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Navigated lumbar drain placement: A description of technique and case example
BACKGROUND: Lumbar drain (LD) placement can be a difficult procedure leading to postprocedure complications, particularly in patients with persistent cerebrospinal fluid leaks or a large body habitus. The objective of this technical case report is to describe the use of Medtronic’s SureTrak Navigati...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Scientific Scholar
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10159304/ https://www.ncbi.nlm.nih.gov/pubmed/37151471 http://dx.doi.org/10.25259/SNI_100_2023 |
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author | Montgomery, Canada T. Blue, Rachel Spadola, Michael Ajmera, Sonia Jabarkheel, Rashad Schuster, James |
author_facet | Montgomery, Canada T. Blue, Rachel Spadola, Michael Ajmera, Sonia Jabarkheel, Rashad Schuster, James |
author_sort | Montgomery, Canada T. |
collection | PubMed |
description | BACKGROUND: Lumbar drain (LD) placement can be a difficult procedure leading to postprocedure complications, particularly in patients with persistent cerebrospinal fluid leaks or a large body habitus. The objective of this technical case report is to describe the use of Medtronic’s SureTrak Navigation system for navigated LD placement. CASE DESCRIPTION: The patient was an 18-year-old morbidly obese male who initially underwent a suboccipital craniectomy with duraplasty and a C1 laminectomy for Chiari Malformation. Postoperatively, he developed a pseudomeningocele and was taken to the operating room for wound revision, duraplasty repair, and LD placement. Medtronic’s SureTrak Navigation system was used for LD placement before wound revision. Successful LD placement was achieved in a single pass using the SureTrak Navigation. The patient did well postoperatively, and LD removal occurred on postoperative day 6. The patient was discharged in good condition without evidence of a cerebral spinal fluid leak. CONCLUSION: Navigation using the SureTrak system is a reasonable option to use in patients with a high body mass index and a persistent cerebrospinal fluid leak. When the patient is already undergoing an operative procedure, it can aid in an efficient low-risk intervention completed in a single prone positioning. |
format | Online Article Text |
id | pubmed-10159304 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Scientific Scholar |
record_format | MEDLINE/PubMed |
spelling | pubmed-101593042023-05-05 Navigated lumbar drain placement: A description of technique and case example Montgomery, Canada T. Blue, Rachel Spadola, Michael Ajmera, Sonia Jabarkheel, Rashad Schuster, James Surg Neurol Int Case Report BACKGROUND: Lumbar drain (LD) placement can be a difficult procedure leading to postprocedure complications, particularly in patients with persistent cerebrospinal fluid leaks or a large body habitus. The objective of this technical case report is to describe the use of Medtronic’s SureTrak Navigation system for navigated LD placement. CASE DESCRIPTION: The patient was an 18-year-old morbidly obese male who initially underwent a suboccipital craniectomy with duraplasty and a C1 laminectomy for Chiari Malformation. Postoperatively, he developed a pseudomeningocele and was taken to the operating room for wound revision, duraplasty repair, and LD placement. Medtronic’s SureTrak Navigation system was used for LD placement before wound revision. Successful LD placement was achieved in a single pass using the SureTrak Navigation. The patient did well postoperatively, and LD removal occurred on postoperative day 6. The patient was discharged in good condition without evidence of a cerebral spinal fluid leak. CONCLUSION: Navigation using the SureTrak system is a reasonable option to use in patients with a high body mass index and a persistent cerebrospinal fluid leak. When the patient is already undergoing an operative procedure, it can aid in an efficient low-risk intervention completed in a single prone positioning. Scientific Scholar 2023-03-31 /pmc/articles/PMC10159304/ /pubmed/37151471 http://dx.doi.org/10.25259/SNI_100_2023 Text en Copyright: © 2023 Surgical Neurology International https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-Share Alike 4.0 License, which allows others to remix, transform, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms. |
spellingShingle | Case Report Montgomery, Canada T. Blue, Rachel Spadola, Michael Ajmera, Sonia Jabarkheel, Rashad Schuster, James Navigated lumbar drain placement: A description of technique and case example |
title | Navigated lumbar drain placement: A description of technique and case example |
title_full | Navigated lumbar drain placement: A description of technique and case example |
title_fullStr | Navigated lumbar drain placement: A description of technique and case example |
title_full_unstemmed | Navigated lumbar drain placement: A description of technique and case example |
title_short | Navigated lumbar drain placement: A description of technique and case example |
title_sort | navigated lumbar drain placement: a description of technique and case example |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10159304/ https://www.ncbi.nlm.nih.gov/pubmed/37151471 http://dx.doi.org/10.25259/SNI_100_2023 |
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