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Article

Feasibility of Using the Epidural Space Detecting Device (EPI-DetectionTM) for Interlaminar Cervical Epidural Injection

1
Department of Neurosurgery, Yonsei University College of Medicine, 50 Yonsei-ro, Seodaemun-gu, Seoul 03722, Korea
2
Department of Neurosurgery, Yongin Severance Hospital, Yonsei University College of Medicine, 363, Dongbaekjukjeon-daero, Giheung-gu, Yongin-si, Gyeonggi-do 16995, Korea
3
Department of Neurosurgery, Gangnam Severance Hospital, Spine and Spinal Cord Institute, Yonsei University College of Medicine, 211, Eonju-ro, Gangnam-gu, Seoul 06273, Korea
*
Authors to whom correspondence should be addressed.
These two authors contributed equally as the first author.
These two authors contributed equally as the corresponding author.
J. Clin. Med. 2020, 9(8), 2355; https://doi.org/10.3390/jcm9082355
Received: 12 May 2020 / Revised: 18 July 2020 / Accepted: 20 July 2020 / Published: 23 July 2020
(This article belongs to the Special Issue Interventional Procedures for Chronic Spinal Pain)
Cervical epidural injection (CEI), which is widely used for the treatment of cervical radiculopathy, sometimes has been associated with post-operative complications. Recently, EPI-DetectionTM, which detects the negative pressure of the epidural space and notifies the proceduralist by flashing a light and producing a beeping sound, was introduced. We assumed that the newly developed device could be as safe and efficient as the conventional loss of resistance (LOR) method. Therefore, we aimed to evaluate the effectiveness of the EPI-DetectionTM and compare it to that of the conventional LOR method. We randomly assigned 57 patients to the LOR and EPI-Detection groups (29 and 28 patients, respectively). Subjects were treated with interlaminar CEI (ILCEI) using one of two methods. The measured parameters, i.e., operation time and radiation dose were lower in the EPI-DetectionTM group (4.6 ± 1.2 min vs. 6.9 ± 2.1 min; and 223.2 ± 206.7 mGy·cm2 vs. 380.3 ± 340.9 mGy·cm2, respectively; all p < 0.05) than in the LOR group. There were no complications noted in either group. Both the EPI-DetectionTM and LOR methods were safe and effective in detecting the epidural space, but the former was superior to the latter in terms of operation time and radiation exposure. The EPI-DetectionTM may help perform ILCEI safely. View Full-Text
Keywords: epidural injections; cervical radiculopathy; epidural space; epidural anesthesia; complications epidural injections; cervical radiculopathy; epidural space; epidural anesthesia; complications
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MDPI and ACS Style

Kang, J.; Park, S.S.; Kim, C.H.; Kim, E.C.; Kim, H.C.; Jeon, H.; Kim, K.H.; Shin, D.A. Feasibility of Using the Epidural Space Detecting Device (EPI-DetectionTM) for Interlaminar Cervical Epidural Injection. J. Clin. Med. 2020, 9, 2355. https://doi.org/10.3390/jcm9082355

AMA Style

Kang J, Park SS, Kim CH, Kim EC, Kim HC, Jeon H, Kim KH, Shin DA. Feasibility of Using the Epidural Space Detecting Device (EPI-DetectionTM) for Interlaminar Cervical Epidural Injection. Journal of Clinical Medicine. 2020; 9(8):2355. https://doi.org/10.3390/jcm9082355

Chicago/Turabian Style

Kang, Jiin, Sam S. Park, Chul H. Kim, Eui C. Kim, Hyung C. Kim, Hyungseok Jeon, Kyung H. Kim, and Dong A. Shin 2020. "Feasibility of Using the Epidural Space Detecting Device (EPI-DetectionTM) for Interlaminar Cervical Epidural Injection" Journal of Clinical Medicine 9, no. 8: 2355. https://doi.org/10.3390/jcm9082355

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