Ommaya reservoir for intraventricular chemotherapy of children with neuro-oncological and oncohematological diseases: Design history, implantation technology, and experience gained at the Federal Research Center of Pediatric Hematology, Oncology, and Immunology named after Dmitry Rogachev

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Abstract

Ommaya reservoir is a convenient and reliable port for intraventricular injection of chemotherapeutic drugs in patients with oncohematological and neuro-oncological diseases. A total of 45 Ommaya reservoirs were implanted in 45 patients at the Federal Research Center of Pediatric Hematology, Oncology, and Immunology named after Dmitry Rogachev (Moscow) in 2012-2015. Because of small ventricles in most cases Ommaya reservoirs were implanted by stereotactic procedure. Intraventricular injection of methotrexate supported a high and stable concentration of the drug in the cerebrospinal fluid and proved to be a good alternative to intrathecal administration. In hydrocephalus Ommaya reservoir could be combined with pressure-regulated ventriculoperitoneal shunt, this providing a high concentration of methotrexate in the cerebrospinal fluid, safe for the patient.

About the authors

S. S. Ozerov

Federal Research Center of Pediatric Hematology, Oncology, and Immunology named after Dmitry Rogachev; Institute of Urgent Pediatric Surgery and Traumatology

Author for correspondence.
Email: Sergey.Ozerov@fccho-moscow.ru
Russian Federation

A. V. Melnikov

Institute of Urgent Pediatric Surgery and Traumatology

Email: melnikov.ns@mail.ru
Russian Federation

A. E. Samarin

Federal Research Center of Pediatric Hematology, Oncology, and Immunology named after Dmitry Rogachev

Email: alexey.samarin@fccho-moscow.ru
Russian Federation

G. V. Tereshchenko

Federal Research Center of Pediatric Hematology, Oncology, and Immunology named after Dmitry Rogachev

Email: galina.tereshenko@fccho-moscow.ru
Russian Federation

E. V. Kumirova

Federal Research Center of Pediatric Hematology, Oncology, and Immunology named after Dmitry Rogachev

Email: k_ella2004@mai.ru
Russian Federation

N. V. Myakova

Federal Research Center of Pediatric Hematology, Oncology, and Immunology named after Dmitry Rogachev

Email: nmiakova@mail.ru
Russian Federation

N. S. Grachev

Federal Research Center of Pediatric Hematology, Oncology, and Immunology named after Dmitry Rogachev

Email: nick-grachev@yandex.ru
Russian Federation

O. G. Zheludkova

Russian Center of Roentgenoradiology

Email: clelud@mail.ru
Russian Federation

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Copyright (c) 2015 Ozerov S.S., Melnikov A.V., Samarin A.E., Tereshchenko G.V., Kumirova E.V., Myakova N.V., Grachev N.S., Zheludkova O.G.

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