The Emerging Option Of Upper Airway Stimulation Therapy

inspire sleep apnea implant

Despite seeming like a minor annoyance that might keep your partner up at night, there are several serious side effects of sleep apnea if left untreated, including high blood pressure, strokes and heart issues. The small Inspire implant is placed near your collarbone during an approximately 90-minute outpatient procedure. After the procedure, most people require nothing more image source than over-the-counter pain medication, and within a few days, can resume non-strenuous activities. Even though patients are typically screened fairly thoroughly, the probability of one of these implants working is not 100 percent, Pham says. First, doctors need to be certain that the main problem for these patients is OSA, not central sleep apnea or something else, Pham says.

The generator is placed under the skin on your chest, the respiratory sensing lead under the skin near your rib cage, and the stimulation lead under the skin on your neck, near your tongue. Nonserious side effects included temporary pain at incision sites, transient tongue weakness and tongue soreness. Tongue soreness improved over time with acclimatization, device reprogramming or both. Maintenance of upper airway stimulation therapy efficacy at three and five years in the STAR cohort has subsequently been reported. The trial included 126 patients with OSA who had difficulty initiating or maintaining continuous positive airway pressure (CPAP) therapy.

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The Inspire sleep apnea device is a Food and Drug Administration-approved surgical implant that’s placed under the skin on your chest. Even though that might sound intimidating, it’s an outpatient procedure. Numerous clinical trials have found Inspire to be safe and effective at treating OSA. A recent study found that Inspire resulted in a 79% decrease in sleep apnea events. It can cause people to snore, stop breathing, gasp, choke, and wake up suddenly. Doctors measure sleep apnea severity using a scale called the apnea-hypopnea index (AHI).

If your provider thinks you might benefit from Inspire, the device can be put in surgically and turned on before you go to sleep. If you have insurance, some of the costs for Inspire might be covered. Most people don’t have any side effects or long-term problems from the Inspire device. One of the more common experiences that patients report is the uncomfortable feeling on their tongue when the device turns on during sleep, but they usually do not need to make any changes to address it. That means you don’t have to be admitted to the hospital and can go home when the surgery is done as long as there are no problems.

inspire sleep apnea implant

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Inspire says that most of these adverse events resolve themselves over time, with the use of medication or by adjusting the settings on your Inspire, which the FDA’s report also confirms. As with any surgery, there’s also the risk of pain, swelling or infection after the device is initially implanted. According to Inspire’s website, it’s covered by most insurance providers. Remember, it’s an outpatient procedure, so there get the facts are some medical bills that will have to be taken into account. When the sensing lead detects inspiration is occurring, the impulse generator sends a signal via the stimulation lead to the hypoglossal nerve, which results in slight forward displacement of the stiffened tongue. The impulse generator is similar in size and appearance to a cardiac pacemaker, and the latest version is magnetic resonance imaging compatible.

Meeting the candidate criteria for the implant is also an important factor. But a device like Inspire won’t work for everyone, and most people can find relief internet with a less invasive, nonsurgical option. Sleep experts like Sepulveda say that if you can treat OSA without invasive surgery, that’s the preferred option.

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