Free-hand stereotactic ventricular catheter insertion technique based on radio-anatomical landmarks. How I do it

Background Accurate ventricular catheter (VC) placement plays an important role in reducing the risk of ventriculoperitoneal shunt failure. Free-hand VC insertion is associated with a significant misplacement rate. Consequently, several expensive alternative methods that are unfortunately not availa...

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Bibliographic Details
Published inActa neurochirurgica Vol. 163; no. 4; pp. 1097 - 1102
Main Authors Bruneau, Michaël, Spitaels, Julien, Riva, Matteo
Format Journal Article
LanguageEnglish
Published Vienna Springer Vienna 01.04.2021
Springer Nature B.V
Subjects
Catheters
CSF Circulation
How I Do it - CSF Circulation
Interventional Radiology
Medicine
Medicine & Public Health
Minimally Invasive Surgery
Neurology
Neuroradiology
Neurosurgery
Surgical Orthopedics
Ventricle
Ventriculoperitoneal shunt
Hydrocephalus
Ventriculoperitoneal shunt
Surgical technique
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Summary:Background Accurate ventricular catheter (VC) placement plays an important role in reducing the risk of ventriculoperitoneal shunt failure. Free-hand VC insertion is associated with a significant misplacement rate. Consequently, several expensive alternative methods that are unfortunately not available worldwide have been used. To overcome these limitations, we developed a simple surgical technique based on radio-anatomical landmarks aimed at reducing VC’s misplacements. Method We reproduce the preoperative imaging on the patient’s head using common anatomical landmarks. This allows defining stereotactic VC coordinates to be followed during the surgical procedure. Conclusion This simple and cost-effective method improves VC insertion accuracy.
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ISSN:0001-6268
0942-0940
DOI:10.1007/s00701-020-04549-6