Turkish Neurosurgery
Intraventricular shunt catheter placement of adult normal pressure hydrocephalus using an AxiEM electromagnetic neuronavigation system: A single-center experience
Mehdi Hekimoglu1, Talat Kırış1
1American Hospital, Neurosurgery, Istanbul,
DOI: 10.5137/1019-5149.JTN.41703-22.1

Aim: Ventriculoperitoneal shunt surgery may require revision in the case of malpositioning, which is very costly to the patients and hospitals. This study aimed to prove the superiority of the electromagnetic (EM) neuronavigation technique to increase shunt accuracy and reduce accompanying complications. Material and Methods: A total of 21 patients with hydrocephalus (age, 53–84) were studied. All of them had undergone thin-slice, navigation-compatible, computed tomography (CT) preoperatively. Shunt surgery was performed under the guidance of EM neuronavigation technology. All patients underwent follow-up CT the next day to evaluate catheter tip placement and were followed up at 1, 3, 6, and 12 months. Results: All catheter tips were placed properly in front of the foramen of Monro in the desired position, except in one case in which the tip migrated to the perimesencephalic cistern and underwent reoperation in the early postoperative period. No complications due to infection and obstruction were observed in the medium- and long-term follow-ups. The complication rate due to the incorrect catheter positioning was 4.76% of the total cases. Conclusion: The placement of the ventricular catheter under EM-guided navigation technology reduces the proximal-end failure caused by malpositioning, obstruction, and infection.

Corresponding author : Mehdi Hekimoglu