caa a22 4500 606216022 CHVBK 20210128101101.0 cr unu---uuuuu 210128e20150801xx s 000 0 eng 10.1007/s00701-015-2475-8 doi (NATIONALLICENCE)springer-10.1007/s00701-015-2475-8 The use of Brainsuite iCT for frame-based stereotactic procedures [Elektronische Daten] [Jane Skjøth-Rasmussen, Bo Jespersen, Jannick Brennum] Background: Frame-based stereotactic procedures are the gold standard because of their superior stereotactic accuracy. The procedure used to be in multiple steps and was especially cumbersome and hazardous in intubated patients. A single-step procedure using intraoperative CT was created to optimize the procedures. Methods: A combined fixation and low profile frame holder was designed for the operating table, allowing positioning for the scanning procedure immediately followed by the surgical biopsy procedure with the same positioning and head fixation. For placement of depth electrodes immediate CT control of positioning was feasible. Results: In the first 8months the procedure was successfully used 65 times including 8 times in pediatric cases. The procedure duration in awake patients was on average 81min (range 33 to 202) and in intubated patients (children) on average 89min (median 89, 78-100). Discussion: This study demonstrates that frame-based stereotactic procedures in all brain locations are a feasible and practical technique with improved workflow and added patient safety and comfort. Springer-Verlag Wien, 2015 Stereotactic biopsy nationallicence Stereotactic placement of depth electrodes nationallicence Intraoperative CT nationallicence Pediatric nationallicence Safety nationallicence Skjøth-Rasmussen Jane Department of Neurosurgery, Neuroscience Center, Copenhagen University, Rigshospitalet, Blegdamsvej 9, 2100, Copenhagen Ø, Denmark aut Jespersen Bo Department of Neurosurgery, Neuroscience Center, Copenhagen University, Rigshospitalet, Blegdamsvej 9, 2100, Copenhagen Ø, Denmark aut Brennum Jannick Department of Neurosurgery, Neuroscience Center, Copenhagen University, Rigshospitalet, Blegdamsvej 9, 2100, Copenhagen Ø, Denmark aut Acta Neurochirurgica Springer Vienna 157/8(2015-08-01), 1437-1440 0001-6268 157:8<1437 2015 157 701 https://doi.org/10.1007/s00701-015-2475-8 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 brief-communication jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s00701-015-2475-8 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Skjøth-Rasmussen Jane Department of Neurosurgery, Neuroscience Center, Copenhagen University, Rigshospitalet, Blegdamsvej 9, 2100, Copenhagen Ø, Denmark aut NATIONALLICENCE 700 1- Jespersen Bo Department of Neurosurgery, Neuroscience Center, Copenhagen University, Rigshospitalet, Blegdamsvej 9, 2100, Copenhagen Ø, Denmark aut NATIONALLICENCE 700 1- Brennum Jannick Department of Neurosurgery, Neuroscience Center, Copenhagen University, Rigshospitalet, Blegdamsvej 9, 2100, Copenhagen Ø, Denmark aut NATIONALLICENCE 773 0- Acta Neurochirurgica Springer Vienna 157/8(2015-08-01), 1437-1440 0001-6268 157:8<1437 2015 157 701