Protocol addresses risks of intra-arterial injection complications in spine interventions, indicating critical response steps.
This protocol discusses the risks associated with inadvertent intra-arterial injection during spine interventions, including stroke, seizure, spinal cord infarction, and paralysis. It highlights the dangers of particulate steroid embolism and arterial vasospasm, particularly during transforaminal injections. The protocol focuses on immediate recognition, termination of the procedure, activating stroke protocols, neurologic assessment, airway management, and rapid transfer for advanced neurologic care.
No takes yet. Share an insight, caveat, or question.
Schuster et al. (2026) studied this question.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: