Related Experiment Video
Updated: May 9, 2026
12:45
Benefits of Cardiac Resynchronization Therapy in an Asynchronous Heart Failure Model Induced by Left Bundle Branch Ablation and Rapid Pacing
Published on: December 11, 2017
The Italian experience with octopolar perc-paddle leads
Gianni Colini Baldeschi1, Giuliano De Carolis
1Pain Therapy Unit, S.Giovanni-Addolorata Hospital, Rome, Italy.
Summary
This study shows that spinal cord stimulation with percutaneous paddle leads is effective for treating low back and leg pain. Patients experienced significant pain reduction and improved stimulation coverage, indicating a safe and effective treatment option.
Area of Science:
- Neurology
- Pain Management
- Medical Devices
Background:
- Low back and leg pain significantly impact patient quality of life.
- Traditional treatments may not provide adequate relief for all patients.
- Spinal cord stimulation (SCS) is an established therapy for chronic pain.
Purpose of the Study:
- To assess the efficacy of SCS using octopolar percutaneous paddle leads.
- To evaluate the St. Jude Medical Epiducer Lead Delivery System for lead placement.
- To determine the effectiveness in patients with low back and leg pain.
Main Methods:
- Retrospective review of 76 patients implanted between 2009 and 2012 in Italy.
- Follow-up duration ranged from 12 to 30 months.
- Analysis of pain reduction and paresthesia coverage.
Main Results:
- 71 patients reported significant pain improvement and good paresthesia coverage.
- Pain reduction on the Numerical Rating Scale was 55% to 63%.
- The device facilitated better fiber recruitment and reduced stimulation energy requirements.
Conclusions:
- Percutaneous paddle leads offer a less invasive approach to SCS.
- This method enhances lumbar fiber recruitment for more effective pain management.
- Percutaneous paddle placement for SCS is demonstrated to be safe and effective.
