Evidence map›Paper›PMID 42828197›Full record

ArticleInterventional pain medicine2026

Percutaneous brachial plexus peripheral nerve stimulation for cancer-related upper extremity pain: a novel technical approach.

Lee Nguyen, Naileshni Singh, Chinar Sanghvi, Usha Saldanha, Amy Chen, Matthew Pier, Andrew Thompson, David Copenhaver, Scott Pritzlaff

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In one paragraph

Article in Interventional pain medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

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0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Lee NguyenDepartment of Anesthesiology and Pain Medicine, University of California, Davis, Sacramento, CA, USA.
Naileshni SinghDepartment of Anesthesiology and Pain Medicine, University of California, Davis, Sacramento, CA, USA.
Chinar SanghviDepartment of Anesthesiology and Pain Medicine, University of California, Davis, Sacramento, CA, USA.
Usha SaldanhaDepartment of Anesthesiology and Pain Medicine, University of California, Davis, Sacramento, CA, USA.
Amy ChenDepartment of Anesthesiology and Pain Medicine, University of California, Davis, Sacramento, CA, USA.
Matthew PierDepartment of Anesthesiology and Pain Medicine, University of California, Davis, Sacramento, CA, USA.
Andrew ThompsonDepartment of Anesthesiology and Pain Medicine, University of California, Davis, Sacramento, CA, USA.
David CopenhaverDepartment of Anesthesiology and Pain Medicine, University of California, Davis, Sacramento, CA, USA.
Scott PritzlaffDepartment of Anesthesiology and Pain Medicine, University of California, Davis, Sacramento, CA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Peripheral nerve stimulation (PNS) is a well-established therapy for neuropathic pain syndromes. Emerging literature suggests that PNS is effective for treating oncologic pain. Objective: This case report presents a novel ultrasound-guided, dual-lead PNS neuromodulation of the brachial plexus for upper-extremity cancer pain, with a focus on technical considerations. Methods: Temporary, percutaneous, brachial plexus PNS was implanted in a patient with metastatic lung adenocarcinoma who was hospitalized for refractory pain from a pathologic humeral fracture. A novel approach is presented via the DAVIS (Dual-Lead Approach with Vectoring in the Subclavicular Plane) technique. This technique uses a parallel, subclavicular trajectory to optimize parallel lead positioning and minimize migration. Nerve localization, procedural technique, and patient-specific considerations are discussed. Results: Following PNS implantation, the patient achieved complete cessation of opioid use with substantial and sustained pain relief, highlighting the clinical potential of the DAVIS technique. Conclusion: Brachial plexus PNS presents a promising strategy for extremity oncologic pain. Novel approaches focusing on dual-lead placement with a parallel trajectory may expand the efficacy of PNS in anatomically complex or opioid-refractory cases.

Indexed as

Brachial plexusCancer painNeuromodulationPeripheral nerve stimulation

Identifiers

PMID42828197
PMCPMC13631881

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