Cecilia Casali1, Massimiliano Del Bene2,3, Giuseppe Messina2, Federico Legnani2, Francesco DiMeco2,4,5. 1. Department of Neurosurgery, Fondazione IRCCS Istituto Neurologico C. Besta, via Celoria 11, 20133, Milan, Italy. cecilia.casali@istituto-besta.it. 2. Department of Neurosurgery, Fondazione IRCCS Istituto Neurologico C. Besta, via Celoria 11, 20133, Milan, Italy. 3. Department of Experimental Oncology, IEO, European Institute of Oncology IRCCS, Milan, Italy. 4. Department of Pathophysiology and Transplantation, University of Milan, Milan, Italy. 5. Department of Neurological Surgery, Johns Hopkins Medical School, Baltimore, MD, USA.
Abstract
BACKGROUND: Laser-interstitial thermal therapy (LITT) is an ablative treatment based on a surgically implanted laser-emitting catheter to induce a focal ablation of the pathological tissue. The main indications in neurosurgery are primary brain tumors, metastases, radiation necrosis, and pediatric brain tumors. Several approaches have been proposed to implant the laser-emitting catheter, both in frameless and frame-based conditions. METHODS: We report our approach for Robot assisted laser-interstitial thermal therapy of brain lesions with iSYS1 and Visualase (Medtronic). CONCLUSIONS: iSYS1 represents a significant adjunct to LITT procedures and may be safely implemented in routine laser-catheter positioning.
BACKGROUND: Laser-interstitial thermal therapy (LITT) is an ablative treatment based on a surgically implanted laser-emitting catheter to induce a focal ablation of the pathological tissue. The main indications in neurosurgery are primary brain tumors, metastases, radiation necrosis, and pediatric brain tumors. Several approaches have been proposed to implant the laser-emitting catheter, both in frameless and frame-based conditions. METHODS: We report our approach for Robot assisted laser-interstitial thermal therapy of brain lesions with iSYS1 and Visualase (Medtronic). CONCLUSIONS: iSYS1 represents a significant adjunct to LITT procedures and may be safely implemented in routine laser-catheter positioning.
Authors: Raghav Gupta; Christoph J Griessenauer; Justin M Moore; Nimer Adeeb; Apar S Patel; Christopher S Ogilvy; Ajith J Thomas Journal: J Neurosurg Date: 2016-12-23 Impact factor: 5.115
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