Loin pain hematuria syndrome: Pain control with RFA to the splanchanic plexus

Bhandari, Arun; Ellias, Mazin

doi:10.1163/156856900750233811

Cited by 4 publications

(3 citation statements)

References 9 publications

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“…Afferent fibers arising in the region of the renal capsule and cortex follow the same pathway and most fibers terminate in the sympathetic system with some following the vagus nerve. The response to blockade or radiofrequency denervation of celiac, splanchnic and lumbar autonomic supply to the kidney is variable in efficacy and duration (38). In our opinion, a technique where by lumbar sympathetic chain could be continuously stimulated would offer patients a reasonable long‐term alternative.…”

Section: Discussionmentioning

confidence: 93%

“…Regional techniques include intercostal, interpleural, paravertebral, and epidural blocks with temporary relief of variable duration. Lumbar sympathetic and splanchnic plexus blocks with or without radiofrequency denervation have also been described (21). More invasive techniques include Intrathecal pumps delivering opioids (22) and spinal column stimulators (23,24).…”

Section: Discussionmentioning

confidence: 99%

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Lumbar Sympathetic Chain Neuromodulation with Implanted Electrodes for Long-Term Pain Relief in Loin Pain Haematuria Syndrome

Goroszeniuk

Khan

Kothari

2009

Neuromodulation: Technology at the Neural Interface

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Section: Discussionmentioning

confidence: 93%

Section: Discussionmentioning

confidence: 99%

Lumbar Sympathetic Chain Neuromodulation with Implanted Electrodes for Long-Term Pain Relief in Loin Pain Haematuria Syndrome

Goroszeniuk

Khan

Kothari

2009

Neuromodulation: Technology at the Neural Interface

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“…An RFA needle can integrate multiple miniature electrodes [19], or a single electrode with a high contact surface for rapid thermotherapies [20]; some applicators incorporate micro-thermocouples for sensing [21]. Outside of cancer care, RFA can be applied in the treatment of cardiac arrhythmia [22], and in interventional pain management [23,24].…”

Section: Introductionmentioning

confidence: 99%

Fiber-Optic Distributed Sensing Network for Thermal Mapping of Gold Nanoparticles-Mediated Radiofrequency Ablation

et al. 2022

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In this work, we report the design of an optical fiber distributed sensing network for the 2-dimensional (2D) in situ thermal mapping of advanced methods for radiofrequency thermal ablation. The sensing system is based on six high-scattering MgO-doped optical fibers, interleaved by a scattering-level spatial multiplexing approach that allows simultaneous detection of each fiber location, in a 40 × 20 mm grid (7.8 mm2 pixel size). Radiofrequency ablation (RFA) was performed on bovine phantom, using a pristine approach and methods mediated by agarose and gold nanoparticles in order to enhance the ablation properties. The 2D sensors allow the detection of spatiotemporal patterns, evaluating the heating properties and investigating the repeatability. We observe that agarose-based ablation yields the widest ablated area in the best-case scenario, while gold nanoparticles-mediated ablation provides the best trade-off between the ablated area (53.0–65.1 mm2, 61.5 mm2 mean value) and repeatability.

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Loin pain hematuria syndrome

et al. 2015

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Loin pain hematuria syndrome (LPHS), first described in 1967, is a rare pain syndrome, which is not well understood. The syndrome is characterized by severe intermittent or persistent flank pain, either unilateral or bilateral, associated with gross or microscopic hematuria. LPHS is a diagnosis of exclusion as there still is not a consensus of validated diagnostic criteria, though several criteria have been proposed. The wide differential diagnosis would suggest a meticulous yet specific diagnostic work-up depending on the individual clinical features and natural history. Several mechanisms regarding the pathophysiology of LPHS have been proposed but without pinpointing the actual causative etiology, the treatment remains symptomatic. Treatment modalities for LPHS are diverse including simple analgesia, opioid analgesic and kidney autotransplantation. This review article summarizes the current understanding regarding the pathophysiology of LPHS along with the steps required for proper diagnosis and a discussion of the different therapeutic approaches for LPHS.

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Loin pain hematuria syndrome: Pain control with RFA to the splanchanic plexus

Cited by 4 publications

References 9 publications

Lumbar Sympathetic Chain Neuromodulation with Implanted Electrodes for Long-Term Pain Relief in Loin Pain Haematuria Syndrome

Lumbar Sympathetic Chain Neuromodulation with Implanted Electrodes for Long-Term Pain Relief in Loin Pain Haematuria Syndrome

Fiber-Optic Distributed Sensing Network for Thermal Mapping of Gold Nanoparticles-Mediated Radiofrequency Ablation

Loin pain hematuria syndrome

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