Lead Fractures in Deep Brain Stimulation during Long-Term Follow-Up
The purpose was to determine the incidence of lead fracture in patients with DBS over a long period of time. We present a retrospective study of 208 patients who received 387 DBS electrodes. Fourteen patients had sixteen lead fractures (4% of the implanted leads) and two patients suffered from 2 lea...
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| Format: | Article |
| Language: | English |
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Wiley
2010-01-01
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| Series: | Parkinson's Disease |
| Online Access: | http://dx.doi.org/10.4061/2010/409356 |
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| author | Fernando Seijo Fernández Marco Antonio Alvarez Vega Aida Antuña Ramos Fernando Fernández González Beatriz Lozano Aragoneses |
| author_facet | Fernando Seijo Fernández Marco Antonio Alvarez Vega Aida Antuña Ramos Fernando Fernández González Beatriz Lozano Aragoneses |
| author_sort | Fernando Seijo Fernández |
| collection | DOAJ |
| description | The purpose was to determine the incidence of lead fracture in patients with DBS over a long period of time. We present a retrospective study of 208 patients who received 387 DBS electrodes. Fourteen patients had sixteen lead fractures (4% of the implanted leads) and two patients suffered from 2 lead fractures. Of all lead fractures, five patients had the connection between the leads and the extension cables located in mastoids region, ten in cervical area and one in thoracic region. The mean distance from the connection between the electrode and the extension cable and the lead fracture was 10.7 mm. The lead fracture is a common, although long-term complication in DBS surgery. In our experience, the most common site of electrode cable breakage is approximately between 9 and 13 mm from the junction between the lead and the extension cable. The most important cause of lead fracture is the rotational movement of the lead-extension cable system. If we suspect lead fracture, we must check the impedance of the electrode and to evaluate the side effects of voltage. Finally, we must conduct a radiological screening. |
| format | Article |
| id | doaj-art-78ee6f54004243839075030c3f80a4f5 |
| institution | Kabale University |
| issn | 2042-0080 |
| language | English |
| publishDate | 2010-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Parkinson's Disease |
| spelling | doaj-art-78ee6f54004243839075030c3f80a4f52025-02-03T01:24:26ZengWileyParkinson's Disease2042-00802010-01-01201010.4061/2010/409356409356Lead Fractures in Deep Brain Stimulation during Long-Term Follow-UpFernando Seijo Fernández0Marco Antonio Alvarez Vega1Aida Antuña Ramos2Fernando Fernández González3Beatriz Lozano Aragoneses4Department of Surgical Neurology, Functional Neurosurgery Unit, University Central Hospital of Asturias, 33006 Oviedo, SpainDepartment of Surgical Neurology, Functional Neurosurgery Unit, University Central Hospital of Asturias, 33006 Oviedo, SpainDepartment of Surgical Neurology, Functional Neurosurgery Unit, University Central Hospital of Asturias, 33006 Oviedo, SpainDepartment of Clinical Neurophysiology, University Central Hospital of Asturias, 33006 Oviedo, SpainDepartment of Surgical Neurology, Functional Neurosurgery Unit, University Central Hospital of Asturias, 33006 Oviedo, SpainThe purpose was to determine the incidence of lead fracture in patients with DBS over a long period of time. We present a retrospective study of 208 patients who received 387 DBS electrodes. Fourteen patients had sixteen lead fractures (4% of the implanted leads) and two patients suffered from 2 lead fractures. Of all lead fractures, five patients had the connection between the leads and the extension cables located in mastoids region, ten in cervical area and one in thoracic region. The mean distance from the connection between the electrode and the extension cable and the lead fracture was 10.7 mm. The lead fracture is a common, although long-term complication in DBS surgery. In our experience, the most common site of electrode cable breakage is approximately between 9 and 13 mm from the junction between the lead and the extension cable. The most important cause of lead fracture is the rotational movement of the lead-extension cable system. If we suspect lead fracture, we must check the impedance of the electrode and to evaluate the side effects of voltage. Finally, we must conduct a radiological screening.http://dx.doi.org/10.4061/2010/409356 |
| spellingShingle | Fernando Seijo Fernández Marco Antonio Alvarez Vega Aida Antuña Ramos Fernando Fernández González Beatriz Lozano Aragoneses Lead Fractures in Deep Brain Stimulation during Long-Term Follow-Up Parkinson's Disease |
| title | Lead Fractures in Deep Brain Stimulation during Long-Term Follow-Up |
| title_full | Lead Fractures in Deep Brain Stimulation during Long-Term Follow-Up |
| title_fullStr | Lead Fractures in Deep Brain Stimulation during Long-Term Follow-Up |
| title_full_unstemmed | Lead Fractures in Deep Brain Stimulation during Long-Term Follow-Up |
| title_short | Lead Fractures in Deep Brain Stimulation during Long-Term Follow-Up |
| title_sort | lead fractures in deep brain stimulation during long term follow up |
| url | http://dx.doi.org/10.4061/2010/409356 |
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