Case Report
Rare Image of Epidural Catheter Fracture in Lumbar Analgesia
Table 1
A list of levels and symptoms involved in accidental fracture of epidural catheters and the ways of treating them.
| | Author | Year | Catheter | Level of the approach and fracture | Length of the catheter sectioned (cm) | Symptoms/sequelae | Treatment | Time to warm fracture |
| | Tio et al. [9] | 1979 | Teflon | L2-L3 | 8 | None | No surgery | Immediately | | Moerman et al. [10] | 1980 | NA | L3-L4 | NA | None | NA | Immediately | | Crawford [11] | 1985 | Portex | NA | NA | None | No surgery | 1 day | | Staats et al. [12] | 1995 | Teflon | L3-L4 | 1 | Lumbar stenosis, no sequelae | Laminectomy | Immediately | | Collier [13] | 2000 | Portex | L2-L3 y L3-L4 | 4 | Radicular compression syndrome | No surgery | Immediately | | Nishio [14] | 2001 | Polyurethane catheter | L2-L3 | 5 | None | Laminectomy | Immediately | | Schummer and Schummer [15] | 2002 | Perifix | L3-L4 | 11 | None | NA | Immediately | | Dounas [16] | 2002 | Portex | L2-L3 | 6 | None | Laminectomy | Immediately | | Asai [17] | 2001 | Arrow | L3-L4 | 7.5 | None | Laminectomy | Immediately | | Castro-Rodríguez and López-Herranz [4] | 2002 | NA | L2-L3 | 0.9 | Low back pain | No surgery | 1 day | | Ugboma [18] | 2002 | NA | L3-L4 | 9 | None | Laminectomy | NA | | Demiraran [19] | 2006 | Portex | L3-L4 | 4 | Swelling lumbar region | Surgical remotion by skin incision | 9 days | | Drake [20] | 2007 | NA | NA | Tip sheared off | None | No surgery | NA | | Eap [21] | 2010 | NA | L3-L4 | NA | Low back pain | Surgical remotion by endoscopy | 15 days | | Mayorga-Buiza [1] | 2012 | NA | L2-L3 | NA | None | No surgery | 10 years | | Abouhashem [5] | 2013 | NA | L3-L4 | 17 | Back pain with pin prick sensation in spinal flexion | Surgical remotion by skin incision | Immediately | | Mireles-Cano [6] | 2014 | Espinocat Plus | L2-L3 lateral foramen | 5 | None | Laminectomy | Immediately | | Pinciroli and Fumagalli [22] | 2015 | Arrow-Teleflex | L3-L4 | 9 | None | Surgical remotion by skin incision | 12 years | | Tarukado [23] | 2015 | Arrow-Teleflex | T11-T12 | 13 | None | Laminectomy | 7 weeks | | Usar [3] | 2015 | Perifix® Soft Type 701 | L3-L4 | 2 | None | No surgery | 9 months | | Kim et al. [24] | 2016 | Racz | L5-S1 left facet | 12 | Severe radiating pain in the left leg | Laminectomy | 1 year | | Hippalgaonkar [25] | 2017 | Portex | L4-L5 into the muscle | 19 | None | Laminectomy | NA | | Molina-García [7] | 2017 | NA | Tow case in L2-L3 | 14.0 and 13.0 | None | Surgical remotion by skin incision | Immediately | | Reena and Vikram [8] | 2019 | NA | L3-L4 | 1.5 | None | No surgery | Immediately |
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Most frequent management is surgical remotion in perioperative time. However, in some cases, warming is late.
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