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Technical Considerations for LITT: Getting Through the Procedure

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Laser Interstitial Thermal Therapy in Neurosurgery

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Abstract

Laser ablation has become an integral tool within the neurosurgeon’s armamentarium. Applicability to a wide range of pathologies, while maintaining a minimally invasive profile, has been a key driving factor for laser ablation’s success. It has become increasingly utilized in the management of epilepsy and intracranial tumors. Two major laser ablation systems are commercially available at the present time. Neurosurgeons around the world utilize various stereotactic systems for laser insertion. However, the general principles guiding this procedure remain similar. This chapter should serve as a step-by-step how-to guide for operators. Our hope is that neurosurgeons can use this as a manual in their own practice for performing this operation.

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Disclosures

Dr. Danish has received honoraria from Medtronic. Dr. Chiang has received honoraria from Monteris Medical Inc.

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Authors and Affiliations

  1. Department of Neurosurgery, Robert Wood Johnson-Barnabas University Hospital, New Brunswick, NJ, USA

    Nitesh V. Patel

  2. Department of Neurological Surgery, Rutgers-Robert Wood Johnson Medical School, New Brunswick, NJ, USA

    Simon Hanft

  3. Department of Neurosurgery, Yale University School of Medicine, New Haven, CT, USA

    Veronica L. Chiang

  4. Department of Neurological Surgery, University of California San Diego, San Diego, CA, USA

    David D. Gonda

  5. Department of Neurological Surgery, University of Louisville, Louisville, KY, USA

    Joseph S. Neimat

  6. Department of Neurosurgery, Rutgers University, New Brunswick, NJ, USA

    Shabbar F. Danish

Authors
  1. Nitesh V. Patel
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  2. Simon Hanft
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  3. Veronica L. Chiang
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  4. David D. Gonda
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  5. Joseph S. Neimat
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  6. Shabbar F. Danish
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Corresponding author

Correspondence to Nitesh V. Patel .

Editor information

Editors and Affiliations

  1. Department of Neurosurgery, Yale University School of Medicine, New Haven, CT, USA

    Veronica L. Chiang

  2. Department of Neurosurgery, Rutgers-RWJ Medical School, New Brunswick, NJ, USA

    Shabbar F. Danish

  3. Department of Neurosurgery, Emory University School of Medicine, Atlanta, GA, USA

    Robert E. Gross

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Patel, N.V., Hanft, S., Chiang, V.L., Gonda, D.D., Neimat, J.S., Danish, S.F. (2020). Technical Considerations for LITT: Getting Through the Procedure. In: Chiang, V., Danish, S., Gross, R. (eds) Laser Interstitial Thermal Therapy in Neurosurgery. Springer, Cham. https://doi.org/10.1007/978-3-030-48047-9_2

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