Deep brain stimulation hardware complications: the role of electrode impedance and current measurements.
Identifieur interne : 002351 ( PubMed/Checkpoint ); précédent : 002350; suivant : 002352Deep brain stimulation hardware complications: the role of electrode impedance and current measurements.
Auteurs : Sierra Farris [États-Unis] ; Jerrold Vitek ; Monique L. GirouxSource :
- Movement disorders : official journal of the Movement Disorder Society [ 1531-8257 ] ; 2008.
English descriptors
- KwdEn :
- Aged, Aged, 80 and over, Deep Brain Stimulation (adverse effects), Deep Brain Stimulation (instrumentation), Electric Impedance, Electrodes, Implanted (adverse effects), Electronics, Medical (instrumentation), Equipment Failure, Female, Follow-Up Studies, Humans, Male, Middle Aged, Parkinson Disease (physiopathology), Parkinson Disease (therapy), Recurrence, Reoperation.
- MESH :
- adverse effects : Deep Brain Stimulation, Electrodes, Implanted.
- instrumentation : Deep Brain Stimulation, Electronics, Medical.
- physiopathology : Parkinson Disease.
- therapy : Parkinson Disease.
- Aged, Aged, 80 and over, Electric Impedance, Equipment Failure, Female, Follow-Up Studies, Humans, Male, Middle Aged, Recurrence, Reoperation.
Abstract
Deep brain stimulation (DBS) is an effective therapy for advanced Parkinson's disease patients. Successful DBS outcomes depend on appropriate patient selection, surgical placement of the lead, intact hardware systems, optimal programming, and medical management. Despite its importance, there is little guidance in reference to hardware monitoring, hardware troubleshooting, and patient management. Technical manuals produced by the hardware manufacturer (Medtronic, Minneapolis, MN) are not presented in an applied clinical format, making impedance and current measurements difficult to interpret when the results are not straightforward. We present four patients with evolving DBS hardware complications that occurred during long-term follow-up, that shaped our clinical protocol for long-term care management and hardware troubleshooting.
DOI: 10.1002/mds.21936
PubMed: 18186117
Affiliations:
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pubmed:18186117Le document en format XML
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Successful DBS outcomes depend on appropriate patient selection, surgical placement of the lead, intact hardware systems, optimal programming, and medical management. Despite its importance, there is little guidance in reference to hardware monitoring, hardware troubleshooting, and patient management. Technical manuals produced by the hardware manufacturer (Medtronic, Minneapolis, MN) are not presented in an applied clinical format, making impedance and current measurements difficult to interpret when the results are not straightforward. We present four patients with evolving DBS hardware complications that occurred during long-term follow-up, that shaped our clinical protocol for long-term care management and hardware troubleshooting.</div></front></TEI><pubmed><MedlineCitation Owner="NLM" Status="MEDLINE"><PMID Version="1">18186117</PMID><DateCreated><Year>2008</Year><Month>05</Month><Day>01</Day></DateCreated><DateCompleted><Year>2008</Year><Month>05</Month><Day>30</Day></DateCompleted><Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1531-8257</ISSN><JournalIssue CitedMedium="Internet"><Volume>23</Volume><Issue>5</Issue><PubDate><Year>2008</Year><Month>Apr</Month><Day>15</Day></PubDate></JournalIssue><Title>Movement disorders : official journal of the Movement Disorder Society</Title><ISOAbbreviation>Mov. Disord.</ISOAbbreviation></Journal><ArticleTitle>Deep brain stimulation hardware complications: the role of electrode impedance and current measurements.</ArticleTitle><Pagination><MedlinePgn>755-60</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1002/mds.21936</ELocationID><Abstract><AbstractText>Deep brain stimulation (DBS) is an effective therapy for advanced Parkinson's disease patients. Successful DBS outcomes depend on appropriate patient selection, surgical placement of the lead, intact hardware systems, optimal programming, and medical management. Despite its importance, there is little guidance in reference to hardware monitoring, hardware troubleshooting, and patient management. Technical manuals produced by the hardware manufacturer (Medtronic, Minneapolis, MN) are not presented in an applied clinical format, making impedance and current measurements difficult to interpret when the results are not straightforward. 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Giroux</name><name sortKey="Vitek, Jerrold" sort="Vitek, Jerrold" uniqKey="Vitek J" first="Jerrold" last="Vitek">Jerrold Vitek</name></noCountry><country name="États-Unis"><noRegion><name sortKey="Farris, Sierra" sort="Farris, Sierra" uniqKey="Farris S" first="Sierra" last="Farris">Sierra Farris</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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