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- Title
A novel technique for ventriculoperitoneal shunting by flat panel detector CT-guided real-time fluoroscopy.
- Authors
Kobayashi, Shinya; Ishikawa, Tatsuya; Mutoh, Tatsushi; Hikichi, Kentaro; Suzuki, Akifumi
- Abstract
Background: Surgical placement of a ventriculoperitoneal shunt (VPS) is the main strategy to manage hydrocephalus. However, the failure rate associated with placement of ventricular catheters remains high. Methods: A hybrid operating room, equipped with a flat-panel detector digital subtraction angiography system containing C-arm cone-beam computed tomography (CB-CT) imaging, has recently been developed and utilized to assist neurosurgical procedures. We have developed a novel technique using intraoperative fluoroscopy and a C-arm CB-CT system to facilitate accurate placement of a VPS. Results: Using this novel technique, 39 consecutive ventricular catheters were placed accurately, and no ventricular catheter failures were experienced during the follow-up period. Only two patients experienced obstruction of the VPS, both of which occurred in the extracranial portion of the shunt system. Conclusion: Surgical placement of a VPS assisted by flat panel detector CT-guided real-time fluoroscopy enabled accurate placement of ventricular catheters and was associated with a decreased need for shunt revision.
- Subjects
HYDROCEPHALUS; TOMOGRAPHY; ANGIOGRAPHY; FLUOROSCOPY; BRAIN diseases
- Publication
Surgical Neurology International, 2012, Vol 3, Issue 1, p648
- ISSN
2229-5097
- Publication type
Article
- DOI
10.4103/2152-7806.102330