Neurostimulation Treatment of OSA

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Arquivos
art_CURADO_Neurostimulation_Treatment_of_OSA_2018.PDF (1.6 MB)
Citações na Scopus
37
Tipo de produção
article
Data de publicação
2018
DOI
Scopus
Web of Science
PubMed
Título da Revista
ISSN da Revista
Título do Volume
Editora
ELSEVIER SCIENCE BV
Autores
OLIVEN, Arie
POLOTSKY, Vsevolod Y.
EISELE, David
SCHWARTZ, Alan R.
Citação
CHEST, v.154, n.6, p.1435-1447, 2018
Projetos de Pesquisa
Unidades Organizacionais
Fascículo
Resumo
Over the past 30 years, hypoglossal nerve stimulation has moved through a development pathway to become a viable treatment modality for patients with OSA. Initial pilot studies in animals and humans laid the conceptual foundation for this approach, leading to the development of fully implantable stimulating systems for therapeutic purposes. These devices were then shown to be both safe and efficacious in feasibility studies. One such closed-loop stimulating device was found to be effective in treating a limited spectrum of apneic patients and is currently approved by the US Food and Drug Administration for this purpose. Another open-loop stimulating system is currently being rigorously tested in a pivotal trial. Collectively, clinical trials of hypoglossal nerve stimulating systems have yielded important insights that can help optimize therapeutic responses to hypoglossal nerve stimulation. These insights include specific patient selection criteria and methods for delivering stimulation to specific portions of the hypoglossal nerve and/or genioglossus muscle. New approaches for activating efferent and afferent motor pathways are currently in early-stage laboratory development and hold some long-term promise as a novel therapy.
Palavras-chave
hypoglossal nerve stimulation, OSA, upper airway stimulation
URI
https://observatorio.fm.usp.br/handle/OPI/29975
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Coleções
Artigos e Materiais de Revistas Científicas - FM/MOF
Artigos e Materiais de Revistas Científicas - HC/ICHC
Artigos e Materiais de Revistas Científicas - LIM/32