Catheter Placement for Ommaya Reservoirs with Frameless Surgical Navigation: Technical Note
Objective: Infusion of intraventricular chemotherapy requires precise ventricular catheter placement in oncology patients to avoid intraparenchymal infusion. We assessed the safety and precision of using frameless surgical navigation for the placement of Ommaya reservoir catheters. Methods: In 20 co...
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| Veröffentlicht in: | Stereotactic and functional neurosurgery 2008-01, Vol.86 (2), p.101-105 |
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| creator | Greenfield, Jeffrey P. Schwartz, Theodore H. |
| description | Objective: Infusion of intraventricular chemotherapy requires precise ventricular catheter placement in oncology patients to avoid intraparenchymal infusion. We assessed the safety and precision of using frameless surgical navigation for the placement of Ommaya reservoir catheters. Methods: In 20 consecutive patients who required Ommaya reservoirs for the administration of intrathecal chemotherapy, the catheters were positioned with the guidance of frameless stereotaxy. Precision of catheter placement, operative time, operative complications, and postoperative complications were assessed. Results: All catheters were completely within cerebrospinal fluid and 90% were within 5 mm of the intended target, the ipsilateral foramen of Monro. The average operative time was 47 min, and there were no intraoperative complications. There were no reports of leukoencephalopathy, and 3 patients had minor delayed complications. Conclusion: Frameless surgical navigation is a useful and efficient method for ensuring accurate catheter placement during Ommaya reservoir implantation, and it reduces the risk of potential parenchymal toxicity. |
| doi_str_mv | 10.1159/000112431 |
| format | Article |
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We assessed the safety and precision of using frameless surgical navigation for the placement of Ommaya reservoir catheters. Methods: In 20 consecutive patients who required Ommaya reservoirs for the administration of intrathecal chemotherapy, the catheters were positioned with the guidance of frameless stereotaxy. Precision of catheter placement, operative time, operative complications, and postoperative complications were assessed. Results: All catheters were completely within cerebrospinal fluid and 90% were within 5 mm of the intended target, the ipsilateral foramen of Monro. The average operative time was 47 min, and there were no intraoperative complications. There were no reports of leukoencephalopathy, and 3 patients had minor delayed complications. Conclusion: Frameless surgical navigation is a useful and efficient method for ensuring accurate catheter placement during Ommaya reservoir implantation, and it reduces the risk of potential parenchymal toxicity.</description><identifier>ISSN: 1011-6125</identifier><identifier>EISSN: 1423-0372</identifier><identifier>DOI: 10.1159/000112431</identifier><identifier>PMID: 18073523</identifier><language>eng</language><publisher>Basel, Switzerland</publisher><subject>Adult ; Aged ; Antineoplastic Agents - administration & dosage ; Antineoplastic Agents - therapeutic use ; Catheterization - instrumentation ; Catheterization - methods ; Catheters, Indwelling ; Central Nervous System Neoplasms - drug therapy ; Clinical Study ; Drug Delivery Systems - instrumentation ; Drug Delivery Systems - methods ; Female ; Humans ; Lymphoma - drug therapy ; Male ; Middle Aged ; Neuronavigation - methods ; Neurosurgical Procedures - methods</subject><ispartof>Stereotactic and functional neurosurgery, 2008-01, Vol.86 (2), p.101-105</ispartof><rights>2007 S. 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We assessed the safety and precision of using frameless surgical navigation for the placement of Ommaya reservoir catheters. Methods: In 20 consecutive patients who required Ommaya reservoirs for the administration of intrathecal chemotherapy, the catheters were positioned with the guidance of frameless stereotaxy. Precision of catheter placement, operative time, operative complications, and postoperative complications were assessed. Results: All catheters were completely within cerebrospinal fluid and 90% were within 5 mm of the intended target, the ipsilateral foramen of Monro. The average operative time was 47 min, and there were no intraoperative complications. There were no reports of leukoencephalopathy, and 3 patients had minor delayed complications. Conclusion: Frameless surgical navigation is a useful and efficient method for ensuring accurate catheter placement during Ommaya reservoir implantation, and it reduces the risk of potential parenchymal toxicity.</description><subject>Adult</subject><subject>Aged</subject><subject>Antineoplastic Agents - administration & dosage</subject><subject>Antineoplastic Agents - therapeutic use</subject><subject>Catheterization - instrumentation</subject><subject>Catheterization - methods</subject><subject>Catheters, Indwelling</subject><subject>Central Nervous System Neoplasms - drug therapy</subject><subject>Clinical Study</subject><subject>Drug Delivery Systems - instrumentation</subject><subject>Drug Delivery Systems - methods</subject><subject>Female</subject><subject>Humans</subject><subject>Lymphoma - drug therapy</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Neuronavigation - methods</subject><subject>Neurosurgical Procedures - methods</subject><issn>1011-6125</issn><issn>1423-0372</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2008</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpF0D1PwzAQBmALgWgpDOwIeWUI-PxRJ2yoagGpogjKxBA5zqUNJE1lu0X99wSlotOdXj13w0vIJbBbAJXcMcYAuBRwRPoguYiY0Py43ds4GgJXPXLm_VfLhNTxKelBzLRQXPTJ58iEJQZ09LUyFmtcBVo0js7q2uwMfUOPbtuUztOfMizpxJkaK_Sevm_corSmoi9mWy5MKJvVPZ2jXa66tAl4Tk4KU3m82M8B-ZiM56OnaDp7fB49TCMrmAyRSvJMa6uQJdbgsFDAbK51lmue5AoTKbiATIg85nbIRRFLiGNtoOBcFpiBGJCb7q91jfcOi3Ttytq4XQos_Sso_S-otdedXW-yGvOD3DfSgqsOfBu3QHcA3f0vwvdpOg</recordid><startdate>20080101</startdate><enddate>20080101</enddate><creator>Greenfield, Jeffrey P.</creator><creator>Schwartz, Theodore H.</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope></search><sort><creationdate>20080101</creationdate><title>Catheter Placement for Ommaya Reservoirs with Frameless Surgical Navigation: Technical Note</title><author>Greenfield, Jeffrey P. ; Schwartz, Theodore H.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c304t-59db77c5e09cae6f510cd77bd729d5e943231b33d82c623f841887a1f224feb13</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2008</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Antineoplastic Agents - administration & dosage</topic><topic>Antineoplastic Agents - therapeutic use</topic><topic>Catheterization - instrumentation</topic><topic>Catheterization - methods</topic><topic>Catheters, Indwelling</topic><topic>Central Nervous System Neoplasms - drug therapy</topic><topic>Clinical Study</topic><topic>Drug Delivery Systems - instrumentation</topic><topic>Drug Delivery Systems - methods</topic><topic>Female</topic><topic>Humans</topic><topic>Lymphoma - drug therapy</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Neuronavigation - methods</topic><topic>Neurosurgical Procedures - methods</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Greenfield, Jeffrey P.</creatorcontrib><creatorcontrib>Schwartz, Theodore H.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><jtitle>Stereotactic and functional neurosurgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Greenfield, Jeffrey P.</au><au>Schwartz, Theodore H.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Catheter Placement for Ommaya Reservoirs with Frameless Surgical Navigation: Technical Note</atitle><jtitle>Stereotactic and functional neurosurgery</jtitle><addtitle>Stereotact Funct Neurosurg</addtitle><date>2008-01-01</date><risdate>2008</risdate><volume>86</volume><issue>2</issue><spage>101</spage><epage>105</epage><pages>101-105</pages><issn>1011-6125</issn><eissn>1423-0372</eissn><abstract>Objective: Infusion of intraventricular chemotherapy requires precise ventricular catheter placement in oncology patients to avoid intraparenchymal infusion. We assessed the safety and precision of using frameless surgical navigation for the placement of Ommaya reservoir catheters. Methods: In 20 consecutive patients who required Ommaya reservoirs for the administration of intrathecal chemotherapy, the catheters were positioned with the guidance of frameless stereotaxy. Precision of catheter placement, operative time, operative complications, and postoperative complications were assessed. Results: All catheters were completely within cerebrospinal fluid and 90% were within 5 mm of the intended target, the ipsilateral foramen of Monro. The average operative time was 47 min, and there were no intraoperative complications. There were no reports of leukoencephalopathy, and 3 patients had minor delayed complications. Conclusion: Frameless surgical navigation is a useful and efficient method for ensuring accurate catheter placement during Ommaya reservoir implantation, and it reduces the risk of potential parenchymal toxicity.</abstract><cop>Basel, Switzerland</cop><pmid>18073523</pmid><doi>10.1159/000112431</doi><tpages>5</tpages></addata></record> |
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| ispartof | Stereotactic and functional neurosurgery, 2008-01, Vol.86 (2), p.101-105 |
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| source | MEDLINE; Karger Journals; Alma/SFX Local Collection |
| subjects | Adult Aged Antineoplastic Agents - administration & dosage Antineoplastic Agents - therapeutic use Catheterization - instrumentation Catheterization - methods Catheters, Indwelling Central Nervous System Neoplasms - drug therapy Clinical Study Drug Delivery Systems - instrumentation Drug Delivery Systems - methods Female Humans Lymphoma - drug therapy Male Middle Aged Neuronavigation - methods Neurosurgical Procedures - methods |
| title | Catheter Placement for Ommaya Reservoirs with Frameless Surgical Navigation: Technical Note |
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