Stereotactic catheter placement for Ommaya reservoirs

Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia
Benjamin C KennedyGuy M McKhann

Abstract

Ommaya reservoirs are an important surgical therapy for the chronic intrathecal administration of chemotherapy for patients with leptomeningeal carcinomatosis. Surgical accuracy is paramount in these patients with typically normal sized ventricles, and may be improved with stereotactic guidance. This paper aimed to review a large series of stereotactic Ommaya catheter placements, examining accuracy and complications. We conducted a retrospective review of 109 consecutive adult patients who underwent stereotactic Ommaya catheter placement for leptomeningeal carcinomatosis or central nervous system lymphoma at Columbia University Medical Center, USA, from 1998-2013. The rate of accurate placement in the ventricular system was 99%, with the only poor catheter position due to post-placement migration. The rate of peri-operative complications was 6.4%. Hemorrhagic complications occurred in patients with thrombocytopenia or therapeutic anti-coagulation pre-operatively or during the post-operative period. Use of stereotaxy for catheter placement of Ommaya reservoirs is safe and effective, and should be considered when placing a catheter into non-hydrocephalic ventricles.

References

Jun 6, 2000·Journal of Neurosurgery·A Al-Anazi, M Bernstein
Aug 5, 2000·Neurosurgery·D I SandbergP H Gutin
Dec 22, 2004·Journal of Surgical Oncology·Rob D Dickerman, Mark B Eisenberg
Dec 13, 2007·Stereotactic and Functional Neurosurgery·Jeffrey P Greenfield, Theodore H Schwartz
Jan 23, 2008·Minimally Invasive Neurosurgery : MIN·M TakahashiN Shinoura
Mar 9, 2012·Stereotactic and Functional Neurosurgery·Raghuram SampathBharat Guthikonda
Dec 24, 2013·The Journal of Infection·Ariel D SzvalbGeorge M Viola

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Citations

Jan 13, 2018·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Sergey OzerovE Kumirova
Nov 3, 2016·Current Opinion in Neurology·Emilie Le Rhun, Evanthia Galanis
Nov 13, 2020·Frontiers in Immunology·Joshua R D PearsonStephanie E B McArdle
Jul 1, 2017·Annals of Oncology : Official Journal of the European Society for Medical Oncology·E Le RhunUNKNOWN EANO Executive Board and ESMO Guidelines Committee. Electronic address: clinicalguidelines@esmo.org

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