Epidural Complications and troubleshooting

Is Contrast Media Really a Necessity in Lumbar Epiduroscopic Procedures?

“…Non-ionic contrast media (Omnipaque 350) has been regularly applied in lumbar epiduroscopic surgeries via sacral approach with Myelotec Video Guided Catheters in our institute since 5 years ago. Although epiduroscopy is a safe and minimally invasive spinal procedure, some undesirable side effects or complications related to the catheter, the adjuvant devices (laser or radiofrequency ) , the drugs delivered or the contrast media injected do exist in the literature [3]. Various complications associated with the toxicity of contrast media have been reported, which included transient global amnesia [4], encephalopathy and rhabdomyolysis associated with iotrolan [5], hypersensitivity reactions [6], and contrast-induced nephropathy [6].…”