Minim Invasive Neurosurg 2011; 54(05/06): 219-222
DOI: 10.1055/s-0031-1287830
Original Article
© Georg Thieme Verlag KG Stuttgart · New York

A Novel Percutaneous Technique to Implant Plate-Type Electrodes

D. Logé1, O. De Coster2, W. Pollet3, T. Vancamp4
  • 1Department of Anesthesiology and Pain Management, A.Z. St. Lucas, Gent, Belgium
  • 2Department of Anesthesiology and Pain Management, Stedelijk Ziekenhuis Roeselare, Roeselare, Belgium
  • 3St. Jude Medical Coordination Center, Zaventem, Belgium
  • 4BRAI 2 N & Department of Neurosurgery, University Hospital Antwerp, Antwerp, Belgium
Further Information

Publication History

Publication Date:
25 January 2012 (online)

Abstract

Background:

In spinal cord stimulation (SCS) mainly 2 distinctive implantation techniques can be recognized: the percutaneous and surgical technique.

Material and Methods:

A puncture is made with a blunt 14 gauge Tuohy needle. Once inside the epidural space the guide wire needs to be advanced in the epidural space, then the Tuohy needle is removed. The Epiducer is advanced under the guidance of lateral fluoroscopy, to confirm epidural entry. The S-series electrode is introduced through the sheet in the epidural space.

Conclusion:

We present a novel technique to introduce small profile paddle leads (S-SeriesTM: St. Jude Medical – Neuromodulation Division, Plano, TX) in the epidural space via a percutaneous approach using the EpiducerTM (St. Jude Medical – Neuromodulation Division, Plano, TX) lead delivery system.