A standardized surgical technique for removal of the Interstim ... | 合法醫療器材資訊網

由MESterling著作·2016·被引用5次—Introduction:ExplantationoftheInterstimsacralneuromodulation(SNM)deviceisoccasionallynecessary.Removingthetinedleadcanputstrainonthe ...

Introduction: Explantation of the Interstim sacral neuromodulation (SNM) device is occasionally necessary. Removing the tined lead can put strain on the lead, resulting in a possible break and retained fragments. The Food and Drug Administration (FDA) released a notification regarding health consequences related to retained lead fragments. We describe a novel and safe surgical technique for removing the Interstim device and permanent lead.

Materials and methods: We searched the Manufacturer and User Facility Device Experience (MAUDE) database for complications related to tined lead removal and searched the database of a single surgeon at our institution. Our standardized technique for tined lead removal is as follows. An incision is made over the previous lead insertion site and the lead is isolated and externalized. The fibrous encapsulation is dissected off the lead to expose the tines and ensure ...