Which side of lateral ventricles to choose during external ventricular drainage in patients with intraventricular hemorrhage: ipsilateral or contralateral?

Wang, Ke; Du, Hang-Gen; Yin, Li-Chun; He, Min; Hao, Bi-lie; Chen, Li

doi:10.1016/j.jss.2013.03.003

Cited by 14 publications

(20 citation statements)

References 22 publications

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“…The whole of blood into the ventricles and the catheter design has been a matter of discussion either on permanent shunts or EVDs. 6,11,12 Thomale et al 12 replaced a regular catheter design with 16 holes by a new design with 4 or 6 holes only, both with a closed end, maintaining the same diameter and distance among holes for all of them, but the maximum distance from the tip was 6,4 mm as compared with 15,4 mm from the conventional catheter. The 6-hole catheter was implanted in 55 hydrocephalic patients with a mean follow-up period of 15 AE 9 months.…”

Section: Discussionmentioning

confidence: 99%

“…The present study was approved by the Fundação Faculdade The type H catheter was specifically designed for IVH, in an attempt to decrease the incidence of blockage caused by particles in the CSF that regularly would clog the small orifices, the catheter lumen, and/or the connector site into the EVD set in conventional EVDs and, consequently, would require surgical revision or manual unclogging procedures at bedside leading to either increased infection rates, increased number of ICU hospitalization days, increased number of hospitalization days, acute hydrocephalus (defined as hydrocephalus while at the hospital), or increased number of EVD implantation days. 6 The objective of the present study was to verify the efficacy of two different external ventricular drainage catheter concepts regarding: 1. ICU hospitalization days; 2.…”

Section: Methodsmentioning

confidence: 99%

“…Although intracerebral hemorrhage (ICH) estimates are between 10 and 15% of all strokes, 1,2 it is related to worse prognosis compared with any other isolated stroke event, especially in the presence of intraventricular hemorrhage (IVH). 1,3,4 Morbidity and mortality rates are in between 50 and 80% 2,5 When IVH occurs, blood drawn into the cerebral ventricles and/or cisterns often causes, as an immediate result, a partial or total blockage of the cerebrospinal fluid (CSF) pathways, immunological deficiency, 4 higher rates of infection, 2,4 acute hydrocephalus and intracranial hypertension, 5,6 possibly requiring surgical treatment in an urgent basis. Ultimately, IVH is a life-threatening condition, which increases morbidity and mortality when associated with ICH.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Hydrodynamic Considerations VI: Temporary Shunting for Intraventricular Hemorrhage: Observational Study of Two Treatment Variants

Guimarães

Muniz

Santos

et al. 2021

Arquivos Brasileiros de Neurocirurgia: Brazilian Neurosurgery

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Introduction Patients who have external ventricular drainage (EVD) inserted are prone to many risks and complications. Intraventricular hemorrhage (IVH) is a frequent and life-threatening complication for spontaneous intracerebral hemorrhage (ICH) and results in an increased morbidity and mortality for those patients. An EVD insertion is a frequent surgical procedure for those with IVH. However, it is also known that IVH patients have a much higher rate of ventricular catheter occlusion. We hypothesize that blood clots have a predominant participation as a pathophysiological mechanism for EVD occlusion, and that a different and more appropriate catheter design might decrease the occlusion rate occurring during the utilization of EVDs on patients with IVH and, therefore, reduce implantation time. Methods The electronic data sheets of 30 patients with spontaneous IVH from March 2014 until April 2015 were evaluated. Two concepts in catheter design were evaluated: A group of 15 patients with a conventional type of catheter inserted was identified as Group C (conventional). A group of 15 patients with a new design of catheter inserted was identified as Group H (hemorrhagic). Both groups were compared regarding survival end parameters, outcomes, days spent in intensive care units (ICUs) and time spent with EVDs implanted. Results Hospitalization at the ICU was statistically significantly reduced for Group H compared with Group C. There was no significant difference among the hospitalization days between both groups. There was no statistical difference either for acute hydrocephalus or death rate. External ventricular drainage implantation days were significantly reduced for Group H related to Group C. Conclusion The results of the present study points to the fact that, although apparently the new catheter design did not change some secondary complications such as hydrocephalus and hospitalization rate, it seems that a better or specifically designed catheter for IVH purposes might lead to less ICU hospitalization days and EVD implantation days, two factors that have economic impact on healthcare due to the reduction of hospitalization costs and reduced incidence of related complications. The information obtained by this preliminary study should be grounded by a larger, more detailed and prospective evaluation; if these preliminary data are maintained, the new design should be considered for IVH associated EVDs insertions.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Hydrodynamic Considerations VI: Temporary Shunting for Intraventricular Hemorrhage: Observational Study of Two Treatment Variants

Guimarães

Muniz

Santos

et al. 2021

Arquivos Brasileiros de Neurocirurgia: Brazilian Neurosurgery

View full text Add to dashboard Cite

show abstract

“…In this way, the hematoma can be removed as much as possible in the shortest time possible. 2 When the condition is suitable, a single hematoma cavity can be injected with urokinase for anticoagulation [9] .…”

Section: Discussionmentioning

confidence: 99%

A newly developed open-end intracranial hematoma drainage tube

Wanussakul

Yang

et al. 2016

Transl. Neurosci. Clin.

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“…However, few studies have investigated the optimal side of the lateral ventricles for EVD placement in patients with aSAH. Wang et al (33) provided a careful comparison between ipsilateral and contralateral EVD in patients with intraventricular hemorrhage and showed that the initial ICP and ICP values in the first 3 days were significantly higher in the ipsilateral group than those in contralateral group; however, no significant differences in mortality rates or functional outcomes were observed at 30 days after stroke between the 2 groups. likely to have intracerebral and extensive intraventricular hemorrhage, which raises safety issues (36).…”

Section: Evd In Asahmentioning

confidence: 99%

Choice for the removal of bloody cerebrospinal fluid in postcoiling aneurismal subarachnoid hemorrhage: external ventricular drainage or lumbar drainage?

Li¹

2014

Turkish Neurosurgery

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AIm: External ventricular drainage (EVD) and lumbar drainage (LD) are the most widely used procedures for continued bloody cerebrospinal fluid drainage. Each has his own advantages and disadvantages. Here, we compared complications and clinical outcomes in patients with World Federation of Neurosurgical Societies (WFNS) grade III aneurysmal subarachnoid hemorrhage (aSAH) who underwent coil placement followed by EVD or LD. mATERIAL and mETHods: In this prospective, controlled study, all patients with aSAH classified as WFNS grade III who underwent coil placement at our institution were divided randomly into 2 groups: the EVD group and the LD group. The ratios of intracerebral hemorrhage, vasospasm, infection, duration of catheter placement, hydrocephalus, and Glasgow outcome scale (GOS) after 2 months of onset were analyzed between the 2 groups.REsuLTs: A total of 148 patients (mean age 56.8 years) were enrolled in this study. Seventy-six patients were assigned to the EVD group, and 72 patients were assigned to the LD group. The average time interval from stroke onset to surgery was 35.1 h. Compared with the EVD group, the LD group had a lower incidence of intracerebral hemorrhage, slightly higher rates of infection and hydrocephalus, and similar vasospasm and chronic hydrocephalus rates, durations of catheter placement, and GOS scores at 2 months after onset. CoNCLusIoN:In order to improve the clinical outcomes of patients with aSAH, we suggest that LD is better than EVD for patients with WFNS grade III aSAH who underwent coil placement. yÖNTEm ve GEREÇLER: Bu prospektif, kontrollü çalışmada WFNS derece III olarak sınıflandırılan ve hastanemizde sarmal yerleştirilen tüm hastalar rastgele olarak 2 gruba bölündü: EVD grubu ve LD grubu. Bu iki grup intraserebral kanama, vazospazm, enfeksiyon, kateter yerleştirme süresi, hidrosefali ve başlangıçtan 2 ay sonra Glasgow sonuç ölçeği (GOS) değerleri açısından karşılaştırıldı.BuLGuLAR: Çalışmaya toplam 148 hasta (ortalama yaş 56,8 yıl) kaydedildi. EVD grubunda 76 hasta ve LD grubunda 72 hasta vardı. İnmenin başlamasından cerrahiye kadar ortalama süre 35,1 saatti. EVD grubuna göre LD grubunda intraserebral kanama insidansı daha düşüktü, enfeksiyon ve hidrosefali oranı biraz daha yüksekti ve vazospazm ve kronik hidrosefali oranları, kateter yerleştirme süresi ve başlangıçtan 2 ay sonra GOS puanı benzerdi.soNuÇ: aSAK hastalarında klinik sonuçların düzelmesi açısından, koil yerleştirilmiş WFNS derece III aSAK hastalarında LD'nin EVD'den daha iyi olduğunu düşünüyoruz.

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Which side of lateral ventricles to choose during external ventricular drainage in patients with intraventricular hemorrhage: ipsilateral or contralateral?

Cited by 14 publications

References 22 publications

Hydrodynamic Considerations VI: Temporary Shunting for Intraventricular Hemorrhage: Observational Study of Two Treatment Variants

Hydrodynamic Considerations VI: Temporary Shunting for Intraventricular Hemorrhage: Observational Study of Two Treatment Variants

A newly developed open-end intracranial hematoma drainage tube

Choice for the removal of bloody cerebrospinal fluid in postcoiling aneurismal subarachnoid hemorrhage: external ventricular drainage or lumbar drainage?

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