Pain medicine

Implanted intrathecal pump catheter migration rates in the management of cancer-related pain

Reg Anesth Pain MedPublished Retrospective cohort study

Authors' conclusion

Minor catheter migration is relatively common following ITP implantation, but clinically significant migration is rare with the anchoring and closure techniques described.

Study context

Population
Patients with cancer with an intrathecal pump (intrathecal pumps (ITP)) for cancer-related pain, Huntsman Cancer Institute, May 2014 to December 2023117 analysed
Participants
441 patients
Outcome
Catheter migration (movement by ≥1 vertebral level between two chest CT scans ≥30 days apart)
Methodological detailssingle-centre, database and chart review
  • Single-centre
  • Database and chart review

Main finding

As reported in the abstract

Catheter migration between the two CT scans

Catheter migration (117 analysed), n=18

15.4%

Observational data: associations, not effects.

Further findings

Radiographically significant migration requiring revision (full cohort of 441)

Migration requiring revision, 2 patients
0.45%

Factors associated with migration

No demographic or clinical factors significantly associated with migration

Original publication

Implanted intrathecal pump catheter migration rates in the management of cancer-related pain. Reg Anesth Pain Med. Published 8 September 2026. doi:10.1136/rapm-2025-106866

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