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Joseph H Piatt, Jr, MD, FAAP |
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Section |
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of |
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Neurosurgery |
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344 pediatric patients |
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new shunt insertions only |
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randomization among Delta, Orbis-Sigma, and
“house” valve |
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central, blinded review of brain images |
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end-point adjudication |
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Widely available |
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Precise |
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Unlimited by burr hole site |
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Radiation |
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Logistics |
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Positioning |
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Not real-time |
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Defeated by shift, drainage of ventricles,
&c, &c |
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Payment |
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Real-time |
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Unaffected by burr hole site |
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Unaffected by brain shift, sag, dehydration,
deflation, CSF drainage, &c, &c |
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Immediate detection of complications |
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Craniectomy |
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Instrumentation |
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Probe head size |
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Sterilization |
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Sleeves |
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Air degrades images. |
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“Make or buy?” |
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Turf |
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Payment |
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Notes