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The accuracy and safety of intraoperative ultrasound-guided external ventricular drainage in intraventricular hemorrhage

Severe IVH often results in a poor outcome. Currently, EVD is a standard treatment for IVH, but there is little research to show whether using ultrasound to guide the catheter placement improves outcome. Patients with severe IVH who had iUS-guided EVD (the iUS-guided group) were enrolled retrospecti...

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Autores principales: Zhang, Lijun, Mu, Zhaohui, Shen, Guoliang, Yang, Ming
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Nature Publishing Group UK 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10352289/
https://www.ncbi.nlm.nih.gov/pubmed/37460575
http://dx.doi.org/10.1038/s41598-023-38567-y
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author Zhang, Lijun
Mu, Zhaohui
Shen, Guoliang
Yang, Ming
author_facet Zhang, Lijun
Mu, Zhaohui
Shen, Guoliang
Yang, Ming
author_sort Zhang, Lijun
collection PubMed
description Severe IVH often results in a poor outcome. Currently, EVD is a standard treatment for IVH, but there is little research to show whether using ultrasound to guide the catheter placement improves outcome. Patients with severe IVH who had iUS-guided EVD (the iUS-guided group) were enrolled retrospectively and compared with a group who had EVD performed without ultrasound guidance (the control group) from January 2016 to July 2022. Data were collected on accuracy of the catheter placement, complications and outcome at 3 months assessed by mRS. The accuracy of the EVD placement was classified as optimal placement, sub-optimal placement and misplacement according to the position of the catheter tip. The complications reported are catheter-related hemorrhage, intracranial infection and hydrocephalus. There were 105 cases enrolled, with 72 patients in the iUS-guided group having 131 catheters inserted and 33 patients in the group where ultrasound was not used with a total of 59 catheters. 116 (88.55%) were optimally placed, 12 (9.16%) sub-optimal and 3 (2.29%) misplaced in the iUS-guided group, while 25 (42.37%) were in optimally placed, 30 (50.85%) sub-optimal and 4(6.78%) misplaced in the control group. Accuracy of placement was highly significantly improved using ultrasound (P < 0.001). The operation time and the average catheterized time were longer in the iUS-guided group (P < 0.05), but the complication rates were no different between the groups. The mRS at three months was not significantly different between the two groups. Using iUS to place EVD catheters in patients with severe IVH is a safe technique delivering more accurate catheter placement without increasing the complication rate compared with freehand placement.
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spelling pubmed-103522892023-07-19 The accuracy and safety of intraoperative ultrasound-guided external ventricular drainage in intraventricular hemorrhage Zhang, Lijun Mu, Zhaohui Shen, Guoliang Yang, Ming Sci Rep Article Severe IVH often results in a poor outcome. Currently, EVD is a standard treatment for IVH, but there is little research to show whether using ultrasound to guide the catheter placement improves outcome. Patients with severe IVH who had iUS-guided EVD (the iUS-guided group) were enrolled retrospectively and compared with a group who had EVD performed without ultrasound guidance (the control group) from January 2016 to July 2022. Data were collected on accuracy of the catheter placement, complications and outcome at 3 months assessed by mRS. The accuracy of the EVD placement was classified as optimal placement, sub-optimal placement and misplacement according to the position of the catheter tip. The complications reported are catheter-related hemorrhage, intracranial infection and hydrocephalus. There were 105 cases enrolled, with 72 patients in the iUS-guided group having 131 catheters inserted and 33 patients in the group where ultrasound was not used with a total of 59 catheters. 116 (88.55%) were optimally placed, 12 (9.16%) sub-optimal and 3 (2.29%) misplaced in the iUS-guided group, while 25 (42.37%) were in optimally placed, 30 (50.85%) sub-optimal and 4(6.78%) misplaced in the control group. Accuracy of placement was highly significantly improved using ultrasound (P < 0.001). The operation time and the average catheterized time were longer in the iUS-guided group (P < 0.05), but the complication rates were no different between the groups. The mRS at three months was not significantly different between the two groups. Using iUS to place EVD catheters in patients with severe IVH is a safe technique delivering more accurate catheter placement without increasing the complication rate compared with freehand placement. Nature Publishing Group UK 2023-07-17 /pmc/articles/PMC10352289/ /pubmed/37460575 http://dx.doi.org/10.1038/s41598-023-38567-y Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Article
Zhang, Lijun
Mu, Zhaohui
Shen, Guoliang
Yang, Ming
The accuracy and safety of intraoperative ultrasound-guided external ventricular drainage in intraventricular hemorrhage
title The accuracy and safety of intraoperative ultrasound-guided external ventricular drainage in intraventricular hemorrhage
title_full The accuracy and safety of intraoperative ultrasound-guided external ventricular drainage in intraventricular hemorrhage
title_fullStr The accuracy and safety of intraoperative ultrasound-guided external ventricular drainage in intraventricular hemorrhage
title_full_unstemmed The accuracy and safety of intraoperative ultrasound-guided external ventricular drainage in intraventricular hemorrhage
title_short The accuracy and safety of intraoperative ultrasound-guided external ventricular drainage in intraventricular hemorrhage
title_sort accuracy and safety of intraoperative ultrasound-guided external ventricular drainage in intraventricular hemorrhage
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10352289/
https://www.ncbi.nlm.nih.gov/pubmed/37460575
http://dx.doi.org/10.1038/s41598-023-38567-y
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