• A&A practice · Nov 2022

    Case Reports

    Infection of a Retained Peripheral Nerve Stimulation Lead: A Case Report.

    • John J Finneran, Bryan T Leek, Brian M Ilfeld, Baharin Abdullah, and Engy T Said.
    • From the Departments of Anesthesiology.
    • A A Pract. 2022 Nov 1; 16 (11): e01626e01626.

    AbstractPercutaneous peripheral nerve stimulation is used to provide analgesia for weeks or even months. While infection of any percutaneously implanted object is a concern, it is exceedingly rare for helically coiled leads, with a reported incidence of less than 1 infection for every 32,000 indwelling days. We now report an infected helically coiled lead requiring sedation for extraction and complicated by lead fracture during removal, leaving a remnant in situ. The infection was successfully treated with oral antibiotics. We speculate on the cause of this infection and propose steps to prevent this complication, including the avoidance of sling-to-lead insertion site overlap.Copyright © 2022 International Anesthesia Research Society.

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