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Ventriculoscopy
Surgical Procedure
16
Medical
Professional
04/07/2020

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Cards

Term
What makes a patient a candidate for a ventriculoscopy?
Definition
Having enlarged lateral and third ventricles and normal sized fourth ventricle.
Term
What is the preoperative diagnostic test for this?
Definition
MRI
Term
What is the name of the scope that will be used?
Definition
A neuroendoscope.
Term
What type of catheter is used to enlarge the fenestration in the floor of the third ventricle?
Definition
A #3 French Fogarty balloon catheter.
Term
What position is the patient placed in?
Definition
Supine with the head in pin traction, slightly elevated to minimize the loss of CSF and entry of air.
Term
What type of anesthesia?
Definition
General
Term
What is the age cutoff for this procedure as of right now?
Definition
Younger than 6 months
Term
What is one thing that must be considered before deciding to perform the procedure?
Definition
If the patient has had a previous shunt placement or if they may have meningitis.
Term
How big is the burr hole in the cranium?
Definition
6-10-mm in diameter
Term
What artery is identified when the third ventricle is entered?
Definition
The basilar artery.
Term
If needed, what procedure will be performed while in the ventricles?
Definition
A Ventriculostomy?
Term
What is a ventriculostomy?
Definition
Creating a hole in the ventricle to reestablish the free flow of Cerebral Spinal Fluid between the ventricles and subarachnoid space.
Term
What is packed into the burr hole before the scalp is sutured?
Definition
Gelfoam.
Term
If there are no complications, how long must the patient remain in the hospital?
Definition
2 days.
Term
What are some complications that can occur?
Definition
Fever, bleeding, and short-term memory loss.
Term
What is the wound classification of this procedure?
Definition
Class 1: Clean
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