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Retrieval of ventricular catheter with the aid of endoscopy: technical note

Benedetta Ludovica Pettorini1, Paolo Frassanito, Gianpiero Tamburrini

  • 1Institute of Neurosurgery, Division of Pediatric Neurosurgery, Catholic University of Rome, Rome, Italy. benedettaludovica@virgilio.it

Journal of Neurosurgery. Pediatrics
|July 2, 2008
PubMed

Insights

Neuroendoscopy offers a safe, minimally invasive method to remove ventricular catheters in multilocular hydrocephalus cases. This approach reduces risks of hemorrhage and infection associated with retained devices.

Area of Science:

  • Neurosurgery
  • Minimally Invasive Procedures
  • Hydrocephalus Management

Background:

  • Multilocular hydrocephalus often requires multiple ventricular catheters.
  • Retained catheters can cause complications like adhesions, hemorrhage, infection, and cyst enlargement.
  • Existing methods for catheter removal carry significant risks.

Purpose of the Study:

  • To demonstrate the utility of neuroendoscopy for removing retained ventricular catheters in multilocular hydrocephalus.
  • To highlight neuroendoscopy as a safe and effective alternative for managing complications from prosthetic devices.

Main Methods:

  • Ventricular endoscopy was employed to access and remove retained ventricular catheters.
  • The procedure was performed in patients with multilocular hydrocephalus and complications from indwelling catheters.

Main Results:

  • Neuroendoscopy enabled safe removal of ventricular catheters.
  • The minimally invasive approach avoided complications such as intraventricular hemorrhage.
  • No significant morbidity was associated with the endoscopic removal procedure.

Conclusions:

  • Ventricular endoscopy is a valuable tool for the safe removal of unnecessary or problematic ventricular catheters in multilocular hydrocephalus.
  • This technique minimizes risks and offers a solution for managing complications related to retained devices.

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