gms | German Medical Science

65. Jahrestagung der Deutschen Gesellschaft für Neurochirurgie (DGNC)

Deutsche Gesellschaft für Neurochirurgie (DGNC) e. V.

11. - 14. Mai 2014, Dresden

Accuracy and complications of ventriculostomy using two different procedures of external ventricular drainage – a single center series

Meeting Abstract

  • Christian Wispel - Klinik für Neurochirurgie, Rheinische Friedrich-Wilhelms-Universität, Bonn
  • Patrick Schuss - Klinik für Neurochirurgie, Rheinische Friedrich-Wilhelms-Universität, Bonn
  • Valeri Borger - Klinik für Neurochirurgie, Rheinische Friedrich-Wilhelms-Universität, Bonn
  • Ági Oszvald - Klinik für Neurochirurgie, Rheinische Friedrich-Wilhelms-Universität, Bonn
  • Hartmut Vatter - Klinik für Neurochirurgie, Rheinische Friedrich-Wilhelms-Universität, Bonn
  • Erdem Güresir - Klinik für Neurochirurgie, Rheinische Friedrich-Wilhelms-Universität, Bonn

Deutsche Gesellschaft für Neurochirurgie. 65. Jahrestagung der Deutschen Gesellschaft für Neurochirurgie (DGNC). Dresden, 11.-14.05.2014. Düsseldorf: German Medical Science GMS Publishing House; 2014. DocMI.12.04

doi: 10.3205/14dgnc336, urn:nbn:de:0183-14dgnc3366

Veröffentlicht: 13. Mai 2014

© 2014 Wispel et al.
Dieser Artikel ist ein Open Access-Artikel und steht unter den Creative Commons Lizenzbedingungen (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.de). Er darf vervielfältigt, verbreitet und öffentlich zugänglich gemacht werden, vorausgesetzt dass Autor und Quelle genannt werden.


Gliederung

Text

Objective: Patients suffering from acute hydrocephalus are treated by either insertion of classic external ventricular drainage (EVD) or percutaneous needle trephination (PNT) at our institution, depending on the acuteness of intervention and severity of illness. We compared both procedures regarding factors necessitating surgical revision of EVD or PNT.

Method: Between January 2012 and September 2013, 356 patients suffering from acute hydrocephalus underwent ventriculostomy at our institution. All patients had a routine CT-scan after insertion of the ventricular drain during the treatment course. Patient characteristics, underlying pathology, treatment modality, radiological features, catheter tip location and treatment-related complications were analysed in retrospect.

Results: Overall, 251 of 356 patients (71%) were treated by EVD, and 105 patients (29%) by PNT. 53 patients with EVD (21%) versus 14 patients with PNT (13%) underwent surgical revision due to misplacement, accidental removal, or infection. However, complication and revision rates did not differ significantly between the two groups. Furthermore, there was no difference between between EVD and PNT (p=0.5 regarding ventriculostomy-related hemorrhage.

Conclusions: The present data indicate that percutaneous needle trephination can equally lsafely used in critically ill patients, a who need immediate treatment for acute hydrocephalus. Nevertheless, classic external ventricular drainage might be preferred in less critical situations or if needed for longer period during the course of the treatment.