DSA or no DSA for the lumbar spine?

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db36jp78

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What is your opinion on DSA? I use for all cervical tfs and a test dose of lido with dexa which I won't do without those three.

Lumbar is spine I have switched to dexa, but after the exchange on the pmr listserver I will consider use betamethasone at S1 and L5-S1.

My questions is do you now use dsa for all lumbar tfs, and if dsa is not available do you then use dexa or a test dose of lido w/part steroid?

I know this has been discussed before but I'd also like to hear why people don't use these "recommendations"
 
I do the same thing for my CTFESIs. However for lumbar a rarely use DSA, at first did it a bit just b/c I thought it was cool. I was then told you get way more fluoro exposure with it so I stopped doing it except in the cervical spine. Not sure why you would get more fluoro exposure with DSA than with standard continuous low dose fluoro but that's what I was told....

anyone else know anything more?
Oh and I still use particulate steroids in the lumbar spine. Maybe I shouldn't but ....
 
I started using DSA all the time on lumbar TFESI recently. Mostly because my partners do it. But maybe, just maybe, I'll catch that arterial flow that I would have missed otherwise.

I tried dex for a while on lumbar TFESIs. But I was finding people were not responding as well as when I used kenalog. Of course this is all anecdotal. I liked injecting dex though as it flowed easily.
 
I tried dex for a while on lumbar TFESIs. But I was finding people were not responding as well as when I used kenalog. Of course this is all anecdotal. I liked injecting dex though as it flowed easily.[/QUOTE]

I've heard that from many people, not as good of a response
 
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