This technical note describes lysis of adhesions in the epidural space with the use of a 5F vascular catheter inserted on a 0.35-inch guide passed through the sacral foramen. Commonly employed in the administration of anesthetics, a vascular catheter can be advantageously used in place of the Racz epidural catheter, with a potential reduction in damage to the nerve structures of the sacral canal.
HeavnerJERaczGBRajP. Percutaneous epidural neuroplasty. Prospective evaluation of 0.9% NaCl versus 10% NaCl with or without hyaluronidase. Reg Anesth Pain Med.1999; 24: 202–207.
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RaczGBHeavnerJERajPP. Epidural neuroplasty. Sem Anesth Periop Med Pain. 1997; 302–312.
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ArthurJRaczGHeinrichR. Epidural space. Identification of filling defects and lysis of adhesions in the treatment of chronic painful conditions. In: Abstracts, 7th Word Congress on Pain. Paris: IASP Publications; 1993. 557.
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ArunPADonaldWLGeorgePT. Percutaneous spinal interventions. Neurosurg Clin N Am.2005; 16: 561–568.
