Preventing Sudden Cessation of Implantable Pulse Generators in Deep Brain Stimulation: A Systematic Review and Protocol Proposal.

IF 1.9 4区医学 Q3 NEUROIMAGING Stereotactic and Functional Neurosurgery Pub Date : 2024-01-01 Epub Date: 2024-03-01 DOI:10.1159/000535880

Spencer J Oslin, Helen H Shi, Andrew K Conner

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Abstract

Introduction: Deep brain stimulation (DBS) requires a consistent electrical supply from the implantable pulse generator (IPG). Patients may struggle to monitor their IPG, risking severe complications in battery failure. This review assesses current literature on DBS IPG battery life management and proposes a protocol for healthcare providers.

Methods: A literature search using four databases identified best practices for DBS IPG management. Studies were appraised for IPG management guidelines, categorized as qualitative, quantitative, or both.

Results: Of 408 citations, only seven studies were eligible, none providing clear patient management strategies. Current guidelines lack specificity, relying on clinician suggestions.

Conclusion: Limited guidelines exist for IPG management. Specificity and adaptability to emerging technology are crucial. The findings highlight the need for specificity in patients' needs and adaptability to emerging technology in future studies. To address this need, we developed a protocol for DBS IPG management that we have implemented at our own institution. Further research is needed for effective DBS IPG battery life management, preventing therapy cessation complications.

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防止植入式脉冲发生器在脑深部刺激中突然停止工作：系统回顾与方案建议》。

简介深部脑刺激（DBS）要求植入式脉冲发生器（IPG）持续供电。患者可能难以监测其 IPG，从而面临电池故障的严重并发症风险。本综述评估了目前有关 DBS IPG 电池寿命管理的文献，并为医疗服务提供者提出了一项协议：方法：使用四个数据库进行文献检索，确定了 DBS IPG 管理的最佳实践。结果：在 408 篇引文中，仅有 7 篇被引用：结果：在 408 篇引文中，仅有 7 篇研究符合条件，但均未提供明确的患者管理策略。目前的指南缺乏针对性，主要依靠临床医生的建议：结论：现有的 IPG 管理指南非常有限。特异性和对新兴技术的适应性至关重要。研究结果突出表明，在未来的研究中需要明确患者的需求并适应新兴技术。为了满足这一需求，我们制定了一套 DBS IPG 管理方案，并已在本机构实施。我们需要进一步研究如何有效管理 DBS IPG 电池寿命，防止治疗停止并发症的发生。

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来源期刊

Stereotactic and Functional Neurosurgery 医学-神经成像

CiteScore

3.80

自引率

0.00%

发文量

审稿时长

3 months

期刊介绍： ''Stereotactic and Functional Neurosurgery'' provides a single source for the reader to keep abreast of developments in the most rapidly advancing subspecialty within neurosurgery. Technological advances in computer-assisted surgery, robotics, imaging and neurophysiology are being applied to clinical problems with ever-increasing rapidity in stereotaxis more than any other field, providing opportunities for new approaches to surgical and radiotherapeutic management of diseases of the brain, spinal cord, and spine. Issues feature advances in the use of deep-brain stimulation, imaging-guided techniques in stereotactic biopsy and craniotomy, stereotactic radiosurgery, and stereotactically implanted and guided radiotherapeutics and biologicals in the treatment of functional and movement disorders, brain tumors, and other diseases of the brain. Background information from basic science laboratories related to such clinical advances provides the reader with an overall perspective of this field. Proceedings and abstracts from many of the key international meetings furnish an overview of this specialty available nowhere else. ''Stereotactic and Functional Neurosurgery'' meets the information needs of both investigators and clinicians in this rapidly advancing field.