Endoscopic Third Ventriculostomy Using Penumbra Artemis™ Neuro Evacuation Device: Technical Case Report and Operative Video

Endoscopic third ventriculostomy (ETV) is an effective cerebrospinal fluid diversion procedure but can be complicated by the presence of a high-riding basilar artery (BA). A 70-year-old female presented with obstructive hydrocephalus caused by melanoma metastatic to the brainstem in the setting of a...

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Autores principales: Lynch, Daniel G, Mehta, Shyle H, Shah, Kevin A, Toscano, Daniel, Pruitt, Rachel, Woo, Henry H
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2023
Materias:
Neurosurgery
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10590497/
https://www.ncbi.nlm.nih.gov/pubmed/37872915
http://dx.doi.org/10.7759/cureus.45761
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author Lynch, Daniel G
Mehta, Shyle H
Shah, Kevin A
Toscano, Daniel
Pruitt, Rachel
Woo, Henry H
author_facet Lynch, Daniel G
Mehta, Shyle H
Shah, Kevin A
Toscano, Daniel
Pruitt, Rachel
Woo, Henry H
author_sort Lynch, Daniel G
collection PubMed
description Endoscopic third ventriculostomy (ETV) is an effective cerebrospinal fluid diversion procedure but can be complicated by the presence of a high-riding basilar artery (BA). A 70-year-old female presented with obstructive hydrocephalus caused by melanoma metastatic to the brainstem in the setting of a high-riding BA. ETV was successfully performed using the Penumbra Artemis™ Neuro evacuation device (Artemis; Penumbra Inc, Alameda, CA, USA) to minimize the risk of injury to the BA. This is to our knowledge the first known Artemis-assisted ETV reported in the English literature, which may reduce the risk of BA injury in selected patients. Further characterization of the benefits and limitations of this procedure is needed.
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spelling pubmed-105904972023-10-23 Endoscopic Third Ventriculostomy Using Penumbra Artemis™ Neuro Evacuation Device: Technical Case Report and Operative Video Lynch, Daniel G Mehta, Shyle H Shah, Kevin A Toscano, Daniel Pruitt, Rachel Woo, Henry H Cureus Neurosurgery Endoscopic third ventriculostomy (ETV) is an effective cerebrospinal fluid diversion procedure but can be complicated by the presence of a high-riding basilar artery (BA). A 70-year-old female presented with obstructive hydrocephalus caused by melanoma metastatic to the brainstem in the setting of a high-riding BA. ETV was successfully performed using the Penumbra Artemis™ Neuro evacuation device (Artemis; Penumbra Inc, Alameda, CA, USA) to minimize the risk of injury to the BA. This is to our knowledge the first known Artemis-assisted ETV reported in the English literature, which may reduce the risk of BA injury in selected patients. Further characterization of the benefits and limitations of this procedure is needed. Cureus 2023-09-22 /pmc/articles/PMC10590497/ /pubmed/37872915 http://dx.doi.org/10.7759/cureus.45761 Text en Copyright © 2023, Lynch et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Neurosurgery
Lynch, Daniel G
Mehta, Shyle H
Shah, Kevin A
Toscano, Daniel
Pruitt, Rachel
Woo, Henry H
Endoscopic Third Ventriculostomy Using Penumbra Artemis™ Neuro Evacuation Device: Technical Case Report and Operative Video
title Endoscopic Third Ventriculostomy Using Penumbra Artemis™ Neuro Evacuation Device: Technical Case Report and Operative Video
title_full Endoscopic Third Ventriculostomy Using Penumbra Artemis™ Neuro Evacuation Device: Technical Case Report and Operative Video
title_fullStr Endoscopic Third Ventriculostomy Using Penumbra Artemis™ Neuro Evacuation Device: Technical Case Report and Operative Video
title_full_unstemmed Endoscopic Third Ventriculostomy Using Penumbra Artemis™ Neuro Evacuation Device: Technical Case Report and Operative Video
title_short Endoscopic Third Ventriculostomy Using Penumbra Artemis™ Neuro Evacuation Device: Technical Case Report and Operative Video
title_sort endoscopic third ventriculostomy using penumbra artemis™ neuro evacuation device: technical case report and operative video
topic Neurosurgery
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10590497/
https://www.ncbi.nlm.nih.gov/pubmed/37872915
http://dx.doi.org/10.7759/cureus.45761
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