Interhemispheric transcorpus callosal approach in the treatment of ventricular hemorrhage with obstructive hydrocephalus

Wang, Kuo-Chuan; Lee, Jing-Er; Chen, Chi‐Lin; Tseng, Sheng-Hong; Kao, Ming-Wei; Chen, Jin-Cherng

doi:10.1016/j.surneu.2006.07.008

Cited by 3 publications

(11 citation statements)

References 26 publications

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“…23 Over the last 2 decades, several techniques have been used as alternatives or adjuncts to EVD placement in an attempt to avoid these pitfalls. These include adding fibrinolysis through the EVD, 23 microsurgical intraventricular clot evacuation, 24 rigid or flexible endoscopic clot evacuation, 1,6,7,[11][12][13][14][15][16][17]20 ETV, 3,14,15,18,25,26 or ETV combined with clot evacuation. 3,5,8,10,14,19 The administration of thrombolytic agents such as recombinant tissue-type plasminogen activator and urokinase, through the EVD, has been show to be safe and effective at accelerating clot clearance and possibly preventing catheter obstruction and reducing chronic hydrocephalus in patients with aneurysmal or spontaneous IVH compared with treatment with EVD alone.…”

Section: Discussionmentioning

confidence: 99%

“…28,29 Craniotomy with microsurgical intraventricular clot evacuation has been shown to be both a safe and feasible method for acutely removing IVH and improving hydrocephalus in obstructive hydrocephalus-IVH patients, but this technique is relatively invasive and its impact on outcome has yet to be demonstrated. 24 ETV and endoscopic intraventricular clot evacuation is an appealing alternative modality to treat hemorrhage-related obstructive hydrocephalus. We performed ETV alone and combined with clot evacuation for the treatment of IVHrelated obstructive hydrocephalus in a group of 17 patients.…”

Section: Discussionmentioning

confidence: 99%

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Endoscopic Third Ventriculostomy for Obstructive Hydrocephalus due to Intraventricular Hemorrhage

Obaid

Weil

Rahme

et al. 2014

J Neurol Surg A Cent Eur Neurosurg

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ETV with or without endoscopic clot evacuation is feasible for patients with hemorrhage-related obstructive hydrocephalus. Potential advantages include avoiding or reducing duration of EVD placement and preventing ventriculoperitoneal shunt placement. Further large prospective randomized trials are needed to evaluate the safety and efficacy of ETV with or without clot evacuation for IVH-related obstructive hydrocephalus.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Endoscopic Third Ventriculostomy for Obstructive Hydrocephalus due to Intraventricular Hemorrhage

Obaid

Weil

Rahme

et al. 2014

J Neurol Surg A Cent Eur Neurosurg

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“…In total, 207 patients were included in the review. The modified Rankin Scale (mRS) and Glasgow Outcome Scale (GOS) were the two outcome measurements used in all nine studies: the GOS was used in five studies [ 13 , 14 , 17 , 18 , 21 ], while the mRS was used in four [ 15 , 16 , 19 , 20 ].…”

Section: Resultsmentioning

confidence: 99%

“…One randomized controlled study [ 17 ] was rated as having some concerns in the domain of selection of the reported result, while the other randomized controlled study [ 21 ] was deemed low risk. Five [ 13 , 14 , 16 , 18 , 19 ] cohort studies were of good quality, one [ 20 ] was of fair quality, and one [ 15 ] was of poor quality due to the outcome domain.…”

Section: Resultsmentioning

confidence: 99%

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Therapy management and outcome of acute hydrocephalus secondary to intraventricular hemorrhage in adults

Wang,

Bai,

et al. 2024

Chin Neurosurg Jl

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Background Intraventricular hemorrhage (IVH) refers to bleeding within the brain’s ventricular system, and hydrocephalus is a life-threatening complication of IVH characterized by increased cerebrospinal fluid accumulation in the ventricles resulting in elevated intracranial pressure. IVH poses significant challenges for healthcare providers due to the complexity of the underlying pathophysiology and lack of standardized treatment guidelines. Herein, we performed a systematic review of the treatment strategies for hydrocephalus secondary to IVH. Methods This systematic review was prospectively registered with PROSPERO (CRD42023450786). The search was conducted in PubMed, Cochrane Library, and Web of Science on July 15, 2023. We included original studies containing valid information on therapy management and outcome of hydrocephalus secondary to primary, spontaneous, and subarachnoid or intracranial hemorrhage following IVH in adults that were published between 2000 and 2023. Glasgow Outcome Scale (GOS) or modified Ranking Scale (mRS) scores during follow-up were extracted as primary outcomes. The risk of bias was assessed using the Newcastle–Ottawa Scale for Cohort Studies or Cochrane Risk of Bias 2.0 Tool. Results Two hundred and seven patients from nine published papers, including two randomized controlled trials, were included in the analysis. The GOS was used in five studies, while the mRS was used in four. Seven interventions were applied, including craniotomy for removal of hematoma, endoscopic removal of hematoma with/without endoscopic third ventriculostomy (ETV), traditional external ventricular drainage (EVD), and various combinations of EVD, lumbar drainage (LD), and intraventricular fibrinolysis (IVF). Endoscopic removal of hematoma was performed in five of nine studies. Traditional EVD had no obvious benefit compared with new management strategies. Three different combinations of EVD, LD, and IVF demonstrated satisfactory outcomes, although more studies are required to confirm their reliability. Removal of hematoma through craniotomy generated reliable result. Generally, endoscopic removal of hematoma with ETV, removal of hematoma through craniotomy, EVD with IVF, and EVD with early continuous LD were useful. Conclusion EVD is still crucial for the management of IVH and hydrocephalus. Despite a more reliable result from the removal of hematoma through craniotomy, a trend toward endoscopic approach was observed due to a less invasive profile.

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Hemorrhagic Stroke: Endoscopic Aspiration

Feletti

Fiorindi

2022

Advances and Technical Standards in Neurosurgery

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Interhemispheric transcorpus callosal approach in the treatment of ventricular hemorrhage with obstructive hydrocephalus

Cited by 3 publications

References 26 publications

Endoscopic Third Ventriculostomy for Obstructive Hydrocephalus due to Intraventricular Hemorrhage

Endoscopic Third Ventriculostomy for Obstructive Hydrocephalus due to Intraventricular Hemorrhage

Therapy management and outcome of acute hydrocephalus secondary to intraventricular hemorrhage in adults

Hemorrhagic Stroke: Endoscopic Aspiration

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