thrombosis, necessitating surgical resection of the aneurysm to eliminate mass ...

    journal_title：World neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.wneu.2017.04.070

    authors： Sack J,Cheung V,Amaro D,Wali AR,Santiago-Dieppa DR,Pannell JS,Khalessi AA

    更新日期：2017-07-01 00:00:00

  • Posttraumatic Triple Acute Epidural Hematomas: First Report of Bilateral Synchronous Epidural Hematoma and a Third Delayed.

    abstract：BACKGROUND:Development of a delayed acute epidural hematoma (DEDH) represents a rare event, characterized by a high mortality rate. It is defined as an extradural bleeding not evident at the first brain computed tomography (CT) scan performed after traumatic brain injury but evidenced by further radiologic evaluations....

    journal_title：World neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.wneu.2019.10.009

    authors： Fricia M,Umana GE,Scalia G,Raudino G,Passanisi M,Spitaleri A,Cicero S

    更新日期：2020-01-01 00:00:00

  • Emerging Insight in the Use of an Active Post Discharge Surveillance Program in Spine Surgery: A Retrospective Pilot Study.

    abstract：BACKGROUND:With smartphones being present in everyday life, we have witnessed an increasing use of applications designed for mobile communication devices that are aimed at facilitating patient engagement in different medical arenas. Such applications are meant to improve communications with patients and ultimately impr...

    journal_title：World neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.wneu.2020.03.185

    authors： von Glinski A,Ishak B,Elia CJ,Goodmanson R,Pierre C,Norvell DC,Ansari D,Brune P,Oskouian RJ,Chapman JR

    更新日期：2020-07-01 00:00:00

  • Dwell Time of Stentriever Influences Complete Revascularization and First-Pass TICI 3 Revascularization in Acute Large Vessel Occlusive Stroke.

    abstract：OBJECTIVE:In acute ischemic stroke with large vessel occlusion, the interaction between the clot retriever and the stent is critical for achieving successful recanalization. The ideal time of stent deployment (dwell time [DT]) to improve revascularization is currently unknown. We systematically analyzed the effect of d...

    journal_title：World neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.wneu.2017.10.155

    authors： Kannath SK,Rajan JE,Sylaja PN,Sarma PS,Sukumaran S,Sreedharan SE,Kapilamoorthy TR

    更新日期：2018-02-01 00:00:00

  • Limb Undergrowth in Intraneural Perineuriomas: An Under-Recognized Association.

    abstract：BACKGROUND:Intraneural (IN) perineuriomas are a rare benign hypertrophic nerve tumor, most frequently occurring in young patients. Patients with IN perineurioma have been anecdotally found to have limb undergrowth; however, this has not been systematically evaluated. METHODS:Archived electronic records from 1990 to 20...

    journal_title：World neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.wneu.2020.05.280

    authors： Pendleton C,Lenartowicz KA,Howe BM,Spinner RJ

    更新日期：2020-09-01 00:00:00

  • Neurologic Deterioration in Patients with Moyamoya Disease during Pregnancy, Delivery, and Puerperium.

    abstract：BACKGROUND:We reviewed our clinical experience of patients with moyamoya disease (MMD) who gave birth and assessed characteristics of those experiencing neurologic deterioration. METHODS:The patients were classified into patients diagnosed with MMD during pregnancy and puerperium (group 1) and those diagnosed before p...

    journal_title：World neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.wneu.2017.11.094

    authors： Park W,Ahn JS,Chung J,Chung Y,Lee S,Park JC,Kwun BD

    更新日期：2018-03-01 00:00:00

  • Progression of White Matter Injury After Intracerebral Hemorrhage: A Magnetic Resonance Imaging Study.

    abstract：BACKGROUND:White matter injury (WMI) has been observed after experimental intracerebral hemorrhage (ICH). The supporting clinical data have been sparse. We assessed the presence, extent, and progression of WMI in patients with ICH. METHODS:We performed a retrospective review of data from 65 consecutive patients with s...

    journal_title：World neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.wneu.2019.02.089

    authors： Wang D,Norton C,Helenius J,Xu X,Liu M,Selim M,Lioutas VA

    更新日期：2019-06-01 00:00:00

  • Middle Meningeal Artery Embolization for Recurrent Chronic Subdural Hematoma: A Case Series.

    abstract：BACKGROUND:Embolization of the middle meningeal artery (MMA) has recently been proposed as an alternative to surgery for treatment of chronic subdural hematoma (SDH). There is increasing evidence that fragile neovasculature arising from distal branches of the MMA found within the membrane that forms around a chronic SD...

    journal_title：World neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.wneu.2018.06.241

    authors： Link TW,Schwarz JT,Paine SM,Kamel H,Knopman J

    更新日期：2018-10-01 00:00:00

  • Magnetic Resonance Imaging-Apparent Diffusion Coefficient Assessment of Vestibular Schwannomas: Systematic Approach, Methodology, and Pitfalls.

    abstract：OBJECTIVE:To investigate the validity of various approaches to extract quantitative measurements of diffusion imaging (i.e., apparent diffusion coefficient [ADC]) to investigate tumors of the central nervous system. In current studies, the region of interest (ROI) for the quantitative measurements are placed arbitraril...

    journal_title：World neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.wneu.2019.01.176

    authors： Giordano M,Samii A,Samii M,Nabavi A

    更新日期：2019-05-01 00:00:00

  • Diagnosis of Ventricular Shunt Infection in Children: A Systematic Review.

    abstract：BACKGROUND:No widely accepted gold standard for diagnosis of shunt infection exists, with definitions variable among clinicians and publications. This article summarizes the utility of commonly used diagnostic tools and provides a comprehensive review of optimal measures for diagnosis. METHODS:A query of PubMed was pe...

    journal_title：World neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.wneu.2019.05.057

    authors： Zervos T,Walters BC

    更新日期：2019-09-01 00:00:00

  • Intramedullary abscess of the cervical spinal cord in an otherwise healthy man.

    abstract：BACKGROUND:An intramedullary spinal cord abscess is a rare, albeit widely publicized entity. Classically, patients have an acute onset of symptoms with fevers and leukocytosis supporting the diagnosis. We present a case of intramedullary spinal cord without classic history or imaging characteristics in which the diagno...

    journal_title：World neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.wneu.2010.01.013

    authors： Hood B,Wolfe SQ,Trivedi RA,Rajadhyaksha C,Green B

    更新日期：2011-09-01 00:00:00

  • Unilateral approach for bilateral foramen decompression in minimally invasive transforaminal interbody fusion.

    abstract：OBJECTIVE:To evaluate the efficiency and safety of a unilateral approach for bilateral foramen decompression in minimally invasive transforaminal lumbar interbody fusion (miTLIF) for the treatment of bilateral foraminal stenosis. METHODS:Treatment of 52 levels of bilateral foraminal stenosis in 48 patients was perform...

    journal_title：World neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.wneu.2014.06.009

    authors： Lin JH,Chiang YH

    更新日期：2014-11-01 00:00:00

  • Electrodiagnostic and Advanced Neuroimaging Characterization for Successful Treatment of Spinal Extradural Arachnoid Cyst.

    abstract：BACKGROUND:Spinal extradural arachnoid cysts are relatively uncommon. Rarely, large cysts presented with spinal cord compression requiring surgical intervention. CASE DESCRIPTION:We report a patient with a progressively enlarging spinal extradural arachnoid cyst causing worsening right S1 radiculopathy and gastrocnemi...

    journal_title：World neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.wneu.2017.10.003

    authors： Tanaka T,Boddepalli RS,Miller DC,Cao Z,Sindhwani V,Coates JR,Govindarajan R,Litofsky NS

    更新日期：2018-01-01 00:00:00

  • Clipping of Ruptured Aneurysm of Lateral Spinal Artery Associated with Anastomosis to Distal Posterior Inferior Cerebellar Artery: A Case Report.

    abstract：BACKGROUND:Arteries that anastomose with the posterior inferior cerebellar artery (PICA) can harbor aneurysms. CASE DESCRIPTION:We present a case of a patient who suffered a subarachnoid hemorrhage as a result from an aneurysm on the left lateral spinal artery (LSA) that anastomosed to the PICA. The aneurysm was treat...

    journal_title：World neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.wneu.2018.06.085

    authors： Germans MR,Kulcsar Z,Regli L,Bozinov O

    更新日期：2018-09-01 00:00:00

  • 18F-Fluorodeoxyglucose Positron Emission Tomography-Magnetic Resonance Monitoring of Brain Metabolic Changes in a Case of Arteriovenous Malformation-Related Steal Phenomenon Symptoms.

    abstract：BACKGROUND:Unruptured brain arteriovenous malformations (AVMs) represent a complex disease in young healthy adults. Most often AVMs are clinically silent but also can display a neurologic syndrome due to hypoperfusion/hypometabolism in perilesional brain tissue called steal phenomenon. CASE DESCRIPTION:A 34-year-old w...

    journal_title：World neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.wneu.2019.02.167

    authors： Anglani M,Cecchin D,Cester G,Simonato D,Baracchini C,Della Puppa A,Causin F

    更新日期：2019-06-01 00:00:00

  • Assessment of the Temporopolar Artery as a Donor Artery for Intracranial-Intracranial Bypass to the Middle Cerebral Artery: Anatomic Feasibility Study.

    abstract：BACKGROUND:Intracranial-intracranial bypass is a valuable cerebral revascularization option. Despite several advantages, one of the main shortcomings of the intracranial-intracranial bypass is the possibility of ischemic complications of the donor artery. However, when sacrificed, the temporopolar artery (TPA) is not a...

    journal_title：World neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.wneu.2017.04.142

    authors： Tayebi Meybodi A,Lawton MT,Griswold D,Mokhtari P,Payman A,Tabani H,Yousef S,Kola O,Benet A

    更新日期：2017-08-01 00:00:00

  • A Novel Less Invasive Technique for the Excision of Large Intradural and Extradural Dumbbell Lumbar Schwannomas: The "Dual Approach".

    abstract：OBJECTIVE:Large schwannomas with intradural and extradural extensions are often challenging surgical lesions. A variety of approaches, usually requiring large exposures, removal of facets and pars interarticularis, and spinal stabilization, have been described. The aim of this study is to describe the "dual approach," ...

    journal_title：World neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.wneu.2016.07.103

    authors： Vergara P

    更新日期：2016-11-01 00:00:00

  • Metabolic Changes in Serum in the Rat Model of Cauda Equina Injury.

    abstract：OBJECTIVE:To identify the potent metabolic biomarkers of cauda equina injury (CEI). METHODS:A total of 50 Sprague-Dawley rats were used to establish the CEI model in this study. The serum was collected at 12 hours, 1 day, 2 days, and 7 days after surgery. Ultra-high-performance liquid chromatography coupled with quadr...

    journal_title：World neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.wneu.2019.07.077

    authors： Zhang B,Yan R,Lu J,Ma Z,Zhang X,Li L,Gao J,Xia L,Zhang K,Zhang F,Liu Y,Shi J

    更新日期：2019-10-01 00:00:00

  • Prognostication of Survival Outcomes in Patients Diagnosed with Glioblastoma.

    abstract：OBJECTIVE:Glioblastoma multiforme (GBM) is an aggressive primary brain tumor with dismal survival. This study aims to examine the prognostic value of primary tumor sites and race on survival outcomes. METHODS:Patient data obtained from the Scott and White Hospital Brain Tumor Registry (1976-2013) were stratified accor...

    journal_title：World neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.wneu.2017.09.104

    authors： Nizamutdinov D,Stock EM,Dandashi JA,Vasquez EA,Mao Y,Dayawansa S,Zhang J,Wu E,Fonkem E,Huang JH

    更新日期：2018-01-01 00:00:00

  • Surgical resolution of trigeminal neuralgia due to intra-axial compression by pontine cavernous angioma.

    abstract：BACKGROUND:Trigeminal neuralgia is usually caused by microvascular conflict with the fifth cranial nerve in the pontocerebellar angle. Rarely is it secondary to other extra-axial or intra-axial lesions. Few cases of trigeminal neuralgia due to cavernous angiomas have been reported in the literature. This is the first r...

    journal_title：World neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.wneu.2010.03.035

    authors： Cenzato M,Stefini R,Ambrosi C,Latronico N,Milani D

    更新日期：2010-10-01 00:00:00

  • Factors Related to Frailty Associated with Clinical Deterioration After Meningioma Surgery in the Elderly.

    abstract：BACKGROUND:Older patients are increasingly presenting for surgery with intracranial meningioma because of progress with diagnostic imaging and longer life expectancy. However, older patients have many problems, such as comorbidities and reduced physiological capacity reflected in the frailty index. This study examines ...

    journal_title：World neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.wneu.2018.07.080

    authors： Isobe N,Ikawa F,Tominaga A,Kuroki K,Sadatomo T,Mizoue T,Hamasaki O,Matsushige T,Abiko M,Mitsuhara T,Kinoshita Y,Takeda M,Kurisu K

    更新日期：2018-11-01 00:00:00

  • Solitary Fibrous Tumor/Hemangiopericytoma of Spinal Cord: A Retrospective Single-Center Study of 16 Cases.

    abstract：OBJECTIVE:In this study, we retrospectively reviewed our experience in the surgical management of solitary fibrous tumor (SFT)/hemangiopericytomas (HPCs) of the spinal cord. METHODS:Sixteen patients with SFT/HPCs of the spinal cord were enrolled in this study. Data on clinical presentation, radiologic findings, histop...

    journal_title：World neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.wneu.2018.12.004

    authors： Wang J,Zhao K,Han L,Jiao L,Liu W,Xu Y,Niu H,Ke C,Shu K,Lei T

    更新日期：2019-03-01 00:00:00