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Electromagnetic Neuronavigation in Neuroendoscopy. Navigation Proposal for the LOTTA Ventriculoscope. Technical Note
Neuronavegación Electromagnética en Neuroendoscopia. Protocolo de Navegación para el Ventriculoscopio LOTTA. Nota Técnica
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All rights reserved" "copyrightAnyo" => "2024" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "Traduccion" => array:1 [ "es" => array:18 [ "pii" => "S1130147324000873" "issn" => "11301473" "doi" => "10.1016/j.neucir.2024.07.007" "estado" => "S200" "fechaPublicacion" => "2024-09-24" "aid" => "623" "copyright" => "Sociedad Española de Neurocirugía" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "es" => array:12 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Investigación clínica</span>" "titulo" => "Neuronavegación electromagnética en neuroendoscopia. Protocolo de navegación para el ventriculoscopio LOTTA. Nota técnica" "tienePdf" => "es" "tieneTextoCompleto" => "es" "tieneResumen" => array:2 [ 0 => "es" 1 => "en" ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Electromagnetic neuronavigation in neuroendoscopy. Navigation proposal for the LOTTA ventriculoscope. Technical note" ] ] "contieneResumen" => array:2 [ "es" => true "en" => true ] "contieneTextoCompleto" => array:1 [ "es" => true ] "contienePdf" => array:1 [ "es" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0010" "etiqueta" => "Figura 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 1334 "Ancho" => 2528 "Tamanyo" => 579941 ] ] "descripcion" => array:1 [ "es" => "<p id="spar0055" class="elsevierStyleSimplePara elsevierViewall">Instrumentos y equipos disponibles en nuestro servicio para el protocolo de navegación electromagnética continua para el ventriculoscopio LOTTA. A. Se utilizó el ventriculoscopio rígido (LOTTA, Karl Storz, Tuttlingen, Alemania) de 25<span class="elsevierStyleHsp" style=""></span>cm de longitud (distancia desde el punto de entrada hasta el punto de salida del canal de trabajo) con un diámetro interior del canal de trabajo de 2,9<span class="elsevierStyleHsp" style=""></span>mm y óptica de 6°. Se muestran la vaina del trócar o cánula de trabajo, el trócar original y el estilete EM. B. Sistema de neuronavegación y consola (S8 Stealth System, Medtronic, Minneapolis, EE.<span class="elsevierStyleHsp" style=""></span>UU.). C. Se muestran el DRF craneal atornillado, el DRF de opción adhesiva y la bobina EM transmisora.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Mario Gomar-Alba, José Javier Guil-Ibáñez, Fernando García-Pérez, María José Castelló-Ruíz, Leandro Saucedo, Antonio José Vargas-López, José Masegosa-González" "autores" => array:7 [ 0 => array:2 [ "nombre" => "Mario" "apellidos" => "Gomar-Alba" ] 1 => array:2 [ "nombre" => "José Javier" "apellidos" => "Guil-Ibáñez" ] 2 => array:2 [ "nombre" => "Fernando" "apellidos" => "García-Pérez" ] 3 => array:2 [ "nombre" => "María José" "apellidos" => "Castelló-Ruíz" ] 4 => array:2 [ "nombre" => "Leandro" "apellidos" => "Saucedo" ] 5 => array:2 [ "nombre" => "Antonio José" "apellidos" => "Vargas-López" ] 6 => array:2 [ "nombre" => "José" "apellidos" => "Masegosa-González" ] ] ] ] ] "idiomaDefecto" => "es" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S2529849624000649" "doi" => "10.1016/j.neucie.2024.10.003" "estado" => "S5" "subdocumento" => "" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2529849624000649?idApp=UINPBA00004B" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1130147324000873?idApp=UINPBA00004B" "url" => "/11301473/unassign/S1130147324000873/v1_202409240425/es/main.assets" ] ] "itemSiguiente" => array:17 [ "pii" => "S2529849624000583" "issn" => "25298496" "doi" => "10.1016/j.neucie.2024.10.001" "estado" => "S200" "fechaPublicacion" => "2024-10-29" "aid" => "629" "copyright" => "The Author(s)" "documento" => "article" "crossmark" => 0 "subdocumento" => "crp" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "en" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Case Report</span>" "titulo" => "Cauda equina malignant peripheral nerve sheath tumor presenting with subarachnoid hemorrhage: a case report" "tienePdf" => "en" "tieneTextoCompleto" => "en" "tieneResumen" => array:2 [ 0 => "en" 1 => "es" ] "contieneResumen" => array:2 [ "en" => true "es" => true ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:8 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 916 "Ancho" => 3508 "Tamanyo" => 290970 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0005" "detalle" => "Fig. " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Lumbar spine MRI sagittal view, T1 and T2-weighted (panel A, B) exhibiting an intradural lesion from L3 to L5 appearing isointense to CSF on T1 and hypointense on T2. On the bottom of the thecal sac, a slight hyperintense on T1 and low signal level on T2-weighted suggested subacute subarachnoid bleeding (White circle). The gadolinium-enhanced T1-weighted sagittal view (panel C) shows a peripheral enhancement of the intradural lesion.</p> <p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">The 8-month postoperative lumbar spine T2 and gadolinium-enhanced T1-weighted MRI sagittal views exhibited surgical and radiation therapy inflammatory changes without tumor recurrence (panels D and E).</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Rafael Aponte-Caballero, Julian Alfonso Sierra-Peña, Juan Felipe Abaunza-Camacho, William Mauricio Riveros-Castillo, Javier M. 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"apellidos" => "Saavedra" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2529849624000583?idApp=UINPBA00004B" "url" => "/25298496/unassign/S2529849624000583/v1_202410291640/en/main.assets" ] "itemAnterior" => array:16 [ "pii" => "S2529849624000352" "issn" => "25298496" "doi" => "10.1016/j.neucie.2024.06.003" "estado" => "S200" "fechaPublicacion" => "2024-07-11" "aid" => "615" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "en" => array:12 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Clinical Research</span>" "titulo" => "Integrating endovascular techniques into established open neurosurgery practice: a temporal analysis of treatment evolution in a dual-trained neurosurgical unit" "tienePdf" => "en" "tieneTextoCompleto" => "en" "tieneResumen" => array:2 [ 0 => "en" 1 => "es" ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Integración de técnicas endovasculares en la práctica de la neurocirugía abierta: análisis temporal de la evolución del tratamiento en una unidad de neurocirugía vascular dual" ] ] "contieneResumen" => array:2 [ "en" => true "es" => true ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:8 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1526 "Ancho" => 2508 "Tamanyo" => 226263 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0005" "detalle" => "Fig. " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">The graph illustrates the evolution of treatment modality preferences over time, as represented by the rolling average proportion of EN (ENDO) and ON (OPEN) neurosurgical procedures. The navy blue line indicates the proportion of OPEN procedures, while the crimson line represents the ENDO procedures.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Ignacio Arrese, Sergio García-García, Santiago Cepeda, Rosario Sarabia" "autores" => array:4 [ 0 => array:2 [ "nombre" => "Ignacio" "apellidos" => "Arrese" ] 1 => array:2 [ "nombre" => "Sergio" "apellidos" => "García-García" ] 2 => array:2 [ "nombre" => "Santiago" "apellidos" => "Cepeda" ] 3 => array:2 [ "nombre" => "Rosario" "apellidos" => "Sarabia" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2529849624000352?idApp=UINPBA00004B" "url" => "/25298496/unassign/S2529849624000352/v1_202407110420/en/main.assets" ] "en" => array:13 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Clinical research</span>" "titulo" => "Electromagnetic Neuronavigation in Neuroendoscopy. Navigation Proposal for the LOTTA Ventriculoscope. Technical Note" "tieneTextoCompleto" => 0 "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Mario Gomar-Alba, José Javier Guil-Ibáñez, Fernando García-Pérez, María José Castelló-Ruíz, Leandro Saucedo, Antonio José Vargas-López, José Masegosa-González" "autores" => array:7 [ 0 => array:4 [ "nombre" => "Mario" "apellidos" => "Gomar-Alba" "email" => array:1 [ 0 => "mariogomar@hotmail.es" ] "referencia" => array:3 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] 2 => array:2 [ "etiqueta" => "*" "identificador" => "cor0005" ] ] ] 1 => array:3 [ "nombre" => "José" "apellidos" => "Javier Guil-Ibáñez" "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] 2 => array:3 [ "nombre" => "Fernando" "apellidos" => "García-Pérez" "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] 3 => array:3 [ "nombre" => "María José" "apellidos" => "Castelló-Ruíz" "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] 4 => array:3 [ "nombre" => "Leandro" "apellidos" => "Saucedo" "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] 5 => array:3 [ "nombre" => "Antonio José" "apellidos" => "Vargas-López" "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] 6 => array:3 [ "nombre" => "José" "apellidos" => "Masegosa-González" "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Servicio de Neurocirugía, Hospital Universitario Torrecárdenas, Almería. Spain" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Laboratorio de Entrenamiento Microneuroquirúrgico y Cirugía Basicraneal. Universidad de Almería, Almería, Spain" "etiqueta" => "b" "identificador" => "aff0010" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Neuronavegación Electromagnética en Neuroendoscopia. Protocolo de Navegación para el Ventriculoscopio LOTTA. Nota Técnica" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2024-03-20" "fechaAceptado" => "2024-07-27" "PalabrasClave" => array:2 [ "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Keywords" "identificador" => "xpalclavsec1900063" "palabras" => array:6 [ 0 => "Neuroendoscopy" 1 => "Ventriculoscopy" 2 => "Electromagnetic Neuronavigation" 3 => "Electromagnetic Stylet" 4 => "LOTTA ventriculoscope" 5 => "Trajectory" ] ] ] "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec1900062" "palabras" => array:6 [ 0 => "Neuroendoscopia" 1 => "Ventriculoscopia" 2 => "Neuronavegación Electromagnética" 3 => "Estilete Electromagnético" 4 => "Ventriculoscopio LOTTA" 5 => "Trayectoria" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "en" => array:3 [ "titulo" => "Abstract" "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Background and objective</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Neuronavigation in ventriculoscopy has been described in several papers. However, there are different ventriculoscopes and navigation systems. Because of these different combinations, it is difficult to find detailed navigation protocols for each ventriculoscope. We describe, step by step, a simple method to navigate both the trajectory to reach the ventricular system and the intraventricular work for the LOTTA ventriculoscope.</p></span> <span id="abst0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0015">Methods</span><p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">We used a rigid ventriculoscope (LOTTA, KarlStorz) with an electromagnetic stylet (S8-StealthSystem, Medtronic) as the main navigation tool. The protocol is based on a 3D printed trocar or alternatively, on a modification of the original trocar for extraventricular phase navigation and a modified pediatric nasogastric tube for intraventricular phase navigation.</p></span> <span id="abst0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0020">Results</span><p id="spar0050" class="elsevierStyleSimplePara elsevierViewall">The protocol can be set up in less than 10 minutes. The extraventricular part is navigated by inserting the electromagnetic stylet inside the 3D printed trocar or inside the original modified trocar. Intraventricular navigation is performed by combining a modified pediatric nasogastric tube with the electromagnetic stylet inside the working channel of the endoscope. The most critical point is to obtain a blunt, bloodless approach to the ventricle and to achieve perfect alignment of all target structures by means of previously planned pure straight trajectories.</p></span> <span id="abst0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0025">Conclusions</span><p id="spar0055" class="elsevierStyleSimplePara elsevierViewall">This protocol is easy to set up, avoids rigid head fixation, bulky optical navigation accessories, while allows continuous navigation of both parts of the surgery. Since we have implemented this protocol, we have seen a significant improvement in both simple and complex neuroendoscopy procedures as the surgery is dramatically simplified.</p></span>" "secciones" => array:4 [ 0 => array:2 [ "identificador" => "abst0005" "titulo" => "Background and objective" ] 1 => array:2 [ "identificador" => "abst0010" "titulo" => "Methods" ] 2 => array:2 [ "identificador" => "abst0015" "titulo" => "Results" ] 3 => array:2 [ "identificador" => "abst0020" "titulo" => "Conclusions" ] ] ] "es" => array:3 [ "titulo" => "Resumen" "resumen" => "<span id="abst0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0035">Antecedentes y objetivo</span><p id="spar0060" class="elsevierStyleSimplePara elsevierViewall">La neuronavegación en ventriculoscopia se ha descrito en varios trabajos. Sin embargo, existen diferentes ventriculoscopios y sistemas de navegación. Debido a estas diferentes combinaciones, es difícil encontrar protocolos detallados de navegación para cada ventriculoscopio. Describimos, paso a paso, un método sencillo para navegar tanto la trayectoria hasta alcanzar el sistema ventricular, como el trabajo intraventricular para el ventriculoscopio LOTTA.</p></span> <span id="abst0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0040">Material y métodos</span><p id="spar0065" class="elsevierStyleSimplePara elsevierViewall">Utilizamos un ventriculoscopio rígido (LOTTA, KarlStorz) con un estilete electromagnético (S8-StealthSystem, Medtronic) como herramienta principal de navegación. El protocolo se basa en un trocar impreso en 3D o alternativamente, en una modificación del trócar original para la navegación de la fase extraventricular y en una sonda nasogástrica pediátrica modificada para la navegación de la fase intraventricular.</p></span> <span id="abst0035" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0045">Resultados</span><p id="spar0070" class="elsevierStyleSimplePara elsevierViewall">El protocolo puede configurarse en menos de 10 minutos. La parte extraventricular se navega introduciendo el estilete electromagnético dentro del trocar impreso en 3D o dentro del trócar original modificado. La navegación intraventricular se realiza combinando una sonda nasogástrica pediátrica modificada con el estilete electromagnético dentro del canal de trabajo del endoscopio. El punto más crítico consiste en obtener un acceso al ventrículo romo, exento de sangre y lograr una alineación perfecta de todas las estructuras diana mediante trayectorias rectas puras previamente planificadas.</p></span> <span id="abst0040" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0050">Conclusiones</span><p id="spar0075" class="elsevierStyleSimplePara elsevierViewall">Este protocolo es fácil de configurar, evita la fijación rígida de la cabeza, los voluminosos accesorios de navegación óptica, y a su vez permite la navegación continua de ambas partes de la cirugía. Desde que hemos implantado este protocolo, hemos observado una mejora significativa tanto en los procedimientos de neuroendoscopia sencillos como en los complejos ya que la cirugía se simplifica de forma drástica.</p></span>" "secciones" => array:4 [ 0 => array:2 [ "identificador" => "abst0025" "titulo" => "Antecedentes y objetivo" ] 1 => array:2 [ "identificador" => "abst0030" "titulo" => "Material y métodos" ] 2 => array:2 [ "identificador" => "abst0035" "titulo" => "Resultados" ] 3 => array:2 [ "identificador" => "abst0040" "titulo" => "Conclusiones" ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/25298496/unassign/S2529849624000649/v1_202410291638/en/main.assets" "Apartado" => null "PDF" => "https://static.elsevier.es/multimedia/25298496/unassign/S2529849624000649/v1_202410291638/en/main.pdf?idApp=UINPBA00004B&text.app=https://revistaneurocirugia.com/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2529849624000649?idApp=UINPBA00004B" ]
