Targeted hypoglossal nerve stimulation for the treatment of obstructive sleep apnea: Six-month results
| Autor: | Ingo Fietze, Philippe Rombaux, Ofer Jacobowitz, Sreeya Yalamanchali, Michel Friedman, John Campana, Wolfgang Bergler, Gimbada Benny Mwenge, Joachim T. Maurer, Michelle S. Hwang |
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| Rok vydání: | 2016 |
| Předmět: |
education.field_of_study
business.industry medicine.medical_treatment Epworth Sleepiness Scale Population Sleep apnea medicine.disease respiratory tract diseases Obstructive sleep apnea 03 medical and health sciences 0302 clinical medicine Otorhinolaryngology Anesthesia Severity of illness Medicine Continuous positive airway pressure 030223 otorhinolaryngology business education Prospective cohort study 030217 neurology & neurosurgery Cohort study |
| Zdroj: | The Laryngoscope. 126:2618-2623 |
| ISSN: | 0023-852X |
| Popis: | Objectives/Hypothesis This feasibility study was designed to show the preliminary safety and efficacy of targeted hypoglossal neurostimulation (THN), and to identify baseline predictors of successful therapy. Study Design Open-label, prospective, multicenter, single-arm cohort study, conducted at seven centers in the U.S.A. and Europe. Methods Forty-six participants with moderate to severe obstructive sleep apnea (OSA), failing or intolerant of continuous positive airway pressure, were implanted. Primary (Apnea-Hypopnea Index [AHI], Oxygen Desaturation Index [ODI]) and secondary (Arousal Index, Epworth Sleepiness Scale Index, Sleep Apnea Quality of Life Index) outcomes were measured at baseline and compared at 6 months. Data were analyzed to identify participant characteristics that would predict success with therapy. Results Sixty-seven adverse events (AEs) were observed among 36 participants; most of the AEs were related to the implant procedure and resolved without sequelae; one device replacement was necessary. Forty-three participants showed significant (P 10%. Seven participants met these criteria; 86% (6 of 7) were AHI responders and 86% (6 of 7) were ODI responders, indicating that THN therapy can be efficacious in a carefully selected population of OSA patients. Conclusions This feasibility study suggests that THN therapy is likely to be safe and effective in selected patients. Level of Evidence 2b Laryngoscope, 126:2618–2623, 2016 |
| Databáze: | OpenAIRE |
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