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Related Experiment Video

Updated: May 22, 2026

Insertion, Maintenance, and Removal of the Percutaneous Dual Lumen Cannula Right Ventricular Assist Device
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Augmented Reality-Guided External Ventricular Drain Placement: A Case Report.

Andrew Janssen1, Arthur Wang1, Aaron S Dumont2

  • 1Department of Neurological Surgery, Tulane University School of Medicine, New Orleans, USA.

Cureus
|August 12, 2024
PubMed
Summary
This summary is machine-generated.

Augmented reality (AR) guidance enhances external ventricular drain (EVD) placement, a crucial neurosurgical procedure. This innovative headset system offers improved precision and safety for complex cases.

Keywords:
augmented realityexternal ventricular drain (evd)hydrocephalusmixed reality (mr)neurocritical care unitneurosurgeryneurotechnologyventriculostomy

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Area of Science:

  • Neurosurgery
  • Medical Technology
  • Augmented Reality Applications

Background:

  • External ventricular drain (EVD) placement is vital for managing intracranial pressure but traditionally relies on subjective landmarks, risking complications.
  • Existing neuronavigation systems are often cumbersome and costly, limiting their widespread adoption in neurosurgery.
  • Augmented reality (AR) offers a potential solution for real-time, image-guided surgical navigation.

Observation:

  • A novel headset-based AR system was employed for EVD placement, overlaying 3D cranial anatomy from preoperative imaging onto the patient.
  • The system features a head-mounted display and rapid fiducial-less registration for precise visualization of anatomy and target trajectories.
  • AR guidance was successfully utilized in a high-risk EVD placement for a patient with atypical anatomy and midline shift.

Findings:

  • The AR system provided surgeons with enhanced visualization of 3D anatomy and targeted trajectories during EVD placement.
  • This early application demonstrated the potential for AR to improve the precision and safety of this critical neurosurgical procedure.
  • The system's ease of use and rapid registration were key advantages in a complex surgical scenario.

Implications:

  • Augmented reality guidance represents a significant advancement in neurosurgical techniques for EVD placement.
  • This technology has the potential to increase procedural accuracy, reduce operative time, and enhance patient safety.
  • Further research and large-scale studies are necessary to confirm these benefits and explore AR's broader role in neurosurgery.