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Directional electrodes in deep brain stimulation: Results of a survey by the European Association of Neurosurgical Societies (EANS).

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العنوان: Directional electrodes in deep brain stimulation: Results of a survey by the European Association of Neurosurgical Societies (EANS).
المؤلفون: Krauss P; Department of Neurosurgery, University Hospital Augsburg, Augsburg, Germany., Duarte-Batista P; Neurosurgery Department, North Lisbon University Hospital Centre, Lisbon, Portugal., Hart MG; St George's, University of London & St George's University Hospitals NHS Foundation Trust, Institute of Molecular and Clinical Sciences, Neurosciences Research Centre, Cranmer Terrace, London, United Kingdom., Avecillas-Chasin JM; Department of Neurosurgery. University of Nebraska Medical Center. Omaha, Nebraska, USA., Bercu MM; Department of Pediatric Neurosurgery, Helen DeVos Children's Hospital, Corewell, USA., Hvingelby V; Department of Clinical Medicine - Nuclear Medicine and PET Center, Aarhus University, Aarhus, Denmark., Massey F; Unit of Neurosurgery, National Hospital of Neurology and Neurosurgery, London, United Kingdom., Ackermans L; Department of Neurosurgery, Maastricht University Medical Center, Maastricht, the Netherlands., Kubben PL; Department of Neurosurgery, Maastricht University Medical Center, Maastricht, the Netherlands., van der Gaag NA; Department of Neurosurgery, Haga Teaching Hospital, The Hague, the Netherlands.; Department of Neurosurgery, Leiden University Medical Center, Leiden, the Netherlands., Krüger MT; Unit of Neurosurgery, National Hospital of Neurology and Neurosurgery, London, United Kingdom.; Department of Neurosurgery, University Medical Centre Freiburg, Germany.
مؤلفون مشاركون: functional section of the EANS
المصدر: Brain & spine [Brain Spine] 2024 Feb 03; Vol. 4, pp. 102756. Date of Electronic Publication: 2024 Feb 03 (Print Publication: 2024).
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Elsevier B.V Country of Publication: Netherlands NLM ID: 9918470888906676 Publication Model: eCollection Cited Medium: Internet ISSN: 2772-5294 (Electronic) Linking ISSN: 27725294 NLM ISO Abbreviation: Brain Spine Subsets: PubMed not MEDLINE
أسماء مطبوعة: Original Publication: [Amsterdam] : Elsevier B.V., [2021]-
مستخلص: Introduction: Directional Leads (dLeads) represent a new technical tool in Deep Brain Stimulation (DBS), and a rapidly growing population of patients receive dLeads.
Research Question: The European Association of Neurosurgical Societies(EANS) functional neurosurgery Task Force on dLeads conducted a survey of DBS specialists in Europe to evaluate their use, applications, advantages, and disadvantages.
Material and Methods: EANS functional neurosurgery and European Society for Stereotactic and Functional Neurosurgery (ESSFN) members were asked to complete an online survey with 50 multiple-choice and open questions on their use of dLeads in clinical practice.
Results: Forty-nine respondents from 16 countries participated in the survey (n = 38 neurosurgeons, n = 8 neurologists, n = 3 DBS nurses). Five had not used dLeads. All users reported that dLeads provided an advantage (n = 23 minor, n = 21 major). Most surgeons (n = 35) stated that trajectory planning does not differ when implanting dLeads or conventional leads. Most respondents selected dLeads for the ability to optimize stimulation parameters (n = 41). However, the majority (n = 24), regarded time-consuming programming as the main disadvantage of this technology. Innovations that were highly valued by most participants included full 3T MRI compatibility, remote programming, and closed loop technology.
Discussion and Conclusion: Directional leads are widely used by European DBS specialists. Despite challenges with programming time, users report that dLeads have had a positive impact and maintain an optimistic view of future technological advances.
Competing Interests: PK has received travel funding from Abbott and Boston Scientific and has received speaker honorary from 10.13039/501100002806Carl Zeiss Meditec AG. PDB has received travel funding from Medtronic and Boston Scientific. MGH, JMAC, MMB, VH, FM, VH, LA, PLK, NAvdG have nothing to declare. MTK is a consultant for Boston Scientific and Brainlab and has received travel funding and consultancy fees from Elekta and Medtronic.
(© 2024 The Authors.)
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فهرسة مساهمة: Investigator: OE Schijns, Department of Neurosurgery, University hospital Leuven, Belgium.; T Theys, Department of Neurosurgery, University hospital Leuven, Belgium.; D van Roost, Department of Neurosurgery, University hospital Ghent, Belgium.; D Delev, Department of Neurosurgery, University hospital Aachen, Germany.; K Fountas, Department of Neurosurgery, University hospital Larissa, Greece.; K Rössler, Department of Neurosurgery, Medical University of Vienna, Vienna, Austria.; AG Ferreira, Department of Neurosurgery, Hospital Santa Maria, Lisbon, Portugal.; T Aziz, Department of Neurosurgery, John Radcliffe hospital, Oxford, United Kingdom.; F Alesch, Department of Neuromodulation, Zwickau, Germany.; Y Parpaley, Department of Neurosurgery, University hospital Bochum, Germany.; E Kocabicak, Department of Neurosurgery, University Samsun, Turkey.; A Sitnikov, Department of Neurosurgery, Federal centre of treatment and rehabilitation, Moscow, Russia.; O Tveiten, Department of Neurosurgery, Haukeland university hospital, Bergen, Norway.; M von Lehe, Department of Neurosurgery, Ruppiner Kliniken, Neuruppin, Germany.
Keywords: DBS; Deep brain stimulation; Directionality; Future technologies; Steering; Survey; dLeads
تواريخ الأحداث: Date Created: 20240321 Latest Revision: 20240322
رمز التحديث: 20240322
مُعرف محوري في PubMed: PMC10951785
DOI: 10.1016/j.bas.2024.102756
PMID: 38510592
قاعدة البيانات: MEDLINE
الوصف
تدمد:2772-5294
DOI:10.1016/j.bas.2024.102756