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.
Key words
SCS - percutaneous access - plate electrode - Epiducer
TM
- perc-paddle lead