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Stereotactic Insertion of an Ommaya Reservoir: Technical Note

Published online by Cambridge University Press:  18 September 2015

Michael W. McDermott ,
Samuel F. Ciricillo ,
Philip H. Gutin  and
Michael S.B. Edwards
Michael W. McDermott*
Affiliation:
Department of Neurological Surgery, School of Medicine, University of California, San Francisco, California
Samuel F. Ciricillo
Affiliation:
Department of Neurological Surgery, School of Medicine, University of California, San Francisco, California
Philip H. Gutin
Affiliation:
Department of Neurological Surgery, School of Medicine, University of California, San Francisco, California
Michael S.B. Edwards
Affiliation:
Department of Neurological Surgery, School of Medicine, University of California, San Francisco, California
*
Department of Neurological Surgery, c/o The Editorial Office, 1360 Ninth Avenue, Suite 210, San Francisco, California, USA 94122
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Abstract

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Background

Stereotactic insertion of catherters into deep-seated tumors or developmental cysts is easily accomplished, but connecting the catheter to an Ommaya reservoir while maintaining catheter position can be difficult. We describe a technique for easy placement of a catheter-Ommaya reservoir construct with one pass.

Methods

Standard stereotactic imaging is performed. The distance from the outer table of the skull to the target point is measured. A catheter-Ommaya reservoir construct is assembled to this length and directed to the target position with a standard Cosman-Robert-Wells (CRW) stereotactic frame.

Results

Use of this technique placed catheters into tumor or developmental cysts accurately and with no surgical complications in 12 patients.

Conclusions

This technique is simple, safe, reliable, and requires no special equipment. It avoids the risk of dislodging the catheter when it is being connected to the Ommaya reservoir, reducing the chances of cyst leakage and collapse.

Type
Original Articles
Information
Canadian Journal of Neurological Sciences , Volume 22 , Issue 3 , August 1995 , pp. 235 - 238
Copyright
Copyright © Canadian Neurological Sciences Federation 1995

References

1.Bleyer, WA, Pizzo, PA, Spence, AM, et al. The Ommaya reservoir. Newly recognized complications and recommendations for insertion and use. Cancer 1978; 41: 2431–2437.3.0.CO;2-3>CrossRefGoogle ScholarPubMed
2.Hagen, NA, O’Neill, BP, Kelly, PJ.Computer assisted stereotactic placement of Ommaya reservoirs for delivery of chemotherapeutic agents in cancer patients. J Neurooncol 1987; 5: 273–276.CrossRefGoogle ScholarPubMed
3.Obbens, EAMT, Leavens, ME, Beal, JW, Lee, Y-Y.Ommaya reservoirs in 387 cancer patients: a 15-year experience. Neurology 1985; 35: 1274–1278.CrossRefGoogle Scholar
4.Perrin, RG, Lishner, M, Guha, A, et al. Experience with Ommaya reservoir in 120 consecutive patients with meningeal malignancy. Can J Neurol Sci 1990; 17: 190–192.CrossRefGoogle ScholarPubMed
5.Gutin, PH, Klemme, WM, Lagger, RL, et al. Management of the unresectable cystic craniopharyngioma by aspiration through an Ommaya reservoir drainage system. J Neurosurg 1980; 52: 36–40.CrossRefGoogle ScholarPubMed
6.Rogers, LR, Barnett, G.Percutaneous aspiration of brain tumor cysts via the Ommaya reservoir system. Neurology 1991; 41: 279–282.CrossRefGoogle ScholarPubMed
7.Frank, E, Kohler, E, Hein, L.A modification of the Brown-Roberts-Wells stereotactic frame for implantation of ventricular access reservoirs: technical note. Neurosurgery 1989; 25: 839–842.CrossRefGoogle Scholar
8.Leavens, ME, Aldama-Luebert, A.Ommaya reservoir placement: technical note. Neurosurgery 1979; 5: 264–266.CrossRefGoogle ScholarPubMed
9.Levy, WJ, Hahn, JF.Ommaya reservoir insertion guided by computed tomography: technical note. Neurosurgery 1981; 9: 559–561.CrossRefGoogle Scholar