Epidural Blood Patch Basics: What They Are and Why They Fail, by Dr. Ian Carroll

A talk by Dr. Ian Carroll on epidural blood patch basics at the Bridging the Gap Conference on November 11, 2023, presented by the Spinal CSF Leak Foundation in partnership with the University of Colorado Anschutz Medical Campus.

00:05 Introduction and Overview
00:27 The 48-Hour Flat Test
00:55 Understanding Epidural Patches
01:20 The Anatomy of the Dura
02:42 The Procedure of Blood Patch
03:06 The Importance of Sterility in Blood Patches
07:00 The Role of Transforaminal Approaches
08:17 Understanding the Failure Points of Epidural Patches
08:55 The Impact of Intact Plica Mediana Dorsalis
13:02 The Challenge of Ventral Dural Puncture
13:55 The Problem of Dural Fistula Formation
14:36 The Issue of Dural Bleb Formation
17:03 The Mystery of Neomembranes or Pseudoduras
23:33 Conclusion and Final Thoughts