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Epidural Blood and Fibrin Patches

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Image-Guided Spine Interventions

Conclusion

Both epidural blood patch and fibrin glue patch injections may be useful in the treatment of CSF leaks. The fibrin glue patch has a more rapid and greater adhesive effect than the autologous blood patch. It is also readily available and may be useful when injection of autologous blood is contraindicated. However, autologous blood is inexpensive and raises no risk of allergic reaction or viral infection hazard from a donor. The epidural blood patch has been well documented to be effective in patients with PDPS and SIH. The fibrin patch has been demonstrated to be particularly effective in the event of postsurgical dural tears and may obviate the need for a second surgery in a patient with a postoperative dural leak. The fibrin patch may also be effective in symptomatic patients who are unrelieved by EBP.

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Authors
  1. Lisa Watanabe
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Editors and Affiliations

  1. Department of Radiology, Lewis-Gale Medical Center, Salem, Virginia, 24153, USA

    John M. Mathis MD, MSc (Chairman, Professor and Chairman) (Chairman, Professor and Chairman)

  2. Department of Radiology, Virginia College of Osteopathic Medicine, Blacksburg, Virginia, 24060, USA

    John M. Mathis MD, MSc (Chairman, Professor and Chairman) (Chairman, Professor and Chairman)

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© 2004 Springer-Verlag New York, Inc.

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Watanabe, L. (2004). Epidural Blood and Fibrin Patches. In: Johnson, B.A., Staats, P.S., Wetzel, F.T., Mathis, J.M. (eds) Image-Guided Spine Interventions. Springer, New York, NY. https://doi.org/10.1007/0-387-21794-0_17

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  • DOI: https://doi.org/10.1007/0-387-21794-0_17

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-0-387-40320-5

  • Online ISBN: 978-0-387-21794-9

  • eBook Packages: Springer Book Archive

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