Citation, DOI, disclosures and article data
Citation:
Kecler-Pietrzyk A, Iqbal S, Baba Y, et al. Ommaya reservoir. Reference article, Radiopaedia.org (Accessed on 11 May 2024) https://doi.org/10.53347/rID-52127
Ommaya reservoir, also known as Ommaya shunt, is a device for repetitive access to the intrathecal space, consisting of an intraventricular catheter connected to a reservoir (port) implanted beneath the scalp. It is used for intrathecal administration of medication such as chemotherapy (mainly in the treatment of meningeal lymphomas, but also for other meningeal pathology such as leptomeningeal carcinomatosis 7) and palliative analgesics, as well as for CSF aspiration.
It can also be used for aspirating large cystic brain tumors as part of combination therapy 1.
Complications
History and etymology
It was invented by Pakistani neurosurgeon Ayub K Ommaya 6.
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1. Yamanaka Y, Shuto T, Kato Y et al. Ommaya Reservoir Placement Followed by Gamma Knife Surgery for Large Cystic Metastatic Brain Tumors. J Neurosurg. 2006;105 Suppl(Supplement):79-81. doi:10.3171/sup.2006.105.7.79 - Pubmed
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2. Lishner M, Perrin R, Feld R et al. Complications Associated with Ommaya Reservoirs in Patients with Cancer. The Princess Margaret Hospital Experience and a Review of the Literature. Arch Intern Med. 1990;150(1):173-6. - Pubmed
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3. Bleyer W, Pizzo P, Spence A et al. The Ommaya Reservoir: Newly Recognized Complications and Recommendations for Insertion and Use. Cancer. 1978;41(6):2431-7. doi:10.1002/1097-0142(197806)41:6<2431::aid-cncr2820410650>3.0.co;2-3 - Pubmed
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4. Stone J, Castillo M, Mukherji S. Leukoencephalopathy Complicating an Ommaya Reservoir and Chemotherapy. Neuroradiology. 1999;41(2):134-6. doi:10.1007/s002340050718 - Pubmed
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5. Sherman P & Aygun N. Development of a Cavum Septi Pellucidi After Ommaya Reservoir Placement: Report of an Unusual Complication. Acta Neurochir (Wien). 2006;148(3):359-62; discussion 362. doi:10.1007/s00701-005-0652-x - Pubmed
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6. Ommaya A. Subcutaneous Reservoir and Pump for Sterile Access to Ventricular Cerebrospinal Fluid. Lancet. 1963;2(7315):983-4. doi:10.1016/s0140-6736(63)90681-0 - Pubmed
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7. Dupoiron D, Autier L, Lebrec N et al. Intrathecal Catheter for Chemotherapy in Leptomeningeal Carcinomatosis From HER2-Negative Metastatic Breast Cancer. J Breast Cancer. 2023;26(6):572-81. doi:10.4048/jbc.2023.26.e40 - Pubmed
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