Battery lifetime in pallidal deep brain stimulation for dystonia
Background and Purpose: The aim of the study was to analyse the lifetime of Soletra implantable pulse generators (IPG) in deep brain stimulation (DBS) of the globus pallidus internus (GPi) for dystonia, depending on stimulation parameters and the total electrical energy delivered (TEED) by the IPG....
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| Veröffentlicht in: | European journal of neurology 2011-06, Vol.18 (6), p.872-875 |
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| container_title | European journal of neurology |
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| creator | Blahak, C. Capelle, H.-H. Baezner, H. Kinfe, T. M. Hennerici, M. G. Krauss, J. K. |
| description | Background and Purpose: The aim of the study was to analyse the lifetime of Soletra implantable pulse generators (IPG) in deep brain stimulation (DBS) of the globus pallidus internus (GPi) for dystonia, depending on stimulation parameters and the total electrical energy delivered (TEED) by the IPG.
Methods: In a prospective series of 20 patients with GPi DBS for dystonia, we recorded IPG longevity and stimulation parameters over time. An evaluation of the TEED was performed using the previously suggested equation [(voltage2 × pulse width × frequency)/impedance] × 1 s.
Results: During median follow‐up of 57 months (range 23–79 months), 64 IPGs were replaced because of battery depletion or end of life signal. We found a mean IPG longevity of 25.1 ± 10.1 (range 16–60) months, which was inversely correlated with the TEED (r = −0.72; P |
| doi_str_mv | 10.1111/j.1468-1331.2010.03290.x |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_proquest_miscellaneous_876233242</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>866043737</sourcerecordid><originalsourceid>FETCH-LOGICAL-c4170-52a95b1abb149ecd994ced222f222069e59710863e105deccbaac5354be094f43</originalsourceid><addsrcrecordid>eNqFkV2L1DAUhoMo7jr6F6TghVedPSdfbS4EdZn9wGVFVARvQtqeQsZMO9u0OPPvTZ3dudibTQg5nPd5Q5KXsQxhiWmcrZcodZmjELjkkLoguIHl7hk7PQrPUy0U5goBT9irGNcAwAsOL9kJR1QGCn7KPn5240jDPgu-pdFvKPNdtnUh-MaFrCHaZtXgUi8mcQpu9H2Xtf2QNfs49p13r9mL1oVIb-73Bft5sfpxfpXffL28Pv90k9cSC8gVd0ZV6KoKpaG6MUbW1HDO27RAG1KmQCi1IATVUF1XztVKKFkRGNlKsWDvD-duh_5uojjajY81heA66qdoy0JzIbjkT5NagxRFmgv27hG57qehS8-wWAJqKIzRiXp7T03Vhhq7HfzGDXv78IkJ-HAA_vpA-6OOYOew7NrOmdg5EzuHZf-HZXd2dbuaq-TPD34fR9od_W74Y3W6prK_bi_txRfz7fd3KG0h_gFgFZSa</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1801607996</pqid></control><display><type>article</type><title>Battery lifetime in pallidal deep brain stimulation for dystonia</title><source>MEDLINE</source><source>Wiley Online Library Journals Frontfile Complete</source><creator>Blahak, C. ; Capelle, H.-H. ; Baezner, H. ; Kinfe, T. M. ; Hennerici, M. G. ; Krauss, J. K.</creator><creatorcontrib>Blahak, C. ; Capelle, H.-H. ; Baezner, H. ; Kinfe, T. M. ; Hennerici, M. G. ; Krauss, J. K.</creatorcontrib><description>Background and Purpose: The aim of the study was to analyse the lifetime of Soletra implantable pulse generators (IPG) in deep brain stimulation (DBS) of the globus pallidus internus (GPi) for dystonia, depending on stimulation parameters and the total electrical energy delivered (TEED) by the IPG.
Methods: In a prospective series of 20 patients with GPi DBS for dystonia, we recorded IPG longevity and stimulation parameters over time. An evaluation of the TEED was performed using the previously suggested equation [(voltage2 × pulse width × frequency)/impedance] × 1 s.
Results: During median follow‐up of 57 months (range 23–79 months), 64 IPGs were replaced because of battery depletion or end of life signal. We found a mean IPG longevity of 25.1 ± 10.1 (range 16–60) months, which was inversely correlated with the TEED (r = −0.72; P < 0.001). IPG longevity was not different between bipolar and monopolar stimulation (24.9 ± 10.8 vs. 25.4 ± 9.0 months, P = 0.76). Incongruously, the mean TEED applied throughout the lifetime cycle was significantly higher in patients with bipolar compared with monopolar stimulation (584 ± 213 vs. 387 ± 121 Joule; P < 0.01).
Conclusions: Battery lifetime in GPi DBS for dystonia is substantially shorter compared with that reported in DBS for Parkinson’s disease, caused by a considerably higher voltage and greater pulse width and therefore a higher TEED applied during the battery lifetime cycle. The commonly used equation to calculate TEED, however, seems to be correct only for monopolar, but not bipolar stimulation.</description><identifier>ISSN: 1351-5101</identifier><identifier>EISSN: 1468-1331</identifier><identifier>DOI: 10.1111/j.1468-1331.2010.03290.x</identifier><identifier>PMID: 21159072</identifier><identifier>CODEN: EJNEFL</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Publishing Ltd</publisher><subject>Adult ; Aged ; Batteries ; battery longevity ; Deep brain stimulation ; Deep Brain Stimulation - instrumentation ; Deep Brain Stimulation - methods ; Dystonia ; Dystonia - physiopathology ; Dystonia - therapy ; Electric Power Supplies - trends ; Electrodes, Implanted - trends ; Electronics, Medical - trends ; Electrophysiology - instrumentation ; Electrophysiology - methods ; Energy ; Follow-Up Studies ; Globus pallidus ; Globus Pallidus - physiopathology ; globus pallidus internus ; Humans ; Longevity ; Mathematical models ; Middle Aged ; Models, Neurological ; Movement disorders ; Neurodegenerative diseases ; Parkinson's disease ; Prospective Studies ; Time Factors</subject><ispartof>European journal of neurology, 2011-06, Vol.18 (6), p.872-875</ispartof><rights>2010 The Author(s). European Journal of Neurology © 2010 EFNS</rights><rights>2010 The Author(s). European Journal of Neurology © 2010 EFNS.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4170-52a95b1abb149ecd994ced222f222069e59710863e105deccbaac5354be094f43</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fj.1468-1331.2010.03290.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fj.1468-1331.2010.03290.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21159072$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Blahak, C.</creatorcontrib><creatorcontrib>Capelle, H.-H.</creatorcontrib><creatorcontrib>Baezner, H.</creatorcontrib><creatorcontrib>Kinfe, T. M.</creatorcontrib><creatorcontrib>Hennerici, M. G.</creatorcontrib><creatorcontrib>Krauss, J. K.</creatorcontrib><title>Battery lifetime in pallidal deep brain stimulation for dystonia</title><title>European journal of neurology</title><addtitle>Eur J Neurol</addtitle><description>Background and Purpose: The aim of the study was to analyse the lifetime of Soletra implantable pulse generators (IPG) in deep brain stimulation (DBS) of the globus pallidus internus (GPi) for dystonia, depending on stimulation parameters and the total electrical energy delivered (TEED) by the IPG.
Methods: In a prospective series of 20 patients with GPi DBS for dystonia, we recorded IPG longevity and stimulation parameters over time. An evaluation of the TEED was performed using the previously suggested equation [(voltage2 × pulse width × frequency)/impedance] × 1 s.
Results: During median follow‐up of 57 months (range 23–79 months), 64 IPGs were replaced because of battery depletion or end of life signal. We found a mean IPG longevity of 25.1 ± 10.1 (range 16–60) months, which was inversely correlated with the TEED (r = −0.72; P < 0.001). IPG longevity was not different between bipolar and monopolar stimulation (24.9 ± 10.8 vs. 25.4 ± 9.0 months, P = 0.76). Incongruously, the mean TEED applied throughout the lifetime cycle was significantly higher in patients with bipolar compared with monopolar stimulation (584 ± 213 vs. 387 ± 121 Joule; P < 0.01).
Conclusions: Battery lifetime in GPi DBS for dystonia is substantially shorter compared with that reported in DBS for Parkinson’s disease, caused by a considerably higher voltage and greater pulse width and therefore a higher TEED applied during the battery lifetime cycle. The commonly used equation to calculate TEED, however, seems to be correct only for monopolar, but not bipolar stimulation.</description><subject>Adult</subject><subject>Aged</subject><subject>Batteries</subject><subject>battery longevity</subject><subject>Deep brain stimulation</subject><subject>Deep Brain Stimulation - instrumentation</subject><subject>Deep Brain Stimulation - methods</subject><subject>Dystonia</subject><subject>Dystonia - physiopathology</subject><subject>Dystonia - therapy</subject><subject>Electric Power Supplies - trends</subject><subject>Electrodes, Implanted - trends</subject><subject>Electronics, Medical - trends</subject><subject>Electrophysiology - instrumentation</subject><subject>Electrophysiology - methods</subject><subject>Energy</subject><subject>Follow-Up Studies</subject><subject>Globus pallidus</subject><subject>Globus Pallidus - physiopathology</subject><subject>globus pallidus internus</subject><subject>Humans</subject><subject>Longevity</subject><subject>Mathematical models</subject><subject>Middle Aged</subject><subject>Models, Neurological</subject><subject>Movement disorders</subject><subject>Neurodegenerative diseases</subject><subject>Parkinson's disease</subject><subject>Prospective Studies</subject><subject>Time Factors</subject><issn>1351-5101</issn><issn>1468-1331</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkV2L1DAUhoMo7jr6F6TghVedPSdfbS4EdZn9wGVFVARvQtqeQsZMO9u0OPPvTZ3dudibTQg5nPd5Q5KXsQxhiWmcrZcodZmjELjkkLoguIHl7hk7PQrPUy0U5goBT9irGNcAwAsOL9kJR1QGCn7KPn5240jDPgu-pdFvKPNdtnUh-MaFrCHaZtXgUi8mcQpu9H2Xtf2QNfs49p13r9mL1oVIb-73Bft5sfpxfpXffL28Pv90k9cSC8gVd0ZV6KoKpaG6MUbW1HDO27RAG1KmQCi1IATVUF1XztVKKFkRGNlKsWDvD-duh_5uojjajY81heA66qdoy0JzIbjkT5NagxRFmgv27hG57qehS8-wWAJqKIzRiXp7T03Vhhq7HfzGDXv78IkJ-HAA_vpA-6OOYOew7NrOmdg5EzuHZf-HZXd2dbuaq-TPD34fR9od_W74Y3W6prK_bi_txRfz7fd3KG0h_gFgFZSa</recordid><startdate>201106</startdate><enddate>201106</enddate><creator>Blahak, C.</creator><creator>Capelle, H.-H.</creator><creator>Baezner, H.</creator><creator>Kinfe, T. M.</creator><creator>Hennerici, M. G.</creator><creator>Krauss, J. K.</creator><general>Blackwell Publishing Ltd</general><general>John Wiley & Sons, Inc</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7TK</scope><scope>7U7</scope><scope>C1K</scope><scope>K9.</scope><scope>7X8</scope></search><sort><creationdate>201106</creationdate><title>Battery lifetime in pallidal deep brain stimulation for dystonia</title><author>Blahak, C. ; Capelle, H.-H. ; Baezner, H. ; Kinfe, T. M. ; Hennerici, M. G. ; Krauss, J. K.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4170-52a95b1abb149ecd994ced222f222069e59710863e105deccbaac5354be094f43</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Batteries</topic><topic>battery longevity</topic><topic>Deep brain stimulation</topic><topic>Deep Brain Stimulation - instrumentation</topic><topic>Deep Brain Stimulation - methods</topic><topic>Dystonia</topic><topic>Dystonia - physiopathology</topic><topic>Dystonia - therapy</topic><topic>Electric Power Supplies - trends</topic><topic>Electrodes, Implanted - trends</topic><topic>Electronics, Medical - trends</topic><topic>Electrophysiology - instrumentation</topic><topic>Electrophysiology - methods</topic><topic>Energy</topic><topic>Follow-Up Studies</topic><topic>Globus pallidus</topic><topic>Globus Pallidus - physiopathology</topic><topic>globus pallidus internus</topic><topic>Humans</topic><topic>Longevity</topic><topic>Mathematical models</topic><topic>Middle Aged</topic><topic>Models, Neurological</topic><topic>Movement disorders</topic><topic>Neurodegenerative diseases</topic><topic>Parkinson's disease</topic><topic>Prospective Studies</topic><topic>Time Factors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Blahak, C.</creatorcontrib><creatorcontrib>Capelle, H.-H.</creatorcontrib><creatorcontrib>Baezner, H.</creatorcontrib><creatorcontrib>Kinfe, T. M.</creatorcontrib><creatorcontrib>Hennerici, M. G.</creatorcontrib><creatorcontrib>Krauss, J. K.</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>Neurosciences Abstracts</collection><collection>Toxicology Abstracts</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>European journal of neurology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Blahak, C.</au><au>Capelle, H.-H.</au><au>Baezner, H.</au><au>Kinfe, T. M.</au><au>Hennerici, M. G.</au><au>Krauss, J. K.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Battery lifetime in pallidal deep brain stimulation for dystonia</atitle><jtitle>European journal of neurology</jtitle><addtitle>Eur J Neurol</addtitle><date>2011-06</date><risdate>2011</risdate><volume>18</volume><issue>6</issue><spage>872</spage><epage>875</epage><pages>872-875</pages><issn>1351-5101</issn><eissn>1468-1331</eissn><coden>EJNEFL</coden><abstract>Background and Purpose: The aim of the study was to analyse the lifetime of Soletra implantable pulse generators (IPG) in deep brain stimulation (DBS) of the globus pallidus internus (GPi) for dystonia, depending on stimulation parameters and the total electrical energy delivered (TEED) by the IPG.
Methods: In a prospective series of 20 patients with GPi DBS for dystonia, we recorded IPG longevity and stimulation parameters over time. An evaluation of the TEED was performed using the previously suggested equation [(voltage2 × pulse width × frequency)/impedance] × 1 s.
Results: During median follow‐up of 57 months (range 23–79 months), 64 IPGs were replaced because of battery depletion or end of life signal. We found a mean IPG longevity of 25.1 ± 10.1 (range 16–60) months, which was inversely correlated with the TEED (r = −0.72; P < 0.001). IPG longevity was not different between bipolar and monopolar stimulation (24.9 ± 10.8 vs. 25.4 ± 9.0 months, P = 0.76). Incongruously, the mean TEED applied throughout the lifetime cycle was significantly higher in patients with bipolar compared with monopolar stimulation (584 ± 213 vs. 387 ± 121 Joule; P < 0.01).
Conclusions: Battery lifetime in GPi DBS for dystonia is substantially shorter compared with that reported in DBS for Parkinson’s disease, caused by a considerably higher voltage and greater pulse width and therefore a higher TEED applied during the battery lifetime cycle. The commonly used equation to calculate TEED, however, seems to be correct only for monopolar, but not bipolar stimulation.</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>21159072</pmid><doi>10.1111/j.1468-1331.2010.03290.x</doi><tpages>4</tpages></addata></record> |
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| subjects | Adult Aged Batteries battery longevity Deep brain stimulation Deep Brain Stimulation - instrumentation Deep Brain Stimulation - methods Dystonia Dystonia - physiopathology Dystonia - therapy Electric Power Supplies - trends Electrodes, Implanted - trends Electronics, Medical - trends Electrophysiology - instrumentation Electrophysiology - methods Energy Follow-Up Studies Globus pallidus Globus Pallidus - physiopathology globus pallidus internus Humans Longevity Mathematical models Middle Aged Models, Neurological Movement disorders Neurodegenerative diseases Parkinson's disease Prospective Studies Time Factors |
| title | Battery lifetime in pallidal deep brain stimulation for dystonia |
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