Ventriculography
Objective
To study the distortions of the ventricular system due to
disease:
• By
injection of radio-opaque contrast medium.
Position
Supine.
Anesthesia
Local.
Procedure
1. Incision 1.5 inches from
midline in parietal area.
2. Make
a burr hole.
3. Dura
incised.
4. Insert
cannula measure pressure.
5. Inject
radio-opaque material.
Instruments
• Sponge-holding forceps
(Rampley), 2
• Scalpel
handle No. 4 with No. 22 blade (Bard Parker)
• Scalpel
handle No. 5 with No. 15 or 11 blade (Bard Parker)
• Fine
dissecting forceps, toothed (Gillies)
• Medium
dissecting forceps, non-toothed
• Medium
dissecting forceps, toothed (Lane’s)
• Artery
forceps, straight (Moynihan), 5
• Scissors,
stitch
• Scissors
curved (Metzenbaum)
• Scissors
curved (Strabismus)
• Scissors
straight (Iris)
• Dura
hooks, sharp and blunt
• Periosteal
elevator (Adson)
• Dissector
(McDonald) small aneurysm needle
• Dura
separator (Sergeant’s)
• Dressing
forceps (Tilley or Olivecrona)
• Bone
nibblers, curved on flat and angled on side, 2
• Skull
brace (Hudson)
• Skull
perforators and burrs (Hudson)
• Retractors,
self-retaining
• Fine
needle holder
• Diathermy
leads, electrodes, scabbard and lead anchoring forceps
• Spinal
manometer
• CSF
specimen bottles
• 10
ml syringe
• Bonney’s
blue
• Steel
rule and skin pen
• Ventricular
cannula
• Towel
clips, 5
• Irrigation
syringe
• Pint
measure with warm saline
• Local
anesthesia requisites
• Suction
tubing, fine nozzles and tube anchoring forceps
• Fine
Nelaton catheters, polyvinyl or latex rubber with spigots, 5.
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