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首页> 外文期刊>Interventional neuroradiology: journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences >Efficacy of three-dimensional rotational fluoroscopic unit guidance for lumbar cerebrospinal fluid drainage among patients with unsuccessful initial attempt at bedside
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Efficacy of three-dimensional rotational fluoroscopic unit guidance for lumbar cerebrospinal fluid drainage among patients with unsuccessful initial attempt at bedside

机译：床侧初期初始企业不成功初期患者腰脑脊液引导患者三维旋转荧光透视单元指导的疗效

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摘要

Lumbar cerebrospinal fluid drainage has been widely performed in patients at the bedside; however, technical failure can occasionally occur as a result of blind maneuvering. Herein, we present the use of rotational fluoroscopic unit-guided lumbar drainage for patients with an unsuccessful initial attempt at bedside. In four of the 24 patients with aneurysmal subarachnoid hemorrhage, initial lumbar drainage could not be performed at bedside. Thus, a three-dimensional rotational technology guided by a high-quality fluoroscopic unit was used. After a cone-beam computed tomography scan was performed, an accurate puncture point and a target thecal sac were identified using the software. The fluoroscopic unit helped us to identify the puncture point and trajectory with a laser pointer on the patient. A needle was inserted along the tract until the cerebrospinal fluid was collected. The lumbar drainage tube was successfully inserted with a single puncture in all four patients. Rotational fluoroscopic technology helps to identify a suitable puncture point, trajectory and target site for lumbar spinal drainage. Our technique is considerably useful in an era wherein minimally invasive procedures are preferred.
机译：腰部脑脊液流体引流已在床边的患者中广泛进行;然而，由于盲目机动，偶尔会出现技术失败。在此，我们介绍了旋转荧光透视单元引导的腰带引导患者在床边失败的患者。在24例动脉瘤性蛛网膜下腔出血中的四个患者中，无法在床边进行初始腰部排水。因此，使用由高质量的荧光镜单元引导的三维旋转技术。在执行锥形光束计算断层摄影扫描之后，使用该软件识别精确的穿刺点和目标静脉囊。荧光透视单元有助于我们用患者的激光指针识别穿刺点和轨迹。将针沿着该猪切开，直至收集脑脊髓液。在所有四个患者中成功插入腰部排水管。旋转荧光透视技术有助于识别腰椎排水的合适的穿刺点，轨迹和靶位点。我们的技术在优选最微创手术中的时代很有用。

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