: Intravascular Injection Rates During Cervical Medial Branch Block

Vascular Complications Clinical Trial

Official title:

Comparison of Intravascular Injection Rates During Cervical and Lumbar Medial Branch Block Using Touhy or Quincke Type Needle

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT05031936
• Other study ID #: 2021-07-014
• Status: Completed
• Phase: N/A
• Start date: August 12, 2021
• Est. completion date: October 30, 2022

Study information

• Verified date: December 2022
• Source: Keimyung University Dongsan Medical Center
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

The purpose of this study is to compare using Toughy needle has an advantage of reducing intravascular injection rates during cervical medial branch block.

Description:

In previous reports, the use of Toughy needle was thought to reduce the incidence of intravascular injection as low as 2.9% during lumbar transforaminal injection.

Blunt needles with a pencil point tip, such as Whitacre needles, are not as sharp at their tip as are Quincke needles, which have bevels. Toughy or blunt needles may therefore be less likely to penetrate a vessel during a procedure. Hence, we postulated the incidence of intravenous uptake would be significantly lower using a Toughy needle than using a Quincke needle for lumbar medial branch block. To confirm the intravascular injection rates, we used the real time fluoroscopy after injection of contrast medium.

The goal of this study was to compare the incidence of intravascular injection rate betweeen Toughy and Quincke needles using real time fluoroscopy during cervical medial branch block

Recruitment information / eligibility

• Status: Completed
• Enrollment: 67
• Est. completion date: October 30, 2022
• Est. primary completion date: October 30, 2022
• Accepts healthy volunteers: No
• Gender: All
• Age group: 20 Years to 79 Years

Eligibility

Inclusion Criteria:

• facet joint arthropathy

Exclusion Criteria:

• allergy to local anesthetics or contrast medium

• pregnancy

• spine deformity

• neurologic abnormality

Related Conditions & MeSH terms

• Vascular Complications

Intervention

Procedure:
• cervical spinal injection with 0.2% ropivacaine
spinal injections performed in cervical pillar area to relieve chronic neck pain

Locations

Country	Name	City	State
Korea, Republic of	Hong ji HEE	Daegu

Sponsors (1)

Lead Sponsor	Collaborator
Keimyung University Dongsan Medical Center

Country where clinical trial is conducted

Korea, Republic of, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	incidence of intravascular injection	incidence of intravascular injection during cervical medial branch block	1 minute after finishing cervical medial branch block
Secondary	time required to complete cervical medial branch block	time required to complete cervical medial branch block	Baseline, 1 second after the completion of cervical medial branch block
Secondary	radiation amout to complete cervical medial branch block	radiation amout to complete cervical medial branch block	Baseline, 1 second after the completion of cervical medial branch block