How I do it: endoscopic evacuation of intraventricular lesions using a flexible endoscope in combination with an angiographic catheter

Background In intraventricular surgery using a flexible endoscope, the lesion is usually aspirated via the working channel. However, the surgical view during aspiration is extremely poor because the objective lens is located adjacent to the working channel. Method To address this issue, we developed...

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Bibliographic Details
Published in:Acta neurochirurgica 2024-01, Vol.166 (1), p.44-44, Article 44
Main Authors: Yamashiro, Kei, Higashiguchi, Saeko, Hayakawa, Motoharu, Hirose, Yuichi
Format: Article
Language:English
Subjects:
Catheters
Cerebrospinal fluid
Cysts
Endoscopes
Endoscopy
Hematoma
Hemorrhage
How I Do it
Hydrocephalus
Interventional Radiology
Lesions
Medicine
Medicine & Public Health
Minimally Invasive Surgery
Neurology
Neuroradiology
Neurosurgery
Neurosurgical technique evaluation
Surgery
Surgical Orthopedics
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Summary:Background In intraventricular surgery using a flexible endoscope, the lesion is usually aspirated via the working channel. However, the surgical view during aspiration is extremely poor because the objective lens is located adjacent to the working channel. Method To address this issue, we developed a novel surgical procedure using an angiographic catheter. In this procedure, the catheter is inserted into the working channel, and the lesion is aspirated through the catheter. Besides, continuous intraventricular irrigation is performed via the gap between the catheter and the working channel. Conclusion This procedure maintains a clear view during surgery and reduces complications.
ISSN:0942-0940
0001-6268
0942-0940
DOI:10.1007/s00701-024-05948-9