RecruitingNCT06731920

USG CMBB DSA Study

The Incidence of Inadvertent Intravascular Injection During Ultrasound-guided Cervical Medial Branch Blocks: a Fluoroscopically Controlled Study


Sponsor

Montreal General Hospital

Enrollment

300 participants

Start Date

Jan 10, 2025

Study Type

OBSERVATIONAL

Conditions

Summary

Injections that freeze neck joints can be done using x-rays or ultrasound imaging, which as a newer way of guiding the needle to the right spot. This study will look at how often freezing liquid goes into a blood vessel during neck injections that freeze neck joints when ultrasound guidance is used to place the needle. When this happens, it can go undetected because it does not make the patient feel any different, however it could cause a test block to be falsely negative, leading to the wrong diagnosis. Based on previous studies, we think that this happens rarely, and the purpose of this study is to prove that conclusively


Eligibility

Min Age: 19 Years

Inclusion Criteria1

  • Consenting patients over 19 years of age undergoing an ultrasound-guided cervical medial branch blocks as part of their usual care.

Exclusion Criteria2

  • Subjects with one or more of the following characteristics will be excluded from the study:
  • Known bleeding disorder or coagulopathy Patients on antiplatelet medication other than aspirin and those on anticoagulants (coumadin, AT III agents) Inability to visualize targeted structures on ultrasound Known allergy to contrast agents

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Interventions

DIAGNOSTIC_TESTcervical medial branch block

ultrasound-guided cervical medial branch block with fluoroscopic control and digital subtraction angiography


Locations(1)

Bill Nelems Pain and Research Centre

Kelowna, British Columbia, Canada

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NCT06731920


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