Securing and Anchoring Permanent Intrathecal Catheters

  • Timothy R. Deer


Catheter migration is an important problem when considering complications of intrathecal drug infusion systems. Catheter migration can result in loss of efficacy, drug withdrawal, and the need for surgical revision. The methods of securing the catheter vary due to physician preference. Options include placing a purse string to secure the tissue surrounding the catheter, and the placement of a variety of silastic anchors to secure the catheter to the ligament or fascia. This chapter examines both the options of securing the catheter and the associated problems with catheter movement.


Cerebral Spinal Fluid Nonabsorbable Suture Purse String Catheter Occlusion Intrathecal Catheter 
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Suggested Reading

  1. 1.
    Follett K, Burchiel K, Deer T, et al. Prevention of intrathecal drug delivery catheter-related complications. Neuromodulation. 2003;6(1):3–41.CrossRefGoogle Scholar
  2. 2.
    McIntyre P, Deer T, Hayek S. Complications of spinal infusion therapies. Tech Reg Anesth Pain Manag. 2007;11(3):183–192.Google Scholar

Copyright information

© Springer Science+Business Media, LLC 2011

Authors and Affiliations

  1. 1.Center for Pain ReliefCharlestonUSA

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