Placement of External Ventricular Drain: Comparison of Two Methods
| Autor: | Marco Stein, Eberhard Uhl, Michael Bender, Frank P. Schwarm, Marcus H. T. Reinges |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Adult
Male medicine.medical_specialty Catheters Computed tomography Ventriculostomy Standard procedure Young Adult 03 medical and health sciences Postoperative Complications 0302 clinical medicine Trephining medicine Humans Aged Cerebral Hemorrhage Retrospective Studies Aged 80 and over medicine.diagnostic_test business.industry Significant difference Retrospective cohort study Middle Aged medicine.disease Surgery Intraventricular hemorrhage 030220 oncology & carcinogenesis Drainage Female Neurology (clinical) Neurosurgery Tomography X-Ray Computed business 030217 neurology & neurosurgery Hydrocephalus External ventricular drain Tape measure |
| Zdroj: | Journal of Neurological Surgery Part A: Central European Neurosurgery. 80:116-121 |
| ISSN: | 2193-6323 2193-6315 |
| DOI: | 10.1055/s-0038-1676576 |
| Popis: | Background Insertion of a frontal external ventricular drain (EVD) is a common emergency procedure in neurosurgery. Malpositioning of the EVD and/or triggering a new intracerebral or intraventricular hemorrhage (nICVH) are typical complications. The standard procedure (SP) uses a tape measure to identify the Kocher's point for placement of a frontal burr hole. A faster alternative to determine the correct position is the freehand technique (FHT). This study compared both techniques with regard to the correct positioning of the EVD tip and the induction catheter-induced nICVH. Methods We performed a retrospective analysis of patients who required an EVD for acute or chronic hydrocephalus between January 2013 and March 2014. The study consisted of two groups. In the first group, EVDs were placed with the FHT. In the second group the SP was used. Postoperative computed tomography scans were analyzed regarding correct positioning of the ventricular catheter, malpositioning of the tip of the EVD using a 4-point-scale, and evidence for catheter-induced nICVH. Results A total of 95 patients could be included. The FHT was performed in 43 cases and the SP in 52 cases. No significant differences between the two groups were found regarding the correct position of the EVD tip (p = 0.38) and nICVH (p = 0.12). There was no significant difference in malpositioning of the EVD tip between the groups (p = 0.34). Conclusion Our results show no significant differences between the two methods with regard to correct position, malpositioning, and nICVH. Thus we conclude that the FHT is a fast, safe, and effective alternative to the SP. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|