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Clinical Trial Details — Status: Recruiting

Administrative data

NCT number NCT05849324
Other study ID # 2023-03-022-001
Secondary ID
Status Recruiting
Phase N/A
First received
Last updated
Start date April 27, 2023
Est. completion date December 31, 2023

Study information

Verified date May 2023
Source Kyungpook National University Hospital
Contact Jimin Heo
Phone +82-53-420-5430
Email knuhmrc@knu.ac.kr
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

The primary aim of this study was to compare intravascular injection rates during LTFESI between commonly used straight and bent chiba needles.


Description:

Lumbar transforaminal epidural steroid injection (LTFESI) is widely used in clinical practice to effectively deliver injectate into the ventral epidural space. Complications associated with intravascular injection such as spinal cord infarction and paraplegia can occur during LTFESI. The incidence of intravascular injection during LTFESI was known as 9.9% ~ 17.7%. To improve the safety of the procedure, avoidance of intravascular injection is crucial, for which appropriate needle selection is important. Currently, the most commonly used block needles in LTFESI are straight or bent chiba needles. The primary aim of this study was to compare intravascular injection rates during LTFESI between commonly used straight and bent chiba needles.


Recruitment information / eligibility

Status Recruiting
Enrollment 260
Est. completion date December 31, 2023
Est. primary completion date November 30, 2023
Accepts healthy volunteers No
Gender All
Age group 18 Years to 80 Years
Eligibility Inclusion Criteria: - Patients with radiating pain from lumbar spinal stenosis and herniated nucleus pulposus. Exclusion Criteria: - Pregnancy, allergic to contrast media, patient refusal, and patients with persistent contraindication to nerve block such as coagulopathy and infection of the injection site.

Study Design


Related Conditions & MeSH terms


Intervention

Device:
Straight needle
Lumbar transforaminal epidural steroid injection is a useful option in the diagnosis and treatment of lumbar radicular pain. During lumbar transforaminal epidural steroid injection, straight needle is going to be used.
Bent needle
Lumbar transforaminal epidural steroid injection is a useful option in the diagnosis and treatment of lumbar radicular pain. During lumbar transforaminal epidural steroid injection, bent needle is going to be used.

Locations

Country Name City State
Korea, Republic of Kyungpook national university hospital Daegu

Sponsors (1)

Lead Sponsor Collaborator
Kyungpook National University Hospital

Country where clinical trial is conducted

Korea, Republic of, 

Outcome

Type Measure Description Time frame Safety issue
Primary Intravascular injection Intravascular injection is defined as contrast media spreading out through the vascular channel during injection of contrast media under real time fluoroscopy During procedure
Secondary Ventral epidural spreading Ventral epidural spreading is defined when the contrast reached just behind the vertebral body in fluoroscopic lateral view. up to 24 weeks
Secondary Medial epidural spreading Medial epidural spreading is defined as contrast filling the inner side of the pedicle medial margin up to 24 weeks
Secondary Procedure time Procedure time is defined as the time from the point when the block needle passed through the skin to observation of the complete contrast flow pattern with real time fluoroscopy. During procedure
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