| Novel entry point for intraoperative ventricular puncture during the transsylvian approach. | |
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MedLine Citation:
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PMID: 17712510 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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S J Hyun; J S Suk; J T Kwon; Y B Kim |
Publication Detail:
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Type: Journal Article Date: 2007-08-22 |
Journal Detail:
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Title: Acta neurochirurgica Volume: 149 ISSN: 0942-0940 ISO Abbreviation: Acta Neurochir (Wien) Publication Date: 2007 Oct |
Date Detail:
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Created Date: 2007-10-08 Completed Date: 2008-01-07 Revised Date: 2009-11-11 |
Medline Journal Info:
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Nlm Unique ID: 0151000 Medline TA: Acta Neurochir (Wien) Country: Austria |
Other Details:
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Languages: eng Pagination: 1049-51; discussion 1051 Citation Subset: IM |
Affiliation:
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Department of Neurosurgery, College of Medicine, Chung-Ang University, Seoul, Korea. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aneurysm, Ruptured
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radiography,
surgery* Brain Edema / radiography, surgery Catheterization / methods Drainage / methods Frontal Lobe / radiography, surgery Humans Hydrocephalus / radiography, surgery Intracranial Aneurysm / radiography, surgery* Neuronavigation / methods* Punctures / methods* Tomography, X-Ray Computed Ventriculostomy / methods* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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