Technical exploration of intraoperative ventricular puncture and external drainage during clipping surgery of ruptured aneurysms
Wang Xiaogang
Liang Guobiao
Liang Yong
Abstract：Objectives To summarize the specific methods of intraoperative ventricular puncture and external drainage in ruptured aneurysms patients with subarachnoid hemorrhage and summarize and explore the choice of puncture site and the technical key points for puncturing and catheter placement. Methods Clinical data of 60 patients undergoing intraoperative ventricular puncture and external drainage during intracranial aneurysm clipping surgery were analyzed retrospectively. The puncture via traditional paine point was performed in 20 patients, via improved paine point in 20 and via point located according to cerebral gyrus in 20. Results The puncture failed because of small ventricle in one patient. Intraoperative brain tissue collapse was good in 59 patients. Intraventricular hemorrhage occurred in 1 patient who recovered well by ventricle drainage. Conclusions The puncture into the lateral ventricle can be finished accurately by three methods, which can provide operating space for aneurysm clipping. The improved paine point puncture is the most simple and practical method.
Keywords：intracranial aneurysmaneurysmrupturedsubarachnoid hemorrhagepunctureventriclevascular surgical procedures
Publication Date：2015-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 10-12 )