Electromagnetic stereotactic ventriculoperitoneal csf shunting for XXXX : a successful step forward?

@entity1 @entity5576
OBJECTIVE: The optimal management of medically refractory @entity5576 ( @entity5576 ) remains a point of debate. The senior author's practice evolved after a review of our units' practice in placing lumboperitoneal shunts revealed an unacceptably high rate of complication and revision. We now preferentially perform custom-designed electromagnetic (EM) image-guided ventriculoperitoneal shunt placement instead of lumboperitoneal shunting in treating medically refractory @entity5576 and present our outcome data with this technique. @entity1 AND METHODS: Retrospective case note review was carried out with prospective follow-up of 17 @entity1 treated consecutively over a 3-year period. OUTCOME MEASURES: The article aims to assess the implication of using EM image-guided tracking technology in ventricular catheter placement in @entity1 with @entity5576 and to assess outcome. RESULTS: All of the @entity1 improved clinically at the last follow-up compared to their preoperative condition. None of the @entity1 experienced intra- or perioperative complications. All @entity1 underwent ventriculoperitoneal shunt placement using EM guidance navigation. All @entity1 in the EM subgroup were cannulated with a single pass, and satisfactory catheter placement was confirmed on a postoperative CT scan with concordant @entity1 symptom improvement. CONCLUSION: Our series suggests that EM image-guided ventriculoperitoneal cerebrospinal fluid (CSF) shunting for @entity5576 is a safe and effective procedure for ventricular cannulation and placement.
