An evaluation of the practice of image-guided lumbar puncture
| Autor: | Philip J. Dempsey, Andrew Yates, Jack W Power, Peter J. MacMahon, Eoin C. Kavanagh |
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| Rok vydání: | 2023 |
| Předmět: | |
| Zdroj: | The British Journal of Radiology. 96 |
| ISSN: | 1748-880X 0007-1285 |
| DOI: | 10.1259/bjr.20220143 |
| Popis: | Objective: The purpose of this study was to evaluate the technical success and complication rates of image-guided lumbar puncture (IGLP) and to evaluate for differences in approach employed to help establish the optimum technique. Methods: A retrospective search of the hospital picture archiving and communications system was performed to identify all IGLPs that had taken place over a 5-year period. Radiology reports and the electronic medical record were examined to identify technical parameters and complications associated with each procedure. Results: The technical success rate was 96% (219/228). 69.4% (n = 161) had a previously failed bedside attempt. The rate of complications was 0.01% (n = 2). No major complications were observed. There was no difference in the rates of failure (2.4% vs 3.6%, p = 0.68) or complications (0.008% vs 0.012%, p = 1) between interlaminar and interspinous approaches. Conclusion: IGLP is a safe procedure with a high rate of technical success. Where a difficult bedside attempt is anticipated, it is reasonable to forego this and proceed directly to IGLP. Advances in knowledge: : This paper helps to confirm what is already assumed about a common radiological procedure. This is important as there has been a shift from bedside technique to most lumbar punctures being performed via image guidance. |
| Databáze: | OpenAIRE |
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