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Challenges in removing an aged spinal cord stimulator: A case study of complete fracture in a 9‐year‐old S‐series paddle lead.

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Title: Challenges in removing an aged spinal cord stimulator: A case study of complete fracture in a 9‐year‐old S‐series paddle lead.
Authors: Kim, Dong‐Chun, Kang, Eunsu, Lee, Hyun‐Seong, Park, Yei Heum, Lee, Byeongcheol, Kwon, Ji Yeon, Moon, Junseong, Lee, Sang Eun
Source: Pain Practice. Jan2025, Vol. 25 Issue 1, p1-7. 7p.
Subjects: Postoperative care, Baclofen, Neurosurgery, Complex regional pain syndromes, Artificial implants, Medical device removal, Surgical complications, Drug infusion pumps, Pain management, Neural stimulation, Medical equipment reliability, Spinal cord, Electrodes
Abstract: Introduction: This case report presents an instance of an S‐Series™ slim paddle lead fracturing during extraction, highlighting potential risks associated with the removal of this lead. Case Report: A 47‐year‐old male with complex regional pain syndrome type 2, unresponsive to pharmacotherapy, had undergone the implantation of two spinal cord stimulator (SCS) leads, an Octrode™ cylindrical and an S‐series™ slim paddle, using the Epiducer™ system (St Jude Medical) 9 years earlier, with a subsequent intrathecal baclofen pump installed 1 year after SCS. Initially, these interventions stabilized the patient's pain symptoms. However, the diminishing effectiveness of SCS, coupled with a decrease in battery life and increased opioid consumption, necessitated recent surgical procedures. These included the removal and replacement of the implantable pulse generator (IPG) and leads to improve pain management and ensure MRI compatibility. During the removal of the S‐series™ slim paddle type lead, complications arose, leading to the retention of an electrode fragment, which necessitated abandoning the replacement of both the IPG and lead. Post‐surgical assessments revealed no new neurological impairments, and imaging studies confirmed the stable position of the retained fragment. The patient was discharged with a continued comprehensive pain management plan. Conclusion: This case highlights the challenges and risks of percutaneous removal of slim paddle type leads, emphasizing the need for careful procedural planning and consideration of surgical options to avoid complications. Further research is needed to evaluate the long‐term durability and removal risks of various SCS lead types. [ABSTRACT FROM AUTHOR]
Copyright of Pain Practice is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Challenges in removing an aged spinal cord stimulator: A case study of complete fracture in a 9‐year‐old S‐series paddle lead.
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  Data: <searchLink fieldCode="AR" term="%22Kim%2C+Dong‐Chun%22">Kim, Dong‐Chun</searchLink><br /><searchLink fieldCode="AR" term="%22Kang%2C+Eunsu%22">Kang, Eunsu</searchLink><br /><searchLink fieldCode="AR" term="%22Lee%2C+Hyun‐Seong%22">Lee, Hyun‐Seong</searchLink><br /><searchLink fieldCode="AR" term="%22Park%2C+Yei+Heum%22">Park, Yei Heum</searchLink><br /><searchLink fieldCode="AR" term="%22Lee%2C+Byeongcheol%22">Lee, Byeongcheol</searchLink><br /><searchLink fieldCode="AR" term="%22Kwon%2C+Ji+Yeon%22">Kwon, Ji Yeon</searchLink><br /><searchLink fieldCode="AR" term="%22Moon%2C+Junseong%22">Moon, Junseong</searchLink><br /><searchLink fieldCode="AR" term="%22Lee%2C+Sang+Eun%22">Lee, Sang Eun</searchLink>
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  Data: <searchLink fieldCode="JN" term="%22Pain+Practice%22">Pain Practice</searchLink>. Jan2025, Vol. 25 Issue 1, p1-7. 7p.
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  Data: <searchLink fieldCode="DE" term="%22Postoperative+care%22">Postoperative care</searchLink><br /><searchLink fieldCode="DE" term="%22Baclofen%22">Baclofen</searchLink><br /><searchLink fieldCode="DE" term="%22Neurosurgery%22">Neurosurgery</searchLink><br /><searchLink fieldCode="DE" term="%22Complex+regional+pain+syndromes%22">Complex regional pain syndromes</searchLink><br /><searchLink fieldCode="DE" term="%22Artificial+implants%22">Artificial implants</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+device+removal%22">Medical device removal</searchLink><br /><searchLink fieldCode="DE" term="%22Surgical+complications%22">Surgical complications</searchLink><br /><searchLink fieldCode="DE" term="%22Drug+infusion+pumps%22">Drug infusion pumps</searchLink><br /><searchLink fieldCode="DE" term="%22Pain+management%22">Pain management</searchLink><br /><searchLink fieldCode="DE" term="%22Neural+stimulation%22">Neural stimulation</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+equipment+reliability%22">Medical equipment reliability</searchLink><br /><searchLink fieldCode="DE" term="%22Spinal+cord%22">Spinal cord</searchLink><br /><searchLink fieldCode="DE" term="%22Electrodes%22">Electrodes</searchLink>
– Name: Abstract
  Label: Abstract
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  Data: Introduction: This case report presents an instance of an S‐Series™ slim paddle lead fracturing during extraction, highlighting potential risks associated with the removal of this lead. Case Report: A 47‐year‐old male with complex regional pain syndrome type 2, unresponsive to pharmacotherapy, had undergone the implantation of two spinal cord stimulator (SCS) leads, an Octrode™ cylindrical and an S‐series™ slim paddle, using the Epiducer™ system (St Jude Medical) 9 years earlier, with a subsequent intrathecal baclofen pump installed 1 year after SCS. Initially, these interventions stabilized the patient's pain symptoms. However, the diminishing effectiveness of SCS, coupled with a decrease in battery life and increased opioid consumption, necessitated recent surgical procedures. These included the removal and replacement of the implantable pulse generator (IPG) and leads to improve pain management and ensure MRI compatibility. During the removal of the S‐series™ slim paddle type lead, complications arose, leading to the retention of an electrode fragment, which necessitated abandoning the replacement of both the IPG and lead. Post‐surgical assessments revealed no new neurological impairments, and imaging studies confirmed the stable position of the retained fragment. The patient was discharged with a continued comprehensive pain management plan. Conclusion: This case highlights the challenges and risks of percutaneous removal of slim paddle type leads, emphasizing the need for careful procedural planning and consideration of surgical options to avoid complications. Further research is needed to evaluate the long‐term durability and removal risks of various SCS lead types. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
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  Data: <i>Copyright of Pain Practice is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=183925960
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        Value: 10.1111/papr.13429
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      – Code: eng
        Text: English
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        PageCount: 7
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    Subjects:
      – SubjectFull: Postoperative care
        Type: general
      – SubjectFull: Baclofen
        Type: general
      – SubjectFull: Neurosurgery
        Type: general
      – SubjectFull: Complex regional pain syndromes
        Type: general
      – SubjectFull: Artificial implants
        Type: general
      – SubjectFull: Medical device removal
        Type: general
      – SubjectFull: Surgical complications
        Type: general
      – SubjectFull: Drug infusion pumps
        Type: general
      – SubjectFull: Pain management
        Type: general
      – SubjectFull: Neural stimulation
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      – SubjectFull: Medical equipment reliability
        Type: general
      – SubjectFull: Spinal cord
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      – SubjectFull: Electrodes
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      – TitleFull: Challenges in removing an aged spinal cord stimulator: A case study of complete fracture in a 9‐year‐old S‐series paddle lead.
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              Text: Jan2025
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              Y: 2025
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