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Related Experiment Videos

Complications associated with infusion pumps implanted for spasticity

A B Levin1, K B Sperling

  • 1Department of Neurosurgery, University of Wisconsin, Madison, USA.

Stereotactic and Functional Neurosurgery
|January 1, 1995
PubMed
Summary

Implanted infusion pumps effectively treat spasticity. However, complications arose in 62% of patients, highlighting the need for careful pump selection and informed consent regarding potential risks.

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Area of Science:

  • Neurosurgery
  • Pharmacology
  • Biomedical Engineering

Background:

  • Intrathecal infusion pumps are a recognized treatment for spasticity.
  • Both surgical implantation and hardware can lead to complications.

Purpose of the Study:

  • To analyze the complication rates associated with implanted intrathecal infusion pumps over an 8-year period.
  • To compare complication incidence between different pump models.

Main Methods:

  • Retrospective review of 34 intrathecal pump implantations in 30 patients.
  • Medications used included morphine and baclofen for spasticity management.
  • Data collected on overall and device-specific complication rates.

Main Results:

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  • An overall complication incidence of 62% was observed.
  • Infusaid pumps had a 24% complication rate.
  • Medtronic pumps exhibited a 167% complication rate.

    • Conclusions:

    • Complication rates vary significantly between intrathecal pump systems.
    • Understanding complication incidence is crucial for patient informed consent.
    • Pump and connector selection should consider potential risks and complication profiles.