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Published in: Acta Neurochirurgica 1/2024

01-12-2024 | Aspiration | How I Do it

How I do it: endoscopic evacuation of intraventricular lesions using a flexible endoscope in combination with an angiographic catheter

Authors: Kei Yamashiro, Saeko Higashiguchi, Motoharu Hayakawa, Yuichi Hirose

Published in: Acta Neurochirurgica | Issue 1/2024

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Abstract

Background

In intraventricular surgery using a flexible endoscope, the lesion is usually aspirated via the working channel. However, the surgical view during aspiration is extremely poor because the objective lens is located adjacent to the working channel.

Method

To address this issue, we developed a novel surgical procedure using an angiographic catheter. In this procedure, the catheter is inserted into the working channel, and the lesion is aspirated through the catheter. Besides, continuous intraventricular irrigation is performed via the gap between the catheter and the working channel.

Conclusion

This procedure maintains a clear view during surgery and reduces complications.
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Literature
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Metadata
Title
How I do it: endoscopic evacuation of intraventricular lesions using a flexible endoscope in combination with an angiographic catheter
Authors
Kei Yamashiro
Saeko Higashiguchi
Motoharu Hayakawa
Yuichi Hirose
Publication date
01-12-2024
Publisher
Springer Vienna
Published in
Acta Neurochirurgica / Issue 1/2024
Print ISSN: 0001-6268
Electronic ISSN: 0942-0940
DOI
https://doi.org/10.1007/s00701-024-05948-9

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