A comparison of Quincke and Whitacre needles with respect to risk of intravascular uptake in S1 transforaminal epidural steroid injections: a randomized trial of 1376 …

J Shin, YC Kim, SC Lee, JH Kim - Anesthesia & Analgesia, 2013 - journals.lww.com
BACKGROUND: Transforaminal epidural steroid injection (TFESI) is a useful treatment
modality for pain management. Most complications of TFESI are minor and transient.
However, there is a risk of serious complications such as nerve injury, spinal cord infarct, or
paraplegia. Some of the risks are related to direct injury to the vessel or intravascular
injection of the particulate steroid. We prospectively tested the hypothesis that the
intravascular injection rate of the Whitacre needle is lower than that of the Quincke needle …

A Comparison of Quincke and Whitacre Needles With Respect to Risk of Intravascular Uptake in S1 Transforaminal Epidural Steroid Injections: A Randomized Trial of …

J Shin, YC Kim, SC Lee, JH Kim - Survey of Anesthesiology, 2014 - journals.lww.com
The hypothesis was tested that the intravascular injection rate of the Whitacre needle is
lower than that of the Quincke needle during TFESI. A randomized trial was conducted of
1376 TFESIs at the S1 level. Data were collected on age, sex, height, weight, laterality
(right/left), history of lumbrosacral spine operation, history of appropriate interval
discontinuation of anticoagulation medicines, and underlying disease. During the S1 TFESI,
intrasacral bone contact, a blood aspiration test, and realtime fluoroscopy of the …
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