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The Capital Region of Denmark - a part of Copenhagen University Hospital
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Surgeons' experience of venous risk with CPA surgery

Research output: Contribution to journalJournal articleResearchpeer-review

  1. Safe handling of veins in the pineal region-a mixed method study

    Research output: Contribution to journalJournal articleResearchpeer-review

  2. Clinical and histopathological predictors of outcome in malignant meningioma

    Research output: Contribution to journalJournal articleResearchpeer-review

  1. Proposal of a new grading system for meningioma resection: the Copenhagen Protocol

    Research output: Contribution to journalJournal articleResearchpeer-review

  2. Health-Related Quality of Life and Return to Work after Surgery for Spinal Meningioma: A Population-Based Cohort Study

    Research output: Contribution to journalJournal articleResearchpeer-review

  3. Management of a DAVF in a Patient with Loeys-Dietz Syndrome Type II: Case Report and Overview of the Literature

    Research output: Contribution to journalLetterResearchpeer-review

  4. Meningioma-Brain Crosstalk: A Scoping Review

    Research output: Contribution to journalReviewResearchpeer-review

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The study aims to systematize neurosurgeons' practical knowledge of venous sacrifice as applied to the posterior fossa region and to analyze the collected data to present and preserve relevant experience and expert knowledge for current and future practicing neurosurgeons. The venous structures assessed were the superior petrosal vein (SPV), sigmoid sinus (SS), and the tentorial veins (TV). The survey is constructed to obtain surgeons' idea of assessed risk when sacrificing specific venous structures during posterior fossa surgery. They were asked how they prep for surgery, number of operations conducted, and their basis of knowledge. Collected data were mainly qualitative and analyzed with a mixed-method approach. A mean absolute deviation was calculated measuring rate of disagreement for a given substructure. Consensus existed among the participating surgeons that sacrificing the SPV and the TV was considered safe. Although, the risk of death when occluding major structures like the main trunk of the SPV, one of the SS' and or a total occlusion of all TV yielded high risk of death. The risk of infarction was often too apparent to discredit even with low risk of death among an experienced class of surgeons. Our findings provide an overview of surgical risk associated with venous sacrifice. This will minimize cases where indispensable practical knowledge on safe handling veins in the cerebellopontine angle is either to be lost or taught among few when the neurosurgeons retire. This will lower the disagreement regarding risks and increase the quality of surgical decision-making.

Original languageEnglish
JournalNeurosurgical Review
Volume44
Issue number3
Pages (from-to)1675-1685
Number of pages11
ISSN1437-2320
DOIs
Publication statusPublished - Jun 2021

    Research areas

  • CPA, Surgery, Vein, Sacrifice, Fossa, Risk

ID: 61715393