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Research ArticleSpine

Incidence of Inadvertent Intravascular Injection during CT Fluoroscopy–Guided Epidural Steroid Injections

P.G. Kranz, T.J. Amrhein and L. Gray
American Journal of Neuroradiology May 2015, 36 (5) 1000-1007; DOI: https://doi.org/10.3174/ajnr.A4219
P.G. Kranz
aFrom the Department of Radiology, Duke University Medical Center, Durham, North Carolina.
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T.J. Amrhein
aFrom the Department of Radiology, Duke University Medical Center, Durham, North Carolina.
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L. Gray
aFrom the Department of Radiology, Duke University Medical Center, Durham, North Carolina.
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Article Information

vol. 36 no. 5 1000-1007
DOI 
https://doi.org/10.3174/ajnr.A4219
PubMed 
25614475

Published By 
American Journal of Neuroradiology
Print ISSN 
0195-6108
Online ISSN 
1936-959X
History 
  • Received September 5, 2014
  • Accepted after revision October 21, 2014
  • Published online May 15, 2015.

Article Versions

  • Latest version (January 22, 2015 - 06:58).
  • You are viewing the most recent version of this article.
Copyright & Usage 
© 2015 by American Journal of Neuroradiology

Author Information

  1. P.G. Kranza,
  2. T.J. Amrheina and
  3. L. Graya
  1. aFrom the Department of Radiology, Duke University Medical Center, Durham, North Carolina.
  1. Please address correspondence to Peter G. Kranz, MD, Department of Radiology, Box 3808, Duke University Medical Center, Durham, NC 27710; e-mail: peter.kranz{at}duke.edu
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  • CT-Fluoroscopic Cervical Transforaminal Epidural Steroid Injections: Extraforaminal Needle Tip Position Decreases Risk of Intravascular Injection
    G.M. Lagemann, M.P. Yannes, A. Ghodadra, W.E. Rothfus, V. Agarwal
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  • Incidence of Inadvertent Dural Puncture During CT Fluoroscopy–Guided Interlaminar Epidural Corticosteroid Injections in the Cervical Spine: An Analysis of 974 Cases
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    American Journal of Roentgenology 2017 209 3
  • CT Fluoroscopy–Guided Interlaminar Epidural Steroid Injections in the Cervical Spine: Rate of Nontarget Injection Into the Retrodural Space of Okada
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    American Journal of Roentgenology 2018 211 2
  • US-Guided Transforaminal Cervical Nerve Root Block: A Novel Lateral in-Plane Approach
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  • Safety of CT‐guided cervical nerve root corticosteroid injections
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    Journal of Medical Imaging and Radiation Oncology 2019 63 3
  • Technique for CT Fluoroscopy–Guided Lumbar Medial Branch Blocks and Radiofrequency Ablation
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    American Journal of Roentgenology 2016 207 3
  • Image-Guided Spine Interventions for Pain: Ongoing Controversies
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American Journal of Neuroradiology: 36 (5)
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Vol. 36, Issue 5
1 May 2015
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Cite this article
P.G. Kranz, T.J. Amrhein, L. Gray
Incidence of Inadvertent Intravascular Injection during CT Fluoroscopy–Guided Epidural Steroid Injections
American Journal of Neuroradiology May 2015, 36 (5) 1000-1007; DOI: 10.3174/ajnr.A4219

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Incidence of Inadvertent Intravascular Injection during CT Fluoroscopy–Guided Epidural Steroid Injections
P.G. Kranz, T.J. Amrhein, L. Gray
American Journal of Neuroradiology May 2015, 36 (5) 1000-1007; DOI: 10.3174/ajnr.A4219
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Cited By...

  • Hypersensitivity Reactions to Fibrin Glue during Epidural Blood Patching
  • CT Fluoroscopy-Guided Blood Patching of Ventral CSF Leaks by Direct Needle Placement in the Ventral Epidural Space Using a Transforaminal Approach
  • CT-Fluoroscopic Cervical Transforaminal Epidural Steroid Injections: Extraforaminal Needle Tip Position Decreases Risk of Intravascular Injection
  • Crossref (26)
  • Google Scholar

This article has been cited by the following articles in journals that are participating in Crossref Cited-by Linking.

  • Spinal Injections for Pain Management
    William E. Palmer
    Radiology 2016 281 3
  • Spontaneous Intracranial Hypotension
    Timothy J. Amrhein, Peter G. Kranz
    Radiologic Clinics of North America 2019 57 2
  • Ultrasound-Guided Selective Nerve Root Block versus Fluoroscopy-Guided Interlaminar Epidural Block versus Fluoroscopy-Guided Transforaminal Epidural Block for the Treatment of Radicular Pain in the Lower Cervical Spine: A Retrospective Comparative Study
    Jin Hyuk Jang, Woo Yong Lee, Jong woo Kim, Kyoung Rai Cho, Sang Hyun Nam, YongBum Park
    Pain Research and Management 2020 2020
  • CT Fluoroscopy–Guided Blood Patching of Ventral CSF Leaks by Direct Needle Placement in the Ventral Epidural Space Using a Transforaminal Approach
    T.J. Amrhein, N.T. Befera, L. Gray, P.G. Kranz
    American Journal of Neuroradiology 2016 37 10
  • CT-Fluoroscopic Cervical Transforaminal Epidural Steroid Injections: Extraforaminal Needle Tip Position Decreases Risk of Intravascular Injection
    G.M. Lagemann, M.P. Yannes, A. Ghodadra, W.E. Rothfus, V. Agarwal
    American Journal of Neuroradiology 2016 37 4
  • Incidence of Inadvertent Dural Puncture During CT Fluoroscopy–Guided Interlaminar Epidural Corticosteroid Injections in the Cervical Spine: An Analysis of 974 Cases
    T. J. Amrhein, S. N. Parivash, L. Gray, P. G. Kranz
    American Journal of Roentgenology 2017 209 3
  • CT Fluoroscopy–Guided Interlaminar Epidural Steroid Injections in the Cervical Spine: Rate of Nontarget Injection Into the Retrodural Space of Okada
    Sherveen N. Parivash, Peter G. Kranz, Linda Gray, Timothy J. Amrhein
    American Journal of Roentgenology 2018 211 2
  • US-Guided Transforaminal Cervical Nerve Root Block: A Novel Lateral in-Plane Approach
    Junzhen Wu, Yongming Xu, Shaofeng Pu, Jin Zhou, Yingying Lv, Cheng Li, Dongping Du
    Pain Medicine 2021 22 9
  • Safety of CT‐guided cervical nerve root corticosteroid injections
    Matthew W Lukies, Wesley WH Teoh, Warren Clements
    Journal of Medical Imaging and Radiation Oncology 2019 63 3
  • Technique for CT Fluoroscopy–Guided Lumbar Medial Branch Blocks and Radiofrequency Ablation
    Timothy J. Amrhein, Anand B. Joshi, Peter G. Kranz
    American Journal of Roentgenology 2016 207 3

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