Vasovagal rates in flouroscopically guided interventional procedures: a study of over 8,000 injections.
Pain Med
; 14(12): 1854-9, 2013 Dec.
Article
em En
| MEDLINE
| ID: mdl-24118835
ABSTRACT
OBJECTIVE:
To determine the rate of vasovagal (vv) complications in fluoroscopically guided interventional procedures.DESIGN:
Retrospective case series analysis of prospectively collected data from March 8, 2004 to January 30, 2009.SETTING:
A single academic medical center.SUBJECTS:
Four thousand one hundred eighty-three subjects undergoing 8,010 consecutive injections. OUTCOMEMEASURES:
Pearson's chi-square test was used to determine the relationship between categorical variables.RESULTS:
A total of 8,010 injections, including epidural steroid injections, radiofrequency nerve ablations, medial branch blocks, hip injections, knee injections, and glenohumeral injections were performed. Overall vv reaction rate was 2.6%, with 0.8% of procedures resulting in early terminated due to vv reaction. Peripheral joint injections had a vv rate of 0.2%, all occurring in hip injections. Transforaminal epidural steroid injections had a vv rate of 3.5%. Diagnostic blocks of the medial branches had the highest rate of vv (5.1%). Other predictors of vv reactions were identified including preprocedure pain score visual analog scale <5 (P = 0.004), male gender (P < 0.001), and age less than 65 years old (P < 0.001).CONCLUSIONS:
vv reactions have an overall low occurrence rate (2.6%) in interventional procedures ranging from 0% in peripheral knee and shoulder injections to 5.1% in medial branch blocks. Conservative treatment of vv reaction and willingness to terminate procedures resulted in no serious adverse events related to vv reaction in 8,010 procedures.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Injeções Espinhais
/
Síncope Vasovagal
/
Injeções Intra-Articulares
/
Bloqueio Nervoso
Tipo de estudo:
Etiology_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Aged
/
Female
/
Humans
/
Male
/
Middle aged
Idioma:
En
Revista:
Pain Med
Assunto da revista:
NEUROLOGIA
/
PSICOFISIOLOGIA
Ano de publicação:
2013
Tipo de documento:
Article
País de afiliação:
Estados Unidos