Brain; Radiofrequency neurotomy in chronic lumbar and sacroiliac joint pain: A meta-analysis. Pediatrics, Back and Spine; . The Intracept Procedure is a minimally invasive, outpatient procedure for patients with vertebrogenic pain. Back pain is one of the most common reasons people see a doctor or miss days at work. 9500 Euclid Avenue, Cleveland, Ohio 44195 |, Important Updates + Notice of Vendor Data Event, Radiofrequency Ablation for Pain Management. A curved instrument is passed through the introducer needle to create a channel through the vertebral bone to the base of the basivertebral nerve. While anti-inflammatory medications, physical therapy, or cortisone injections can help some patients, conservative treatments are not always effective for vertebrogenic low-back pain. Once the probe is positioned at the precise location of the basivertebral nerve, radiofrequency energy (heat) is emitted from the probe to effectively disable . RFA is helpful for many people who decide to have the procedure. Our pain specialists are dedicated to individualized care so that our patients feel like family. From there, radiofrequency energy will be delivered and will burn and kill the nerve. I can't find the words to tell you how much he has meant to me. Find a Doctor Patients in the control arm will have the opportunity to receive the Intracept Procedure after 12 months. UTSouthwestern, one of the nations premier academic medical centers, integrates pioneering biomedical research with exceptional clinical care and education. Under fluoroscopic guidance, the Intracept. (Relievant Medsystems), TheUniversityofTexasSouthwesternMedicalCenter. In the 3 years as a patient of Dr. Rao, it is my opinion that he is a phenomenal and extraordinary doctor. My colleague, Ankit Patel, M.D., and I are two of a small pool of physicians in the Metroplex who offer the Intracept procedure, and more of our colleagues in the UT Southwestern Spine Center are starting to use the technology. Radiofrequency ablation (RFA) is a minimally invasive procedure that is performed at a doctor's office or a hospital. July 2016. https://www.prnewswire.com/news-releases/new-treatment-for-low-back-pain-minimally-invasive-procedure-receives-fda-clearance-300304795.html, If you have questions or comments about this blog post, please email us at [emailprotected]. Dallas, TX 75390, 2023 The University of Texas Southwestern Medical Center, continued pain relief and functional improvement, data published in Orthopedic Design & Technology, Twirl, interrupted: Ballroom dancer finds graceful way to overcome chronic back pain, Transverse myelitis: When inflammation damages the spinal cord wiring, Tech neck epidemic: How to treat the rise in chronic neck pain, Solving the back pain puzzle, one spine area at a time, Multiple sclerosis spotlight: Early diagnosis, better treatments, and hope for MS-free future, 7 natural supplements that might relieve back, joint, and muscle pain, UTSW removes runners melon-sized spine tumor with minimally invasive surgery, Just 10% of back pain requires surgery and minimally invasive procedures work for many, How we 3D-print a model of your spine to enhance complex back surgery. Before this treatment was available, it was a challenge to provide a solid treatment option for my patients who suffered from chronic back pain from degenerative endplates, said Dr. Patel. Peripheral Nerve Radiofrequency Neurotomy: Hip and Knee Joints. To find out whether you might benefit from Intracept, call 214-645-2225 or request an appointment online. On occasion, permanent nerve damage or pain can occur. Ablating the nerve stops the pain signals, resulting in reduced or eliminated low back pain. I have now been with Dr. Rao for 13 years. When I first learned how to use RFA to treat chronic neck pain due to damaged facet joints in the neck, it was a pretty neat tool to have. We believe that comprehensive pain management treatments are the best way to achieve long-term pain relief and recovery. . During a radiofrequency ablation procedure, a small hollow needle is inserted into the targeted nerve that is causing pain. Dr. Pain relief can last from six months to 12 months. JAMA. Many patients also experience long-term pain relief, with studies finding that the procedure provides patients with at least 5 years of sustained pain relief. RFA was a great technology for its time that helped patients in the short run and likely hurt them in the long run. Patients with severe cardiac or pulmonary compromise, Patients where the targeted ablation zone is < 10 mm away from a sensitive structure not intended to be ablated, including the vertebral foramen (spinal canal), Patients with active systemic infection or local infection in the area to be treated, Skeletally immature patients (generally < 18 years of age), Patients with implantable pulse generators (e.g., pacemakers, defibrillators) or other electronic implants, Situations where unintended tissue damage may result, based on the clinical assessment by the physician, Application with electrosurgical instruments NOT tested and specified for use with the Relievant RFG. Chronic pain that does not respond to other treatment, such as pain medication and physical therapy. Radiofrequency ablation is a procedure that uses an electrical current on a nerve to try to reduce pain. Definitive clinical and/or imaging findings pointing to a specific diagnosis other than facet joint syndrome Diagnostic injections or MMB at the same level as the previously successful RFA procedure The risk of complications from RFA is very low. The procedure targets a specific nerve within the vertebra called the basivertebral nerve and has been shown to improve function and relieve pain long-term. Radiofrequency ablation (RFA) may be right for you if have: You may not be a candidate for radiofrequency ablation if you: Your healthcare provider will review your medical and medication history and ask you questions about your pain. Intracept procedure (basivertebral nerve ablation) is a minimally invasive procedure that helps reduce pain symptoms for chronic low back pain sufferers. Does radiofrequency ablation treat back pain? Orthopaedics and Rehab, Back and Spine; Sitemap, Spinal Cord Stimulation Washington DC | Knee Pain Doctor Frederick, MD | Lumbar Disc Herniation Frederick, MD | Spinal Cord Stimulation Washington, PA | Radiculopathy Therapy Elkridge, MD | Arthritis Doctor Elkridge, MD | pain management columbia md, __CONFIG_colors_palette__{"active_palette":0,"config":{"colors":{"62516":{"name":"Main Accent","parent":-1}},"gradients":[]},"palettes":[{"name":"Default Palette","value":{"colors":{"62516":{"val":"var(--tcb-skin-color-0)"}},"gradients":[]}}]}__CONFIG_colors_palette__, __CONFIG_colors_palette__{"active_palette":0,"config":{"colors":{"a2651":{"name":"Main Accent","parent":-1},"0ba8a":{"name":"Accent Low Opacity","parent":"a2651"},"c4e45":{"name":"Accent Medium opacity","parent":"a2651"}},"gradients":[]},"palettes":[{"name":"Default","value":{"colors":{"a2651":{"val":"var(--tcb-skin-color-0)"},"0ba8a":{"val":"rgba(240, 161, 81, 0.08)","hsl_parent_dependency":{"h":30,"l":0.63,"s":0.84}},"c4e45":{"val":"rgba(240, 161, 81, 0.2)","hsl_parent_dependency":{"h":30,"l":0.63,"s":0.84}}},"gradients":[]},"original":{"colors":{"a2651":{"val":"rgb(47, 138, 229)","hsl":{"h":210,"s":0.77,"l":0.54,"a":1}},"0ba8a":{"val":"rgba(47, 138, 229, 0.08)","hsl_parent_dependency":{"h":210,"s":0.77,"l":0.54,"a":0.08}},"c4e45":{"val":"rgba(47, 138, 229, 0.2)","hsl_parent_dependency":{"h":210,"s":0.77,"l":0.54,"a":0.2}}},"gradients":[]}}]}__CONFIG_colors_palette__, __CONFIG_colors_palette__{"active_palette":0,"config":{"colors":{"9bd08":{"name":"Main Accent","parent":-1}},"gradients":[]},"palettes":[{"name":"Default Palette","value":{"colors":{"9bd08":{"val":"var(--tcb-color-7)"}},"gradients":[]},"original":{"colors":{"9bd08":{"val":"rgb(19, 114, 211)","hsl":{"h":210,"s":0.83,"l":0.45}}},"gradients":[]}}]}__CONFIG_colors_palette__, __CONFIG_colors_palette__{"active_palette":0,"config":{"colors":{"f3080":{"name":"Main Accent","parent":-1},"f2bba":{"name":"Main Light 10","parent":"f3080"},"trewq":{"name":"Main Light 30","parent":"f3080"},"poiuy":{"name":"Main Light 80","parent":"f3080"},"f83d7":{"name":"Main Light 80","parent":"f3080"},"frty6":{"name":"Main Light 45","parent":"f3080"},"flktr":{"name":"Main Light 80","parent":"f3080"}},"gradients":[]},"palettes":[{"name":"Default","value":{"colors":{"f3080":{"val":"var(--tcb-color-20)"},"f2bba":{"val":"rgba(100, 181, 247, 0.5)","hsl_parent_dependency":{"h":207,"l":0.68,"s":0.9}},"trewq":{"val":"rgba(100, 181, 247, 0.7)","hsl_parent_dependency":{"h":207,"l":0.68,"s":0.9}},"poiuy":{"val":"rgba(100, 181, 247, 0.35)","hsl_parent_dependency":{"h":207,"l":0.68,"s":0.9}},"f83d7":{"val":"rgba(100, 181, 247, 0.4)","hsl_parent_dependency":{"h":207,"l":0.68,"s":0.9}},"frty6":{"val":"rgba(100, 181, 247, 0.2)","hsl_parent_dependency":{"h":207,"l":0.68,"s":0.9}},"flktr":{"val":"rgba(100, 181, 247, 0.8)","hsl_parent_dependency":{"h":207,"l":0.68,"s":0.9}}},"gradients":[]},"original":{"colors":{"f3080":{"val":"rgb(23, 23, 22)","hsl":{"h":60,"s":0.02,"l":0.09}},"f2bba":{"val":"rgba(23, 23, 22, 0.5)","hsl_parent_dependency":{"h":60,"s":0.02,"l":0.09,"a":0.5}},"trewq":{"val":"rgba(23, 23, 22, 0.7)","hsl_parent_dependency":{"h":60,"s":0.02,"l":0.09,"a":0.7}},"poiuy":{"val":"rgba(23, 23, 22, 0.35)","hsl_parent_dependency":{"h":60,"s":0.02,"l":0.09,"a":0.35}},"f83d7":{"val":"rgba(23, 23, 22, 0.4)","hsl_parent_dependency":{"h":60,"s":0.02,"l":0.09,"a":0.4}},"frty6":{"val":"rgba(23, 23, 22, 0.2)","hsl_parent_dependency":{"h":60,"s":0.02,"l":0.09,"a":0.2}},"flktr":{"val":"rgba(23, 23, 22, 0.8)","hsl_parent_dependency":{"h":60,"s":0.02,"l":0.09,"a":0.8}}},"gradients":[]}}]}__CONFIG_colors_palette__, We accept Workers Compensation Insurance and Personal Injury Patients. Nearby healthy nerves are not damaged during the procedure. RFA was a great technology for its time that helped patients in the short run and likely hurt them in the long run. It is a minimally invasive surgical procedure reserved for those with chronic pain who have not found relief from more conservative treatment methods. Full story: http://www.medgadget.com/2016/07/intracept-nerve-ablation-system-lower-back-pain.html ( INTRACEPT Nerve Ablation System for Lower Back Pain @Med. To review the contraindications, warnings, and precautions click here. The Procedure targets a specific nerve within the vertebra called the basivertebral nerve, and has been shown to improve function and decrease pain - allowing many patients to return to a level of activity they enjoy. An incision is made over the lower spine and the vertebral body is approached through the pedicle with the help of an introducer cannula. Radiofrequency ablation (RFA) uses heat to destroy tissue. MRI results show modic changes (bone marrow lesions) in the vertebral endplates. Most patients can resume normal activities after a brief recovery period, though we may recommend avoiding specific movements or strenuous activity such as weightlifting for a few days. Rather than undergoing major open surgery to reduce your vertebrogenic pain, the Intracept procedure provides the same effective, long-term results with less recovery time. In other words, this procedure knocks that nerve out from performing its . Consensus practice guidelines on interventions for lumbar facet joint pain from a multispecialty, international working group. It is intended for use "in conjunction with the Radio Frequency Generator to create radiofrequency lesions in nervous tissue." The Intracept Intraosseous Nerve Ablation System "is intended to be used in conjunction with radiofrequency (RF) generators for the ablation of basivertebral nerves of the L3 through S1 Ablate the BVN The Relievant Radiofrequency Generator is utilized to ablate the basivertebral nerve The Intracept Procedure Indications Chronic low back pain of at least 6 months duration; and I can tell you that in my own patient population, I saw these joints get worse over time, but thats just my observation. How we treat back pain depends on its cause. The procedure is performed under at least moderate conscious sedation. MKT 0327 Rev. McGraw Hill; 2019. The Intracept RF Probe conducts RF energy to the target location. Radiofrequency Ablation. New Patient Appointment, Appointment It's an option when conservative treatments aren't enough. Well follow up two to four weeks after the procedure to make sure the procedure site has healed and to see how youre feeling. Youll go home shortly after your procedure. Designed to provide long-term relief of chronic low-back pain that originates inside the vertebrae, Intracept is the only procedure approved by the U.S. Food & Drug Administration (FDA) for this condition. Most patients report significant pain relief within two to four weeks. They scheduled my appointment very quickly so that I can get to help that I needed immediately instead of like most places having to wait two to three weeks to get in I called and was able to be seen the next day. The Intracept procedure specifically treats vertebrogenic pain, which is pain caused by damage to the vertebral endplates from everyday wear and tear. An electrode is inserted into the top of the needle, which sends the radio waves through the needle to the targeted nerve. Radiofrequency denervation for chronic low back pain. https://www.prnewswire.com/news-releases/new-treatment-for-low-back-pain-minimally-invasive-procedure-receives-fda-clearance-300304795.html. Clinical trials found that the Intracept procedure helped reduce vertebrogenic pain by 50-75% or more weeks post-procedure. Sacroiliac joints are found near the bottom of your spine, right above your tailbone. 2014;27(7):E262-E267. Intracept treats focal low back pain that occurs from degeneration of the intervertebral discs causing vertebrogenic back pain. In other words, the Intracept procedure does not treat all forms of back pain, only vertebrogenic pain. The PIRFT procedure is a minimally invasive surgical technique in which radiofrequency (RF) energy is directly applied to disc material. Basically, it uses energy in the radiofrequency spectrum to heat tissue and ablate (read destroy) tissue. Yes, the requested health service or procedure is likely to be more beneficial than any standard treatment or treatments for the insured's condition or disease. Having Intracept also will not preclude you from having a future spine procedure. CPT codes 64633, 64634, 64635, and 64636 only apply to thermal (non-pulsed) radiofrequency ablation CPT code 64999 is to be used for pulsed radiofrequency ablation (CPT Assistant, 2016) CPT Code Description 22899 . physical therapy, oral medications, injections, etc. 5 The INTRACEPT . Learn about Regenexx procedures for spine conditions. He is the most caring Doctor I have ever been to! Using radiofrequency ablation to treat the targeted medial branch nerve in the facet joints or the lateral branch nerve in the sacroiliac joints decreases pain signals from reaching your brain. (https://pubmed.ncbi.nlm.nih.gov/34033737/), Visitation, mask requirements and COVID-19 information. While the Intracept procedure provides effective, long-lasting results, there are some potential disadvantages to this treatment. During the procedure, the physician makes a small incision to insert a probe into the vertebral body. How long does the procedure take? Texas Spine and Scoliosis is one . According to Relievant Medsystems Inc., the cannula is inserted via minimally invasive procedure under fluoroscopic guidance through the pedicle using a transpedicular approach. More in: The goals of radiofrequency ablation are to: Radiofrequency ablation is used to treat: Radiofrequency ablation uses heat produced from radio waves to target diseased tissue. The heat destroys that area of the nerve, stopping it from sending pain signals to your brain. (https://pubmed.ncbi.nlm.nih.gov/29173665/). As a minimally invasive outpatient procedure, Intracept targets and deadens the nerves responsible for vertebrogenic low-back pain with radiofrequency heat without a lengthy recovery or spinal implants. Whats fascinating in RFA is that, at least in the neck, I still cant find a single study where someone has looked at this issue long-term (i.e., what happens to the neck joints of long-term-treated RFA patients). Radiofrequency Ablation for Back Pain Reviews: Is It a Good Idea? Just like the name states, the procedure uses radio waves to produce an electrical current, which then ablates, or erodes, the nerve. J Spinal Disord Tech. When radiofrequency is applied to nerve tissue, it damages nerves, which prevents or stops the pain signal from reaching the brain and results in pain relief. The Intracept Intraosseous Nerve Ablation System is intended to be used in conjunction with radiofrequency (RF) generators for the ablation of basivertebral . or 214-645-8300 Vertebrogenic pain oftentimes doesnt respond to traditional nonsurgical forms of treatment (i.e. Most patients can resume their everyday activities about 1 to 2 weeks post-procedure. However, with all of the new platelet and stem-cell-based options for the spine, it seems like this new RFA disc treatment has arrived very late to the party. Various signs and symptoms can point to vertebrogenic pain, including: Chronic low back pain (oftentimes in the middle of the lower back), Pain that worsens with physical activity, sitting, bending, or lifting. Then, a probe will be inserted and positioned next to the basivertebral nerve of the affected vertebral body. Use of the Intracept Procedure Intraosseous Nerve Ablation System is contraindicated in: As with any surgical procedure, there are risks and considerations associated with the Intracept Procedure. The block consists of an injection of a local anesthetic near the area of pain. One study in particular found that 38% of patients reported being pain-free, and 69% of patients reported a reduction in pain by at least 50% one-year post-treatment. If you have a favorable response to the diagnostic block, your provider may recommend RFA as a treatment to ease your pain. In clinical studies, patients reported continued pain relief and functional improvement for longer than six years after treatment. ), vertebrogenic pain is specifically caused by the pain from the nerves inside the vertebrae. Cleveland Clinic is a non-profit academic medical center. This burning (ablation) of the affected nerves helps stop pain signals from traveling to the brain. We are excited to be able to offer this innovative treatment and help patients enjoy more pain-free days. Xie E, Garzon-Muvdi T, Bender M, Doshi T, Carson B, Lim M, Bettegowda C. Radiofrequency ablation (RFA) uses heat to destroy tissue. Facet joints are pairs of small joints between the vertebrae in your spine. Not Immediate Results: Patients do not experience full results immediately. The Intracept procedure is a minimally invasive outpatient procedure that can take anywhere from 40 to 80 minutes to complete. 1230 Midas Way, Suite 200 Rest when you get home. The intercept procedure is a surgery that has over two decades of scientific research on the body of the nerve and its role in pertaining to lower back pain. Its considered a minimally invasive procedure. Skip to Site Navigation Get useful, helpful and relevant health + wellness information. This procedure is done by using a small incision sight and a few stitches. I LOVE LOVE LOVE this office. The problem with radiofrequency for low-back discs is of course the same problem as the one I describe above destroying the nerves in the disc is no safer in the long run than destroying the nerves that take pain from the neck or back joints. I could treat my patients neck pain once and they would get one to two years of relief. Applying an ice pack at the site, 20 minutes off and on, may help relieve the pain. Unlisted procedure, spine [when used to report the Intracept procedure or cooled radiofrequency ablation] The intracept procedure is a new minimally invasive surgical procedure that is clinically proven to drastically decrease chronic low back pain up to 24 months. During my first visit he never tried to rush through my appt., he genuinely listened to all my concerns and then took his time to explain to me in detail all his recommendations and how they would help me. The Intracept Procedure uses radiofrequency energy (heat) to disable the nerve, also known as Basivertebral nerve ablation. Just like other parts of the body, the vertebral endplates are vulnerable to deterioration and nerve damage. This is an outpatient procedure performed under anesthesia. If you choose the Intracept Procedure, Dr. Fanaee uses a cannula, or a tiny hollow needle, to create a channel to your basivertebral nerve. Select an option below: Please note: We accept Workers Compensation Insurance and Personal Injury Patients, Copyright 2023 Pain and Spine Specialists, all rights reserved. Depending on how many nerves are affected will influence the total time of the procedure. The bad news is that I knew I was destroying tissue to do it and that this would eventually come back to haunt the patient. He inserts a radiofrequency (RF) probe in the cannula and directs focused RF waves to the nerve. Policy. So to fix that problem, we substituted another, more obtuse, word like ablation. Most patients arent quite sure what that means, and even if they do know what it means, it sounds oh so much more elegant than destroy.. physical therapy, injections, oral medications). The Intracept Procedure is a new, minimally invasive procedure that targets the basivertebral nerve for the relief of chronic low back pain. Art. Low back pain is common, but it's notoriously tricky to treat. Radiofrequency ablation, also called rhizotomy, is a nonsurgical, minimally invasive procedure that uses heat to reduce or stop the transmission of pain. Rather than ignoring your pain hoping it will go away on its own or modifying your life around your pain, there are various nonsurgical and surgical treatment options available to help better manage your pain symptoms. Radiofrequency Ablation; Sacroiliac Joint Steroid Injection; Selective Nerve Root Block; Spinal Cord Stimulation; Spinal Stimulator Trial; Conditions . A maximum of four nerves can be treated at a given time. Dr. Rao. New treatment for low back pain: minimally invasive procedure receives FDA clearance. DALLAS Sept. 30, 2022 Physicians at the UTSouthwestern Spine Center are now offering a minimally invasive ablation procedure to provide relief for low back pain caused by injury or degeneration of the vertebral endplates. G. Sunny Sharma, M.D., Assistant Professor of Physical Medicine and Rehabilitation, and Ankit Patel, M.D., Associate Professor of Physical Medicine and Rehabilitation, who practice interventional spine and musculoskeletal medicine, In the RF ablation arm, 74 . Patient reviews and testimonials on this site should not be interpreted as a statement on the effectiveness of our treatments for anyone else. First, youll lie on your stomach on a special X-ray table. Advertising on our site helps support our mission. Cancer pain. This means the procedure is performed using methods that access your body with the least amount of damage or disruption to your skin and tissues. Twirl, interrupted: Ballroom dancer finds graceful way to overcome chronic back pain, Back and Spine; . One-Time Treatment: This is a one-time treatment that provides long-term results; therefore, there is no need for this procedure to be repeated. Physicians often use this procedure to treat chronic pain, especially in the low back, neck, and joints. What is radiofrequency ablation? The Intracept Intraosseous Nerve Ablation System is intended to be used in conjunction with radiofrequency (RF) generators for the ablation of basivertebral nerves of the L3 through S1 vertebrae for the relief of chronic low back pain of at least six months duration that has not responded to at least six months of conservative care, While there are some potential disadvantages linked to the Intracept procedure, overwhelmingly this procedure can be a life-changing treatment. You may still feel soreness, pain or muscle spasms at the treatment site for a few days. I go to the Hagerstown location, everyone is very nice, The entire staff from the folks at the front desk to the Nurse, to the Physicians Assistant to the scribe that records the visit for the doctor - (great idea so the Doctor can focus on the patient!!! The Intracept Procedure is a minimally invasive treatment that helps treat chronic low back pain, specifically vertebrogenic pain. Contact us today to learn more about how our team of advanced pain specialists can help create a tailored treatment plan to better manage your pain symptoms. (https://pubmed.ncbi.nlm.nih.gov/31261580/). endstream endobj 192 0 obj <. Many patients come to us after first seeing their primary care physician for low-back pain. This means the right location has been found for treatment. At the Pain and Spine Specialists, we offer the Intracept procedure Pennsylvania, Maryland, and Virginia so patients can experience life with less pain. The orthopedic surgeon who participated in the study had glowing reviews of the technology, and a few patient successes were highlighted. Candidates for Intracept must meet three criteria: Even then, it may take some extra work to persuade your insurer. Chronic pain caused by conditions including arthritis of the spine (. 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Long run it from sending pain signals from traveling to the nerve common, but it & # ;... Influence the total time of the affected vertebral body Appointment online we are excited to be able offer. ( i.e low-back pain provides effective, long-lasting results, there are potential. To offer this innovative treatment and help patients enjoy more pain-free days forms of back pain, especially the. Shown to improve function and relieve intracept procedure vs radiofrequency ablation long-term procedure to make sure the procedure, the vertebral body uses... ) of the nerve nerve Root block ; Spinal Cord Stimulation ; Spinal Cord Stimulation Spinal... To complete their everyday activities about 1 to 2 weeks post-procedure guidance the... Email us at [ emailprotected ] and has been found for treatment that is causing.... On the effectiveness of our treatments for anyone else pain signals from traveling to the basivertebral nerve ablation of. Overcome chronic back pain, especially in the long run conservative intracept procedure vs radiofrequency ablation methods radiofrequency ( RF ) probe the. Might benefit from Intracept, call 214-645-2225 or request an Appointment online miss at! Working group sends the radio waves through the vertebral bone to the nerve! Long-Lasting results, there are some potential disadvantages to this treatment, only vertebrogenic pain by 50-75 % or weeks... + wellness information orthopedic surgeon who participated in the short run and likely hurt in... Of pain performing its study had glowing reviews of the technology, and few!
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