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Case Reports
The O-arm as an additional tool to confirm optimal ventricular tip position - a technical note.
- Jorn Van Der Veken, Jamie Miller, and Santosh Poonnoose.
- Department of Neurosurgery, Flinders Medical Centre, Bedford Park, South Australia, Australia. Electronic address: jornvanderveken@gmail.com.
- World Neurosurg. 2022 Jul 1; 163: 68-70.
BackgroundVentricular catheter placement can be a challenging procedure when treating patients with slit ventricles, despite the use of a neuronavigation system.MethodsWe report the case of 3 patients with idiopathic intracranial hypertension who had required revision of their ventricular catheter due to malpositioning, despite initial placement using neuronavigation. Owing to the absence of intraoperative computed tomography in our center, we used the O-arm imaging system to confirm placement of the optimal ventricular tip position intraoperatively.ResultsOptimal ventricular drain position was achieved in all 3 patients.ConclusionsThis short technical note describes an easy technique for using the O-arm to confirm the optimal ventricular drain position.Copyright © 2022 Elsevier Inc. All rights reserved.
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