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Pumps and Catheters
Jeffrey S. Ross, MD
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KEY FACTS

  • Terminology

    • Pathology

      • Clinical Issues

        • Diagnostic Checklist

          TERMINOLOGY

          • Abbreviations

            • Intrathecal baclofen (ITB)
            • Intraspinal drug delivery (IDD)
          • Definitions

            • Malfunction or malposition of pump or catheter delivery system

          IMAGING

          • General Features

            DIFFERENTIAL DIAGNOSIS

              PATHOLOGY

              • General Features

                CLINICAL ISSUES

                • Presentation

                  DIAGNOSTIC CHECKLIST

                  • Consider

                    Selected References

                    1. Haranhalli N et al: Intrathecal baclofen therapy: complication avoidance and management. Childs Nerv Syst. 27(3):421-7, 2011
                    2. Lawson EF et al: Current developments in intraspinal agents for cancer and noncancer pain. Curr Pain Headache Rep. 14(1):8-16, 2010
                    3. Maugans TA: Intracranial migration of a fractured intrathecal catheter from a baclofen pump system: case report and analysis of possible causes. Neurosurgery. 66(2):319-22, 2010
                    4. Myers J et al: Intraspinal techniques for pain management in cancer patients: a systematic review. Support Care Cancer. 18(2):137-49, 2010
                    5. Stetkarova I et al: Procedure- and device-related complications of intrathecal baclofen administration for management of adult muscle hypertonia: a review. Neurorehabil Neural Repair. 24(7):609-19, 2010
                    6. Fukuhara T et al: Tangled catheter as a rare cause of baclofen pump malfunction. Surg Neurol. 72(1):80-2; discussion 82, 2009
                    7. van Rijn MA et al: Intrathecal baclofen for dystonia of complex regional pain syndrome. Pain. 143(1-2):41-7, 2009
                    8. Borowski A et al: Baclofen pump implantation and spinal fusion in children: techniques and complications. Spine (Phila Pa 1976). 33(18):1995-2000, 2008
                    9. Caird MS et al: Outcomes of posterior spinal fusion and instrumentation in patients with continuous intrathecal baclofen infusion pumps. Spine (Phila Pa 1976). 33(4):E94-9, 2008
                    10. Ruan X et al: Edema caused by continuous epidural hydromorphone infusion: a case report and review of the literature. J Opioid Manag. 4(4):255-9, 2008
                    11. Kallweit U et al: Successful treatment of methicillin-resistant Staphylococcus aureus meningitis using linezolid without removal of intrathecal infusion pump. Case report. J Neurosurg. 107(3):651-3, 2007
                    12. Markman JD et al: Interventional approaches to pain management. Med Clin North Am. 91(2):271-86, 2007
                    13. Motta F et al: The use of intrathecal baclofen pump implants in children and adolescents: safety and complications in 200 consecutive cases. J Neurosurg. 107(1 Suppl):32-5, 2007
                    14. Narouze SN et al: Erosion of the inferior epigastric artery: a rare complication of intrathecal drug delivery systems. Pain Med. 8(5):468-70, 2007
                    15. Vender JR et al: Identification and management of intrathecal baclofen pump complications: a comparison of pediatric and adult patients. J Neurosurg. 104(1 Suppl):9-15, 2006
                    16. Amar AP et al: Percutaneous spinal interventions. Neurosurg Clin N Am. 16(3):561-8, vii, 2005
                    17. Hassenbusch SJ et al: Polyanalgesic Consensus Conference 2003: an update on the management of pain by intraspinal drug delivery-- report of an expert panel. J Pain Symptom Manage. 27(6):540-63, 2004
                    18. Gooch JL et al: Complications of intrathecal baclofen pumps in children. Pediatr Neurosurg. 39(1):1-6, 2003
                    19. McMillan MR et al: Catheter-associated masses in patients receiving intrathecal analgesic therapy. Anesth Analg. 96(1):186-90, table of contents, 2003
                    Related Anatomy
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                    Related Differential Diagnoses
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                    References
                    Tables

                    Tables

                    KEY FACTS

                    • Terminology

                      • Pathology

                        • Clinical Issues

                          • Diagnostic Checklist

                            TERMINOLOGY

                            • Abbreviations

                              • Intrathecal baclofen (ITB)
                              • Intraspinal drug delivery (IDD)
                            • Definitions

                              • Malfunction or malposition of pump or catheter delivery system

                            IMAGING

                            • General Features

                              DIFFERENTIAL DIAGNOSIS

                                PATHOLOGY

                                • General Features

                                  CLINICAL ISSUES

                                  • Presentation

                                    DIAGNOSTIC CHECKLIST

                                    • Consider

                                      Selected References

                                      1. Haranhalli N et al: Intrathecal baclofen therapy: complication avoidance and management. Childs Nerv Syst. 27(3):421-7, 2011
                                      2. Lawson EF et al: Current developments in intraspinal agents for cancer and noncancer pain. Curr Pain Headache Rep. 14(1):8-16, 2010
                                      3. Maugans TA: Intracranial migration of a fractured intrathecal catheter from a baclofen pump system: case report and analysis of possible causes. Neurosurgery. 66(2):319-22, 2010
                                      4. Myers J et al: Intraspinal techniques for pain management in cancer patients: a systematic review. Support Care Cancer. 18(2):137-49, 2010
                                      5. Stetkarova I et al: Procedure- and device-related complications of intrathecal baclofen administration for management of adult muscle hypertonia: a review. Neurorehabil Neural Repair. 24(7):609-19, 2010
                                      6. Fukuhara T et al: Tangled catheter as a rare cause of baclofen pump malfunction. Surg Neurol. 72(1):80-2; discussion 82, 2009
                                      7. van Rijn MA et al: Intrathecal baclofen for dystonia of complex regional pain syndrome. Pain. 143(1-2):41-7, 2009
                                      8. Borowski A et al: Baclofen pump implantation and spinal fusion in children: techniques and complications. Spine (Phila Pa 1976). 33(18):1995-2000, 2008
                                      9. Caird MS et al: Outcomes of posterior spinal fusion and instrumentation in patients with continuous intrathecal baclofen infusion pumps. Spine (Phila Pa 1976). 33(4):E94-9, 2008
                                      10. Ruan X et al: Edema caused by continuous epidural hydromorphone infusion: a case report and review of the literature. J Opioid Manag. 4(4):255-9, 2008
                                      11. Kallweit U et al: Successful treatment of methicillin-resistant Staphylococcus aureus meningitis using linezolid without removal of intrathecal infusion pump. Case report. J Neurosurg. 107(3):651-3, 2007
                                      12. Markman JD et al: Interventional approaches to pain management. Med Clin North Am. 91(2):271-86, 2007
                                      13. Motta F et al: The use of intrathecal baclofen pump implants in children and adolescents: safety and complications in 200 consecutive cases. J Neurosurg. 107(1 Suppl):32-5, 2007
                                      14. Narouze SN et al: Erosion of the inferior epigastric artery: a rare complication of intrathecal drug delivery systems. Pain Med. 8(5):468-70, 2007
                                      15. Vender JR et al: Identification and management of intrathecal baclofen pump complications: a comparison of pediatric and adult patients. J Neurosurg. 104(1 Suppl):9-15, 2006
                                      16. Amar AP et al: Percutaneous spinal interventions. Neurosurg Clin N Am. 16(3):561-8, vii, 2005
                                      17. Hassenbusch SJ et al: Polyanalgesic Consensus Conference 2003: an update on the management of pain by intraspinal drug delivery-- report of an expert panel. J Pain Symptom Manage. 27(6):540-63, 2004
                                      18. Gooch JL et al: Complications of intrathecal baclofen pumps in children. Pediatr Neurosurg. 39(1):1-6, 2003
                                      19. McMillan MR et al: Catheter-associated masses in patients receiving intrathecal analgesic therapy. Anesth Analg. 96(1):186-90, table of contents, 2003