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Published in: Acta Neurochirurgica 4/2021

01-04-2021 | Hydrocephalus | How I Do it - CSF Circulation

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

Authors: Michaël Bruneau, Julien Spitaels, Matteo Riva

Published in: Acta Neurochirurgica | Issue 4/2021

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Abstract

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.
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Metadata
Title
Free-hand stereotactic ventricular catheter insertion technique based on radio-anatomical landmarks. How I do it
Authors
Michaël Bruneau
Julien Spitaels
Matteo Riva
Publication date
01-04-2021
Publisher
Springer Vienna
Published in
Acta Neurochirurgica / Issue 4/2021
Print ISSN: 0001-6268
Electronic ISSN: 0942-0940
DOI
https://doi.org/10.1007/s00701-020-04549-6

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