Sources of off-target effects of vagus nerve stimulation using the helical clinical lead in domestic pigs

Abstract

Clinical data suggest that efficacious vagus nerve stimulation (VNS) is limited by side effects such as cough and dyspnea that have stimulation thresholds lower than those for therapeutic outcomes. VNS side effects are putatively caused by activation of nearby muscles within the neck, via direct muscle activation or activation of nerve fibers innervating those muscles. Our goal was to determine the thresholds at which various VNS-evoked effects occur in the domestic pig—an animal model with vagus anatomy similar to human—using the bipolar helical lead deployed clinically.

Document Details

Document Type
Pub Defense Publication
Publication Date
Jul 23, 2020
Source ID
10.1088/1741-2552/ab9db8

Entities

People

  • Andrea L. Mcconico
  • Andrew J. Shoffstall
  • Brian A. Gosink
  • Bruce E. Knudsen
  • Erika K. Ross
  • Evan N Nicolai
  • Ian W. Baumgart
  • James K Trevathan
  • Justin C Williams
  • Kenneth J Gustafson
  • Kip Ludwig
  • Megan L Settell
  • Nicole Pelot
  • Warren M Grill

Organizations

  • Defense Advanced Research Projects Agency
  • Division of Program Coordination Planning and Strategic Initiatives
  • National Center for Advancing Translational Sciences

Tags

Fields of Study

  • Biology
  • Medicine

Readers

  • Gulf War Illness and Chronic Multisymptom Illness in Veterans.
  • Neuroscience