Hemostasis in a giant intraventricular tumor using a saline-cooled radiofrequency bipolar coagulator: technical note
Background Meningiomas are relatively rare in children and tend to be intraventricular and cystic, with often malignant behavior. Complete excision is associated with the most favorable outcome; moreover, the size and extent of these lesions often make complete excision in one step impossible because of the risk of intraoperative death from uncontrollable hemorrhage. Case presentation A 10-year-old girl was admitted for headache in the last 3 months and was found to have a giant left intraventricular lesion with a volume of 166.63 $ cm^{3} $, which caused hydrocephalus and significant mass effect. Very large draining veins were evident within the tumor, draining into the thalamostriates and internal cerebral veins. Cerebral angiography showed multiple feeders originating mainly from branches of the posterior left choroidal artery with distal afferents that could not be embolized. Therefore, a left parietal transcortical approach was chosen. Given the vascularity of the tumor, saline-cooled radiofrequency coagulation ($ Aquamantys^{®} $) was used to reduce blood loss intraoperatively. Gross total resection (GTR) was achieved with an estimated blood loss of 640 mL. Pathology analysis was consistent with WHO grade 1 transitional meningioma. Postoperatively, the patient was neurologically intact, and MRI confirmed complete resection. Conclusion $ Aquamantys^{®} $ is a novel bipolar coagulation device that employs a new bipolar coagulation technique combining radiofrequency energy and saline to achieve hemostatic sealing by denaturing collagen fibers. This offers the possibility of achieving adequate hemostasis even in giant intraventricular tumors in infants to obtain GTR resection with minimal blood loss..
| Medienart: |
Artikel |
|---|
| Erscheinungsjahr: |
2023 |
|---|---|
| Erschienen: |
2023 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:39 |
|---|---|
| Enthalten in: |
Child's nervous system - 39(2023), 8 vom: 17. Juni, Seite 2181-2185 |
| Sprache: |
Englisch |
|---|
| Beteiligte Personen: |
Vitulli, Francesca [VerfasserIn] |
|---|
| Links: |
Volltext [lizenzpflichtig] |
|---|
| BKL: | |
|---|---|
| Themen: |
Aquamantys |
| Anmerkungen: |
© The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature 2023. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law. |
|---|
| doi: |
10.1007/s00381-023-06027-7 |
|---|
| funding: |
|
|---|---|
| Förderinstitution / Projekttitel: |
|
| PPN (Katalog-ID): |
OLC2144768439 |
|---|
| LEADER | 01000naa a22002652 4500 | ||
|---|---|---|---|
| 001 | OLC2144768439 | ||
| 003 | DE-627 | ||
| 005 | 20240118100758.0 | ||
| 007 | tu | ||
| 008 | 240118s2023 xx ||||| 00| ||eng c | ||
| 024 | 7 | |a 10.1007/s00381-023-06027-7 |2 doi | |
| 035 | |a (DE-627)OLC2144768439 | ||
| 035 | |a (DE-He213)s00381-023-06027-7-p | ||
| 040 | |a DE-627 |b ger |c DE-627 |e rakwb | ||
| 041 | |a eng | ||
| 082 | 0 | 4 | |a 610 |q VZ |
| 082 | 0 | 4 | |a 610 |q VZ |
| 084 | |a 44.00 |2 bkl | ||
| 100 | 1 | |a Vitulli, Francesca |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Hemostasis in a giant intraventricular tumor using a saline-cooled radiofrequency bipolar coagulator: technical note |
| 264 | 1 | |c 2023 | |
| 336 | |a Text |b txt |2 rdacontent | ||
| 337 | |a ohne Hilfsmittel zu benutzen |b n |2 rdamedia | ||
| 338 | |a Band |b nc |2 rdacarrier | ||
| 500 | |a © The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature 2023. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law. | ||
| 520 | |a Background Meningiomas are relatively rare in children and tend to be intraventricular and cystic, with often malignant behavior. Complete excision is associated with the most favorable outcome; moreover, the size and extent of these lesions often make complete excision in one step impossible because of the risk of intraoperative death from uncontrollable hemorrhage. Case presentation A 10-year-old girl was admitted for headache in the last 3 months and was found to have a giant left intraventricular lesion with a volume of 166.63 $ cm^{3} $, which caused hydrocephalus and significant mass effect. Very large draining veins were evident within the tumor, draining into the thalamostriates and internal cerebral veins. Cerebral angiography showed multiple feeders originating mainly from branches of the posterior left choroidal artery with distal afferents that could not be embolized. Therefore, a left parietal transcortical approach was chosen. Given the vascularity of the tumor, saline-cooled radiofrequency coagulation ($ Aquamantys^{®} $) was used to reduce blood loss intraoperatively. Gross total resection (GTR) was achieved with an estimated blood loss of 640 mL. Pathology analysis was consistent with WHO grade 1 transitional meningioma. Postoperatively, the patient was neurologically intact, and MRI confirmed complete resection. Conclusion $ Aquamantys^{®} $ is a novel bipolar coagulation device that employs a new bipolar coagulation technique combining radiofrequency energy and saline to achieve hemostatic sealing by denaturing collagen fibers. This offers the possibility of achieving adequate hemostasis even in giant intraventricular tumors in infants to obtain GTR resection with minimal blood loss. | ||
| 650 | 4 | |a Transcollation system | |
| 650 | 4 | |a Aquamantys | |
| 650 | 4 | |a Hemostasis | |
| 650 | 4 | |a Blood loss | |
| 650 | 4 | |a Meningioma | |
| 650 | 4 | |a Intraventricular tumor | |
| 650 | 4 | |a Children | |
| 700 | 1 | |a Spennato, Pietro |4 aut | |
| 700 | 1 | |a Di Costanzo, Marianna |4 aut | |
| 700 | 1 | |a Cinalli, Maria Allegra |4 aut | |
| 700 | 1 | |a Onorini, Nicola |4 aut | |
| 700 | 1 | |a Mirone, Giuseppe |4 aut | |
| 700 | 1 | |a Cinalli, Giuseppe |4 aut | |
| 773 | 0 | 8 | |i Enthalten in |t Child's nervous system |d Springer Berlin Heidelberg, 1985 |g 39(2023), 8 vom: 17. Juni, Seite 2181-2185 |w (DE-627)130403075 |w (DE-600)605988-0 |w (DE-576)015905721 |x 0256-7040 |7 nnns |
| 773 | 1 | 8 | |g volume:39 |g year:2023 |g number:8 |g day:17 |g month:06 |g pages:2181-2185 |
| 856 | 4 | 1 | |u https://doi.org/10.1007/s00381-023-06027-7 |z lizenzpflichtig |3 Volltext |
| 912 | |a GBV_USEFLAG_A | ||
| 912 | |a SYSFLAG_A | ||
| 912 | |a GBV_OLC | ||
| 912 | |a SSG-OLC-PSY | ||
| 912 | |a GBV_ILN_267 | ||
| 912 | |a GBV_ILN_2018 | ||
| 912 | |a GBV_ILN_4277 | ||
| 936 | b | k | |a 44.00 |q VZ |
| 951 | |a AR | ||
| 952 | |d 39 |j 2023 |e 8 |b 17 |c 06 |h 2181-2185 | ||