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. 2019 Oct 15;19:65. doi: 10.1186/s40644-019-0250-4

Table 4.

Summary of common complications of LITT and recommendation to avoid

Reported complication Recommendation Reference
1 Arteria injury leading to hemorrhage • Choosing the safer trajectory even if it is longer (Jethwa et al.)

Jethwa et al. (1 patient),

Pruitt et al. (3 patients)

2 Refractory brain edema due to large lesion size

• Ideal lesion: < 3 cm in diameter, well defined.

• Staged procedure for larger lesion.

• Pre procedure steroids (Jethwa et al.)

Jethwa et al. (1 patient)
3 Thermal injury to a nearby vital structure

• Using smaller diffusing tips.

• Use caution when target lesion is not adjacent to CSF space (act as a protective heat sink) (Pruitt et al.)

Jethwa et al. (1 patient),

Pruitt et al. (3 patients)

4 Catheter malposition

• Using an alignment rod.

• Avoid use of plastic skull anchors (Pruitt et al.)

Jethwa et al. (1 patient),

Pruitt et al. (4 patients)