TY - JOUR
T1 - Intraoperative cone-beam computed tomography for catheter placement verification in pediatric hydrocephalus
T2 - technical note
AU - Krause, Matthias
AU - Lagumdzija, Jasmina
AU - Enzinger, Simon
AU - Wittig, Joern
AU - Gaggl, Alexander
AU - Metzger, Roman P.
AU - Griessenauer, Christoph J.
N1 - Krause, Griessenauer: Department for Neurosurgery, Paracelsus Medical
University, Christian Doppler Klinik, Müllner Hauptstrasse 48, 5020 Salzburg, Austria; Krause, Lagumdzija, Metzger: Department of Pediatric Surgery, Paracelsus Medical University, University Hospital, Salzburg, Austria; Enzinger, Wittig, Gaggl: Department of Oral and Maxillofacial Surgery, Paracelsus
Medical University, University Hospital, Salzburg, Austria
PY - 2024/11
Y1 - 2024/11
N2 - Ventriculoperitoneal (VP) shunt placement, essential for managing hydrocephalus, often risks catheter malpositioning, especially in patients with small ventricles. We present a novel technique combining neuronavigation with intraoperative cone-beam computed tomography using the BrainLab system and Loop-X mobile imaging unit. This approach enables real-time verification of catheter placement by integrating preoperative MRI data with intraoperative CT imaging. In a 12-year-old boy with therapy-refractory idiopathic intracranial hypertension, neuronavigation was guided by the BrainLab Skull Fix and Cushing canula, ensuring precise catheter insertion into the right frontal horn. Post-placement, Loop-X facilitated immediate verification of the catheter's trajectory and positioning, corroborated by postoperative MRI. This technique demonstrated high precision and minimized radiation exposure, emphasizing its utility in reducing revision rates due to suboptimal catheter placement.
AB - Ventriculoperitoneal (VP) shunt placement, essential for managing hydrocephalus, often risks catheter malpositioning, especially in patients with small ventricles. We present a novel technique combining neuronavigation with intraoperative cone-beam computed tomography using the BrainLab system and Loop-X mobile imaging unit. This approach enables real-time verification of catheter placement by integrating preoperative MRI data with intraoperative CT imaging. In a 12-year-old boy with therapy-refractory idiopathic intracranial hypertension, neuronavigation was guided by the BrainLab Skull Fix and Cushing canula, ensuring precise catheter insertion into the right frontal horn. Post-placement, Loop-X facilitated immediate verification of the catheter's trajectory and positioning, corroborated by postoperative MRI. This technique demonstrated high precision and minimized radiation exposure, emphasizing its utility in reducing revision rates due to suboptimal catheter placement.
KW - Cone-beam computed tomography
KW - Intraoperative navigation
KW - Pediatric neurosurgery
KW - Pseudotumor cerebri
KW - Shunt placement
UR - https://www.webofscience.com/api/gateway?GWVersion=2&SrcApp=pmu_pure&SrcAuth=WosAPI&KeyUT=WOS:001304404900002&DestLinkType=FullRecord&DestApp=WOS_CPL
U2 - 10.1007/s00381-024-06592-5
DO - 10.1007/s00381-024-06592-5
M3 - Original Article
C2 - 39230740
SN - 0256-7040
VL - 40
SP - 3813
EP - 3816
JO - CHILDS NERVOUS SYSTEM
JF - CHILDS NERVOUS SYSTEM
IS - 11
ER -