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

par Bruneau, Michael ;Spitaels, Julien ;Riva, Matteo
Référence Acta neurochirurgica
Publication Publié, 2020

Article révisé par les pairs

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Résumé :

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.