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. 2023 Jul 22;2(3):100268.
doi: 10.1016/j.inpm.2023.100268. eCollection 2023 Sep.

FactFinders for patient safety: Preventing potential procedure-related complications: Vasovagal reactions and spinal cord stimulator lead migration

Vivek Babaria  1 , Jaymin Patel  2 , Byron J Schneider  3 , Ryan Mattie  4 , Zachary L McCormick  5 ; Spine Intervention Society's Patient Safety Committee
Affiliations

FactFinders for patient safety: Preventing potential procedure-related complications: Vasovagal reactions and spinal cord stimulator lead migration

Vivek Babaria et al. Interv Pain Med. .

Abstract

This series of FactFinders presents a brief summary of the evidence and outlines recommendations to improve our understanding and management of several potential procedure-related complications. Evidence in support of the following facts is presented. (1) Vasovagal Reactions During Interventional Pain Procedures -- The overall incidence of vasovagal reactions (VVR) ranges from 1 to 8% during interventional pain procedures, though certain patient populations may be at greater risk. Younger age, male sex, and a history of a VVR are associated with an increased likelihood of VVR. In select patients, moderate sedation may be considered for prevention of a repeat vasovagal reaction. (2) Spinal Cord Stimulator Trial Lead Migration -- Suturing percutaneous SCS leads does not mitigate the risk of migration compared to taping alone during a trial. Most lead migration does not pose a safety concern during the trial period.

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Conflict of interest statement

The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.

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