2016•Journal of Neural EngineeringRequires access
Vagus nerve stimulation: state of the art of stimulation and recording strategies to address autonomic function neuromodulation
David Guiraud, David Andreu, Stéphane Bonnet, Guy Carrault, Pascal Couderc, Albert Alain Hagège, Christine A. Henry, Alfredo I. Hernandez, Nicole Karam, Virginie Le Rolle, Philippe Mabo, Paweł Maciejasz, Charles‐Henri Malbert, Éloi Marijon, S. Maubert, Chloé A. Picq, Olivier Rossel, Jean-Luc Bonnet
Abstract
OBJECTIVE: Neural signals along the vagus nerve (VN) drive many somatic and autonomic functions. The clinical interest of VN stimulation (VNS) is thus potentially huge and has already been demonstrated in epilepsy. However, side effects are often elicited, in addition to the targeted neuromodulation. APPROACH: This review examines the state of the art of VNS applied to two emerging modulations of autonomic function: heart failure and obesity, especially morbid obesity. MAIN RESULTS: We report that VNS may benefit from improved stimulation delivery using very advanced technologies. However, most of the results from fundamental animal studies still need to be demonstrated in humans.