Thermal Versus Pulsed Radiofrequency Application of Stellate Ganglion in Sympathetic Mediated Pain in Cancer Patients
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- Category: Vol. 84, December 2016
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Thermal Versus Pulsed Radiofrequency Application of Stellate Ganglion in Sympathetic Mediated Pain in Cancer Patients, MOHAMED H. HENDY, DINA N. ABBAS, KHALED A. MOSTAFA, RAFAAT M. REYAD and TAHER S. THABET
Abstract
Objective: To evaluate the efficacy and safety of Thermal versus pulsed radiofrequency application of Stellate ganglion in sympathetic mediated pain in cancer patients.
Methodology: 60 patients randomly integrated into 2 equal groups:
Group (A): Pulsed and Group (B): Thermal R. Ftherapy was done under fluoroscopy integrated by ultrasound guidance. Patients were assessed for pain relief (VAS score) at 1st day then 1 and 3 months after. Oxycodone and pregabalin con-sumption were assessed prior to block and at 3 months.
Results: Percentage of patients who had complete pain responsewas significantly higher in thermal group than pulsed group at first day, first month and three months. There is significant higher number of patients with higher percentage reduction of pregabalin and oxycontin consumption in the thermal group compared to the pulsed group.
Conclusion: Thermal RF of the Stellate ganglion is a safe and successful treatment for cancer patients with sympathetic mediated pain. It appears to be more effective than pulsed RF of the Stellate ganglion.