Percutaneous tunnel ventriculostomy

Friedman, William A.; Vries, John K.

doi:10.3171/jns.1980.53.5.0662

Cited by 127 publications

(55 citation statements)

References 9 publications

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“…Neurosurgeons can provide rapid correction of ventriculomegaly and/or measurement of ICP by performing ventriculostomy with a closed system drainage catheter. This drain helps to prevent secondary brain injury from elevated ICP through the external diversion of cerebrospinal fluid (CSF) and/or intraventricular blood in situations of acute cerebral or intraventricular hemorrhage (IVH)[1,2,3]. While the clinical indications for EVD placement are well known, the literature is sparse with specific etiologies that require ventriculostomy.…”

Section: Introductionmentioning

confidence: 99%

Indications for Pediatric External Ventricular Drain Placement and Risk Factors for Conversion to a Ventriculoperitoneal Shunt

Walker

Stone²,

Jacobson³

et al. 2012

Pediatr Neurosurg

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Background/Aims: The external ventricular drain (EVD) is commonly used for the treatment of hydrocephalus and intracranial pressure (ICP) monitoring. In this study, we retrospectively reviewed indications for EVD placement over the last 20 years in pediatric patients at our institution. Additionally, we evaluated the rate that an EVD needed to be converted to a ventriculoperitoneal shunt (VPS) and ascertained how hydrocephalus etiology impacted long-term drainage requirements. Methods: Patients that received an EVD between 1990 and 2010 at our institution were identified using billing codes. Demographics, etiology of hydrocephalus, length of stay (LOS) and EVD duration were recorded. Only patients receiving their first EVD were included; those with any prior ventricular catheter (including prior shunts) were excluded from this study. Results: A total of 180 patients underwent first-time placement of an EVD over the 20-year period. Of these, 78.9% were placed on the right side and 81.7% were performed through a frontal burr hole site. The average age of all patients at their initial procedure was 9.3 years (median 9.8; range 0-18), hospital LOS was 22.5 days (median 16; range 1-174) and EVD duration was 7.8 days (median 7; range 1-37). Trauma (43.3%) and neoplasms (32.2%) were the most common indications. Approximately, one quarter of the patients were unable to become EVD independent and, therefore, required a VPS. Only patients receiving an EVD for traumatic brain injury were significantly less likely to be converted to a shunt than other causes of hydrocephalus (relative risk, RR = 0.18, 95% confidence interval, CI = 0.07-0.46). Conversely, patients with neoplasms (RR = 3.56, 95% CI = 1.74-7.31), obstructive hydrocephalus (RR = 5.48, 95% CI = 1.37-22.0) and intraventricular hemorrhage (RR = 9.86, 95% CI = 1.05-92.3) were more likely to need a shunt. Conclusion: Traumatic brain injuries and neoplasms represent the most common indications for EVD placement in the pediatric population. While patients with neoplasm were much more likely to need conversion to a VPS for long-term cerebrospinal fluid diversion, the majority of EVDs in patients with head injuries were successfully weaned.

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Section: Introductionmentioning

confidence: 99%

Indications for Pediatric External Ventricular Drain Placement and Risk Factors for Conversion to a Ventriculoperitoneal Shunt

Walker

Stone²,

Jacobson³

et al. 2012

Pediatr Neurosurg

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“…Freidman et al first proposed subcutaneous tunneling of the EVD catheter, and reported an infection rate of 0% in a series of 100 patients (Friedman & Vries, 1980). Similar principle of preventing ascending infection has been applied to the design of indwelling intravenous catheters and, indeed, intravenous Broviac catheter has been described for cerebrospinal fluid (CSF) drainage.…”

Section: Subcutaneous Catheter Tunnelmentioning

confidence: 99%

External Ventricular Drain Infections

Tsang¹,

Leung²

2012

Hydrocephalus

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“…They found that despite prolonged usage, infection rates could be as low as 2%. 49 This technique was reported on in greater detail by Friedman and Vries in 1980 13 and then became standardized (Fig. 3).…”

Section: 49mentioning

confidence: 99%

“…5 Polyethylene tubing remained in vogue until Silastic catheters were developed in 1969. 59 The change in materials has shown great stepwise evolution, from Keen's horse hairs, Adson's metal cannula, 1 Robinson's woven silk urethral catheter, 45 Ingraham's silver cannula, 19 Crawford and Munslow's rubber catheter, 10 to the modern Silastic catheter 13 (Table 1). In addition to the development of catheter materials, changes to the drainage system improved the safety and functionality of EVD.…”

Section: Technological Advancements (1927-1950)mentioning

confidence: 99%

The history of external ventricular drainage

Srinivasan

O’Neill

Jho

et al. 2014

JNS

104

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External ventricular drainage (EVD) is one of the most commonly performed neurosurgical procedures. It was first performed as early as 1744 by Claude-Nicholas Le Cat. Since then, there have been numerous changes in technique, materials used, indications for the procedure, and safety. The history of EVD is best appreciated in 4 eras of progress: development of the technique (1850-1908), technological advancements (1927-1950), expansion of indications , and accuracy, training, and infection control (1995-present). While EVD was first attempted in the 18th century, it was not until 1890 that the first thorough report of EVD technique and outcomes was published by William Williams Keen. He was followed by H. Tillmanns, who described the technique that would be used for many years. Following this, many improvements were made to the EVD apparatus itself, including the addition of manometry by Adson and Lillie in 1927, and continued experimentation in cannulation/drainage materials. Technological advancements allowed a great expansion of indications for EVD, sparked by Nils Lundberg, who published a thorough analysis of the use of intracranial pressure (ICP) monitoring in patients with brain tumors in 1960. This led to the application of EVD and ICP monitoring in subarachnoid hemorrhage, Reye syndrome, and traumatic brain injury. Recent research in EVD has focused on improving the overall safety of the procedure, which has included the development of guidance-based systems, virtual reality simulators for trainees, and antibiotic-impregnated catheters.

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Percutaneous tunnel ventriculostomy

Cited by 127 publications

References 9 publications

Indications for Pediatric External Ventricular Drain Placement and Risk Factors for Conversion to a Ventriculoperitoneal Shunt

Indications for Pediatric External Ventricular Drain Placement and Risk Factors for Conversion to a Ventriculoperitoneal Shunt

External Ventricular Drain Infections

The history of external ventricular drainage

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