Complications of deep brain stimulation internal pulse generator replacement procedures
10.3760/cma.j.issn.1671-8925.2018.10.010
- VernacularTitle:脑深部电刺激脉冲发生器更换手术的并发症分析
- Author:
Yunxuan CAI
1
;
Dianyou LI
;
Shikun ZHAN
;
Sijian PAN
;
Wei LIU
;
Peng HUANG
;
Xiaoxiao ZHANG
;
Bomin SUN
;
Yixin PAN
Author Information
1. 上海交通大学医学院附属瑞金医院功能神经外科
- Keywords:
Deep brain stimulation;
implanted pulse generator;
Complication
- From:
Chinese Journal of Neuromedicine
2018;17(10):1024-1027
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the complications of deep brain stimulation (DBS) internal pulse generator (IPG) replacement procedures and discuss the reasons,preventive measures and treatments.Methods From 2012 to 2016,285 procedures (according to the number of replacement IPG) were performed for 211 patients in our hospital.Among them,178 patients were with Parkinson's disease,29 patients were with dystonia,3 patients were with tic disorder,and one with essential tremor.Thirty-two patients previously used Medtronic replaced with local DBS with brand of PINC and Sceneray,and the other 179 patients remained the use of Medtronic brand.Furthermore,36 patients got extension cable reimplantation along with IPG replacements.Results Replacement surgeries were divided into 3 types:IPG replacement in situ;bilateral side single-channel IPG was replaced by double-channel IPG or double-channel IPG was replaced by bilateral single-channel IPG;extended cables and IPG replacement were carried out simultaneously.The follow up period was from one to 6 years for these 211 patients,and 15 got surgical-and hardware-related complications:6 with sack hemorrhage,2 with skin erosion,one with IPG rejection,3 with adaptor fracture,and 3 with impedance abnormality were recorded;no infection was noted.Twenty-six patients got significant improvement after new IPG replacement.Conclusions DBS IPG replacement operations is a regular surgery with certain safety.Personalized surgical procedures,rigorous intraoperative operation and correct postoperative management can effectively reduce and prevent the complications of IPG replacement surgery.
