Novel entry point for intraoperative ventricular puncture during the transsylvian approach.

Abstract:

OBJECTIVE:In dealing with cases of oedematous brain, relaxation during the transsylvian approach to supratentorial aneurysms has been accomplished by ventricular drainage by using the anatomic point defined by Dr. Paine. However, we have experienced patient complications when using this point. We propose a novel anatomic point to reduce catheter-related complications and facilitate adequate ventricular puncture during ruptured aneurysm operations. METHODS:Ten patients underwent aneurysmal neck clipping for ruptured aneurysm by means of the transsylvian approach. The use of a novel anatomic point for intraoperative drainage was examined using a neuronavigation system. RESULTS:Using the novel point of entry for ventricular cannulation proved to be reliable for puncture and reduced chance of malpositioning. CONCLUSION:Secure intraoperative ventricular cannulation is reliably achieved by pointing the catheter approximately 2 cm beyond a line extending from the anterior limb of the triangle described by Paine. This technique reduces injury to the deep brain and enhances preciseness and safety of ventricular cannulation.

journal_name

Acta Neurochir (Wien)

journal_title

Acta neurochirurgica

authors

Hyun SJ,Suk JS,Kwon JT,Kim YB

doi

10.1007/s00701-007-1281-3

subject

Has Abstract

pub_date

2007-10-01 00:00:00

pages

1049-51; discussion 1051

issue

10

eissn

0001-6268

issn

0942-0940

journal_volume

149

pub_type

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