Free-hand stereotactic ventricular catheter insertion technique based on radio-anatomical landmarks. How I do it
Michaël Bruneau1, Julien Spitaels2, Matteo Riva2,3
1Department of Neurosurgery, Erasme Hospital, ULB, Route de Lennik, 808, 1070, Brussels, Belgium. mbruneau@ulb.ac.be.
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.
More Related Videos
06:21Adaptable Angled Stereotactic Approach for Versatile Neuroscience Techniques
Published on: May 7, 2020
09:00Investigating the Function of Deep Cortical and Subcortical Structures Using Stereotactic Electroencephalography: Lessons from the Anterior Cingulate Cortex
Published on: April 15, 2015
