Stellate Ganglion Neurolysis Under CT-Guidance

Kastler, B.; Michalakis, D.; Sailley, N.; Pereira, Philippe L.; Fergane, B.

doi:10.1007/978-3-540-47199-8_10

Cited by 2 publications

(3 citation statements)

References 10 publications

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“…A search of the literature produced 13 articles of which 11 were reviewable. These are summarized in Table 3 21–31 . Of the 2 articles not used, one was in French without an English translation and the other was a case report and discussion of the diagnostic criteria for reflex sympathetic dystrophy (RSD).…”

Section: The Blocksmentioning

confidence: 99%

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Sympathetic Blocks: The Evidence

Day

2008

Pain Practice

128

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The sympathetic nervous system has been implicated in numerous pain syndromes ranging from neuropathic pain to vascular pain to visceral pain. In light of this, sympathetic ganglia have been the target of local anesthetic blockade to determine the sympathetic role in the transmission of pain. If analgesia is afforded with local anesthetic blockade, chemical or thermal neurolysis have been utilized to attempt to provide long-term relief. Despite frequent use of minimally invasive sympathetic blocks and neurolysis by pain practitioners, their efficacy for providing analgesia has been sparsely reported in the literature. Many case reports and case series have been published, but few placebo-controlled, blinded studies exist. This manuscript will review the literature on sympathetic blocks and summarize existing studies for each of the sympathetic blocks. The goal is to provide past, current, and future pain physicians with evidence that they can use to provide appropriate care for their patients.

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Section: The Blocksmentioning

confidence: 99%

“…All studies received a 1C grade. Ten of the 11 were case reports, case series, and a retrospective study, but were performed for the aforementioned diagnosis 21–30 . The study by Price et al.…”

Section: The Blocksmentioning

confidence: 99%

Sympathetic Blocks: The Evidence

Day

2008

Pain Practice

128

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“…Une première série de coupes axiales jointives de 5 mm d'épaisseur est réalisée de C6 à T2, avec injection de produit de contraste en bolus afin d'opacifier les structures vasculaires cervicales en particulier l'artère vertébrale homolatérale au point de ponction. La technique pour un simple blocage ou pour une alcoolisation est similaire, mais, pour cette dernière, elle n'est en principe réalisée qu'à un seul des deux niveaux généralement C7 [22,23,28,29].…”

Section: Techniqueunclassified

New interventional and metabolic techniques in the management of cancer pain: neurolysis, infiltration, alcoholization, percutaneous vertebroplasty, cementoplasty, and radiofrequency ablation Interventional radiology in cancer pain management

et al. 2007

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La prise en charge de la douleur cancéreuse souvent révélatrice et toujours présente à un moment donné de la maladie est un challenge thérapeutique en particulier à un stade évolué. La composante douloureuse ne répond pas toujours aux antalgiques majeurs, à la chimiothérapie et à la radiothérapie. Quand ces traitements sont dépassés, les infiltrations, neurolyses, alcoolisations, la vertébroplastie, la cimentoplastie et la radiofréquence par voie percutanée sont des méthodes élégantes et efficaces venant en complément des traitements classiques. Les auteurs présentent ici leur expertise dans ces nouvelles techniques sous contrôle tomodensitométrique qu'ils ont contribué à mettre au point.Abstract: Bone invasion by metastatic tumours is the most common cause of pain in cancer patients. The management of cancer pain, pain that often reveals the disease and is always present at advanced stages, is an important and difficult task. High doses of specific medications, chemotherapy and radiation therapy do not always succeed in effectively controlling pain. When these treatments do not provide adequate relief, neurolysis, infiltration, alcoholization, percutaneous vertebroplasty, cementoplasty, and radiofrequency ablation are elegant and efficient complementary alternative pain management methods. The authors helped to develop these new techniques, which rely on CT guidance, and offer their expertise in how to apply them.

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Stellate Ganglion Neurolysis Under CT-Guidance

Cited by 2 publications

References 10 publications

Sympathetic Blocks: The Evidence

Sympathetic Blocks: The Evidence

New interventional and metabolic techniques in the management of cancer pain: neurolysis, infiltration, alcoholization, percutaneous vertebroplasty, cementoplasty, and radiofrequency ablation Interventional radiology in cancer pain management

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