Ultrasound-Guided Peripheral Nerve Procedures

Strakowski, Jeffrey A.

doi:10.1016/j.pmr.2016.04.006

Cited by 52 publications

(41 citation statements)

References 93 publications

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“…Despite numerous and well-known benefits (e.g., satisfactory visualization due to scope magnification, facilitated dissection due to water hyperpressure, less morbidity than open approaches, 9 , 10 less cost than robotic surgery, 9 , 11 possibility of intraoperative conversion to an open approach), few applications of endoscopy have been outlined in BP surgery ( Table 2 ). 12 , 13 Lafosse et al. 4 , 5 , 14 previously reported on its usefulness in suprascapular neuropathy and idiopathic neurogenic thoracic outlet syndromes.…”

Section: Discussionmentioning

confidence: 99%

All-Endoscopic Resection of an Infraclavicular Brachial Plexus Schwannoma: Surgical Technique

Lafosse

Hanneur

Popescu

et al. 2018

Arthroscopy Techniques

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Due to recent progress in shoulder arthroscopy, all-endoscopic brachial plexus (BP) dissection has progressively become a standardized procedure. Based on previously described techniques, we present an additional neurological procedure that may be performed all-endoscopically, that is, the excision of an infraclavicular BP schwannoma. Starting from a standard shoulder arthroscopy with posterior and lateral portals, additional anterior and medial portals are progressively opened outside the joint under endoscopic control to access the BP. At first, dissection of the subcoracoid space allows the identification of the posterior and lateral cords, along with the axillary artery. Then, by performing a pectoralis minor tenotomy, the medial cord and axillary vein are exposed, giving access to the whole infraclavicular plexus. Intraneural dissection is performed using arthroscopic tools such as a long beaver blade, a grasper, and a smooth dissector to progressively extract the encapsulated tumor from the nerve without any damage. Using a standardized technique, endoscopy may be an advantageous tool in selected cases of BP benign peripheral nerve sheath tumors.

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Section: Discussionmentioning

confidence: 99%

All-Endoscopic Resection of an Infraclavicular Brachial Plexus Schwannoma: Surgical Technique

Lafosse

Hanneur

Popescu

et al. 2018

Arthroscopy Techniques

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“…Similar to the musculoskeletal field, US imaging is a powerful tool that can guide physiatrist during several neuromuscular procedures such as precise position of the electrodes during neuroelectrical studies (especially for small-sized nerves) and hydrodissection or neurolysis avoiding intraneural injections and fascicle penetration. 10 As such, we strongly believe that US imaging of the peripheral nervous system represents a natural expansion of musculoskeletal US imaging. Likewise, an advanced step concerning the already available US training programs for physiatrists could be to also include neuromuscular US imaging in their agenda.…”

Section: To the Editormentioning

confidence: 98%

Don't Be NervoUS! You Can Even See the PlexUS…

Ricci

Özçakar

2019

PM&R

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“…Oncologic surgery, in particular, poses a risk of nerve injury as anatomy is often distorted by the disease [10][11][12][13][14][15][16][17]. Tools for pre and perioperative nerve enhancement exist [18][19][20] and fluorescent nerve imaging agents, as well as multimodal optical imaging techniques, are raising interest for intraoperative applications [21][22][23][24][25][26][27][28][29][30][31].…”

Section: Introductionmentioning

confidence: 99%

Fluorescence labeling of a NaV1.7-targeted peptide for near-infrared nerve visualization

Gonzales

Pirovano

Chow

et al. 2020

Preprint

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Purpose Accidental peripheral nerve injury during surgical intervention results in a broad spectrum of potentially debilitating side effects. Tissue distortion and poor visibility can significantly increase the risk of nerve injury with long-lasting consequences for the patient. We developed and characterized Hs1a-FL, a fluorescent near-infrared molecule for nerve visualization in the operating theater with the aim of helping physicians to visualize nerves during surgery.Methods Hs1a was derived from the venom of the Chinese bird spider, Haplopelma schmidti , and conjugated to Cy7.5 dye. Hs1a-FL was injected intravenously in mice and harvested nerves were imaged microscopically and with epifluorescence.Results Hs1a-FL showed specific and stable binding to the sodium channel Na v 1.7, present on the surface of human and mouse nerves. Hs1a-FL allowed epifluorescence visualization of sciatic mouse nerves with favorable nerve-to-muscle contrast.Conclusions Fluorescent Na v 1.7-targeted tracers have the potential to be adopted clinically for the intraoperative visualization of peripheral nerves during surgery, providing guidance for the surgeon and potentially improving the standard of care.

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Ultrasound-Guided Peripheral Nerve Procedures

Cited by 52 publications

References 93 publications

All-Endoscopic Resection of an Infraclavicular Brachial Plexus Schwannoma: Surgical Technique

All-Endoscopic Resection of an Infraclavicular Brachial Plexus Schwannoma: Surgical Technique

Don't Be NervoUS! You Can Even See the PlexUS…

Fluorescence labeling of a NaV1.7-targeted peptide for near-infrared nerve visualization

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