Cargando…

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...

Descripción completa

Detalles Bibliográficos
Autores principales: Montgomery, Canada T., Blue, Rachel, Spadola, Michael, Ajmera, Sonia, Jabarkheel, Rashad, Schuster, James
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Scientific Scholar 2023
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
_version_ 1785037109460992000
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
work_keys_str_mv AT montgomerycanadat navigatedlumbardrainplacementadescriptionoftechniqueandcaseexample
AT bluerachel navigatedlumbardrainplacementadescriptionoftechniqueandcaseexample
AT spadolamichael navigatedlumbardrainplacementadescriptionoftechniqueandcaseexample
AT ajmerasonia navigatedlumbardrainplacementadescriptionoftechniqueandcaseexample
AT jabarkheelrashad navigatedlumbardrainplacementadescriptionoftechniqueandcaseexample
AT schusterjames navigatedlumbardrainplacementadescriptionoftechniqueandcaseexample