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- W4312920152 abstract "Percutaneous epidural neuroplasty (PEN) is a minimally invasive spine management technique. It is referred to as percutaneous epidural neurolysis, Racz procedure, or the percutaneous epidural adhesiolysis. PEN plays a role in epidural scar dissolution, target drug delivery, ventral space drug injection, and the nerve decompression [1, 2]. After inserting a catheter into the target area where adhesions are visible on epidural examination, adhesiolysis is performed. A soft or navigable catheter system can be used to successfully advance the catheter to the target site in the epidural space. The adhesiolysis technique consists of mechanical dissolution using a catheter, chemical dissolution using hyaluronidase, and hydrostatic pressure dissolution using physiological saline and a contrast medium. The navigable catheter is more useful for mechanical lysis because the catheter tip can be moved from side to side." @default.
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- W4312920152 date "2022-01-01" @default.
- W4312920152 modified "2023-09-24" @default.
- W4312920152 title "Percutaneous Epidural Neuroplasty" @default.
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- W4312920152 doi "https://doi.org/10.1007/978-981-16-9547-6_6" @default.
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