Low Rate of Intrathecal Baclofen Pump Catheter-Related Complications: Long-Term Study in Over 100 Adult Patients Associated With Reinforced Catheter

Feller, Christina; Awad, Ahmed J.; Nelson, Mary Elizabeth S.; Ketchum, Nicholas; Pahapill, Peter A.

doi:10.1111/ner.13412

Cited by 4 publications

(5 citation statements)

References 20 publications

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“…Feller et al observed catheter-related complications in 7.1% of patients. They used reinforced catheters, which led to low catheter-related complications as compared to the previous studies [2]. This could be a potential alternate in case catheter replacement is not possible.…”

Section: Outcome-loss Of Efficacymentioning

confidence: 99%

“…The intrathecal baclofen pump (ITB) is one of the advanced treatment options in the management of spasticity; however, there are various complications associated with it. ITB complications are generally related to operative or technical procedures and device-catheter system malfunction [1][2][3][4][5][6]. Technical complications may be related to the pump, catheter, surgery, or refill techniques.…”

Section: Introductionmentioning

confidence: 99%

“…Technical complications may be related to the pump, catheter, surgery, or refill techniques. Pump-related surgeries may be complicated with bleeding, infections, seroma, or cerebrospinal fluid leakage, whereas catheter-related problems can be caused by blockage, kinking, fracture, disconnect, tear, migration, or dislodgement [2,3]. Catheter-related complications are reported to be the highest, whereas pump malfunction is less commonly reported [4].…”

Section: Introductionmentioning

confidence: 99%

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Complications of Intrathecal Baclofen Pump Therapy: An Institutional Experience from Saudi Arabia

Qureshi,

Shacfe,

Ilyas

et al. 2023

Healthcare

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The intrathecal baclofen pump (ITB) is one of the advanced treatment options in the management of spasticity. This retrospective cohort study was conducted to identify the complications of ITB treatment at a tertiary care rehabilitation facility. Various demographic and technical factors were analyzed, which are less often reported in the literature. All patients with ITB who had their refill at the ITB clinic between November 2019 and March 2020 were included. Of 48 patients, 17 patients had 18 (37.5%) ITB-related complications. Catheter-related complications were most common, whereas loss of efficacy (16.7%) and baclofen withdrawal (14.5%) were the most common outcomes of complications. Only catheter occlusion had a significant relationship with the pattern of spastic quadriparesis (p = 0.001). Gender, rehabilitation diagnosis, patients’ residence, and facility of ITB placement did not have significant association. Similarly, age, distance from hospital, disease onset, ITB therapy duration, and baclofen dose were not statistically significant in relation to ITB-related complications.

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Section: Outcome-loss Of Efficacymentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Complications of Intrathecal Baclofen Pump Therapy: An Institutional Experience from Saudi Arabia

Qureshi,

Shacfe,

Ilyas

et al. 2023

Healthcare

View full text Add to dashboard Cite

show abstract

“…If the spasticity is affecting large body parts, intrathecal baclofen pump therapy may be beneficial in improving gait and posture (Santin-Amo et al, 2019). However, it is a highly invasive modality with complications occurring such as pump malfunction and intrathecal catheter breakage (Feller et al, 2021).…”

Section: Literature Reviewmentioning

confidence: 99%

Spasticity, Pain, and Fatigue

Bhimani

Chappuis

Mathiason

et al. 2022

Rehabilitation Nursing

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PurposeThe purpose of this study was to determine whether spasticity, pain, and fatigue symptoms were related to functional outcomes in people with stroke.DesignA longitudinal correlation design was used.MethodsTwenty-two stroke patients experiencing spasticity, pain, and fatigue were followed for 7 days over 6 weeks: 3 days in acute rehabilitation units, 3 days postdischarge to home/community, and an additional 1 day at 1 month postdischarge. Demographics, numeric ratings, and PROMIS tools were used to determine associations over time.ResultsPain was related to fine motor activities on admission. Fatigue was significantly associated with activities of daily living, motor functions, mobility, and ability to perform physical tasks at 1 month. Spasticity was significantly related to activities of daily living, pain experiences and fatigue at 1 month.ConclusionsSymptoms of spasticity, pain, and fatigue were associated with functional outcomes in this sample of patients.Clinical Relevance to Rehabilitation NursingSymptoms can influence physical recovery; therefore, nurses could improve care through recognition of suspected correlation of symptoms in people with stroke.

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“…Unfortunately, complications after ITB surgery (e.g., drug withdraw, drug overdose, hemorrhage, infection, cerebrospinal fluid (CSF) leakage, pump malfunction, and catheter-related complications) occur frequently and often require re-operation [ 5 , 10 ]. The most common ITB system-related complications are catheter-related complications (CRC) which comprise kinking, occlusion, migration, fracture, and disconnection and occur in 4–20% of patients within one year after surgery [ 2 , 5 ].…”

Section: Introductionmentioning

confidence: 99%

Unique form of catheter malconnection following intrathecal baclofen surgery for spinal cord injury: a case report

et al. 2023

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This case report concerns a patient suffering from traumatic spinal cord injury with severe spasticity treated with intrathecal baclofen therapy. After revision surgery for a confirmed catheter obstruction, progressive spasticity reappeared. Diagnostics demonstrated signs of catheter fracture or disconnection adjacent to the pump. During revision surgery, the silicone layer surrounding the sutureless pump connector was shown to be curled up, revealing the cause of dysfunction. As far as we know, this form of malconnection has not been reported before. Therefore, surgeons must be aware of this complication and additional inspection of the silicone connector prior to definite connection is advised.

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Low Rate of Intrathecal Baclofen Pump Catheter-Related Complications: Long-Term Study in Over 100 Adult Patients Associated With Reinforced Catheter

Cited by 4 publications

References 20 publications

Complications of Intrathecal Baclofen Pump Therapy: An Institutional Experience from Saudi Arabia

Complications of Intrathecal Baclofen Pump Therapy: An Institutional Experience from Saudi Arabia

Spasticity, Pain, and Fatigue

Unique form of catheter malconnection following intrathecal baclofen surgery for spinal cord injury: a case report

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