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A technique of distal to proximal revision of peripheral neurostimulator leads: technical note
Antonios Mammis1, Alon Y Mogilner
1Department of Neurosurgery, Cushing Neurosciences Institutes, Hofstra University School of Medicine and North Shore University Hospital, Manhasset, NY, USA.
Background:
Peripheral nerve stimulation for chronic pain states is a safe and efficacious technique, being used with increasing frequency. The incidence of hardware-related complications requiring revision remains high.
Objectives:
The authors describe a technique of distal to proximal neurostimulator lead revision, which does not require the changing of generators or extension leads, and thus presumably will minimize further device-related complications.
Methods:
The authors present a case series of 3 patients where the distal to proximal neurostimulator lead revision technique was utilized.
Results:
The technique was well tolerated in each instance and all patients reported >50% pain reduction at long-term follow-up.
Conclusions:
The distal to proximal neurostimulator lead revision technique quickly and safely adjusts lead position, including both lead depth and lead tip location, without a need for replacement of components or revision of the entire system.
