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Intraprocedural Back Pain Associated with Awake Neuroendovascular Procedures.
Adnan I Qureshi1,2, Muhammad Umair Jahngir1, Yasemin Akinci1,2
1Zeenat Qureshi Stroke Institute, Columbia, MO.
Summary
Intraprocedural back pain is common in awake neuroendovascular procedures, affecting 41.3% of patients. Most cases involve moderate to severe pain, particularly in the lumbar region, highlighting a need for preventative strategies.
Area of Science:
- Neurosurgery
- Pain Management
- Medical Quality Improvement
Background:
- Intraprocedural back pain in awake patients undergoing neuroendovascular procedures is not well-documented.
- Understanding its prevalence and characteristics is crucial for patient care.
Purpose of the Study:
- To investigate the prevalence, severity, and location of intraprocedural back pain in awake neuroendovascular procedures.
- To identify factors associated with moderate to severe back pain.
Main Methods:
- A prospective quality improvement study involving 242 awake patients undergoing neuroendovascular procedures.
- Patients were surveyed post-procedure for back pain presence, severity (0-10 scale), and location.
- Primary endpoint: proportion of patients with moderate to severe pain (score ≥3).
Main Results:
- 41.3% (100/242) of patients reported intraprocedural back pain, with a median severity of 5/10.
- 86% of those with pain experienced moderate to severe levels.
- Lumbar region was the most common pain location (77 patients).
- Previous neck/back surgery correlated significantly with moderate to severe pain (P=.02).
Conclusions:
- Intraprocedural back pain is prevalent in awake neuroendovascular procedures.
- Strategies to mitigate this common complication require further investigation.
- Recognizing and addressing this pain is essential for quality patient care.
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