Publicaties

BACKGROUND AND OBJECTIVE: Intraoperative rupture of a cerebral aneurysm during neurosurgery can be a devastating event that increases perioperative morbidity and mortality. Rapid ventricular pacing (RVP) is a technique to obtain flow arrest for short periods of time during dissection or rupture of the aneurysm. The objective of this study was to evaluate the neurological and cardiac effects of repetitive periods of RVP during cerebrovascular ...

Background: Oxidized regenerated cellulose is commonly used in many surgical fields as a hemostatic agent. Complications related to swelling or compression after application of small portions of Surgicel® Fibrillar have not yet been described. Patients: We report on a 65-year-old woman who was operated for a high-grade spinal stenosis at the L2-L3 level. Small portions of Surgicel® Fibrillar were used to control bleeding from the epidural venous ...

Background: Intraoperative rupture of a cerebral aneurysm can be a devastating event that increases operative morbidity and mortality. Rapid ventricular pacing (RVP) is a technique used in interventional cardiology to obtain flow arrest for short periods of time. Objective: We present our experience of RVP for flow arrest during cerebrovascular surgery. Methods: RVP was employed to produce flow arrest for periods of 40 s in twelve patients who ...

Object. Several studies have suggested that neurovascular compression (NVC) of the brainstem might be a cause of hypertension. Because this compression syndrome might be demonstrated by MR imaging studies, several authors have tried to assess its prevalence in small series of patients with hypertension. This article presents a meta-analysis of these studies. Methods. The studies reviewed by the authors were based on MR imaging and included the ...

Background: Fixation of bone flaps after craniotomy is a routine part of every neurosurgical procedure and there are various options to fixate the bone flap. In this paper, we report on a new cranial bone flap fixation d(Cranial Loop) implanted in 35 consecutive patients. Methods: The principle of cranial loop is the same as that of a tie rope. With a simple pull and tighten movement, the device is implanted without the need for additional ...

OBJECTIVE: The aim of this paper is to describe a simple and effective method for evaluating the quality of microvascular anastomoses performed in vitro. METHODS: After the microvascular anastomosis has been performed in vitro, the vessel is cannulated at a distance of several millimeters from the anastomosis site with a catheter that is connected to a syringe filled with commercially available silicone glue. The silicone glue is slowly injected ...

Microsuturing in a narrow and/or a deep operating space is technically challenging and classical microinstruments such as a bayonet microneedleholder have their limitation, mainly related to their in-built rigidity. In this technical note, a new flexible and 360 degrees rotating shaft microneedleholder made from nitinol is presented.

Normal haemostasis depends on an intricate balance between mechanisms of bleeding and mechanisms of thrombosis, and this balance can be altered after traumatic brain injury (TBI). Impaired haemostasis could exacerbate the primary insult with risk of initiation or aggravation of bleeding; anticoagulant use at the time of injury can also contribute to bleeding risk after TBI. Many patients with TBI have abnormalities on conventional coagulation ...

Retinal haemorrhages (RH) and subdural haematomas (SDH) are frequently seen in abusive head trauma (AHT). The aim of our study is to show that they are suggestive, but not pathognomonic for AHT. We performed an observational retrospective study on children, aged 1-18 months old, admitted to the Antwerp University Hospital with RH. History, physical examination, medical course, coagulation and metabolic tests, skeletal survey, head circumference, ...