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Direct Vagus Nerve Injection Protocol For Rats

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Visceral nerve interventions in interventional radiology.

Shen Ning¹, Samir Ghandour¹, Ashraf Thabet¹

¹Division of Interventional Radiology, Massachusetts General Hospital, Boston, MA.

Techniques in Vascular and Interventional Radiology

|November 3, 2024

Summary

Image-guided interventions targeting specific nerves and ganglia can manage chronic abdominal and pelvic pain. This review details procedures like celiac plexus and ganglion impar blocks for refractory visceral pain.

Keywords:

Celiac Plexus Block Hyposgastric Plexus block Visceral nerve pluxus

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Area of Science:

Pain Management
Interventional Radiology
Neuroanatomy

Background:

Chronic abdominal and pelvic pain management often requires a multidisciplinary approach.
Visceral pain is transmitted via specific nerves and ganglia.
Image-guided interventions offer a targeted approach for pain refractory to medical treatments.

Purpose of the Study:

To review the anatomy, indications, evidence, and technical considerations for image-guided visceral nerve interventions.
To discuss complications associated with these procedures.

Main Methods:

Review of anatomical targets including celiac plexus, superior hypogastric, inferior hypogastric, and ganglion impar.
Discussion of percutaneous image-guided block and neurolysis techniques.

Main Results:

Detailed anatomical descriptions of target ganglia.
Evidence supporting the efficacy of interventions for visceral pain.
Considerations for technical execution and potential complications.

Conclusions:

Percutaneous image-guided interventions targeting specific visceral nerves and ganglia are crucial for managing chronic abdominal and pelvic pain.
These procedures require a thorough understanding of anatomy and technique for optimal outcomes and safety.