Abstract
In order to minimize the duration of external cerebrospinal fluid (CSF) drainage after hemorrhagic hydrocephalus we are testing a parallel shunt system that can be implanted very early after bleeding. It should be able to tolerate a high load of protein and blood in the CSF. After clearance of the CSF, the valveless arm of the shunt is closed by a percutaneous manipulation and the valve-arm is opened.
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References
Chan KH, Mann KS (1988) Prolonged therapeutic external ventricular drainage: a prospective study. Neurosurgery 23(4): 436–438
Hasan D, Vermeulen M, Wijdicks EFM et al (1989) Management problems in acute hydrocephalus after subarachnoid hemorrhage. Stroke 20:747–753
Khanna RK, Rosenblum ML, Rock JP et al (1995) Prolonged external ventricular drainage with percutaneous long-tunnel ventriculostomies. J Neurosurg 83(5):791–794
Lo CH, Spelman D, Bailey M et al (2007) External ventricular drain infections are independent of drain duration: an argument against elective revision. J Neurosurg 106(3):378–383
Lozier AP, Sciacca RR, Romagnoli MF et al (2002) Ventriculostomy-related infections: a critical review of the literature. Neurosurgery 51(1):170–182
Lyke KE, Obasanjo OO, Williams MA et al (2001) Ventriculitis complicating use of intraventricular catheters in adult neurosurgical patients. Clin Infect Dis 33(12):2028–2033
Mayhall CG, Archer NH, Lamb VA et al (1984) Ventriculostomy-related infections: a prospective epidemiologic study. NEJM 310(9):553–559
Öhrström JK, Skou JK, Ejlertsen T et al (1989) Infected ventriculostomy: bacteriology and treatment. Acta Neurochir 100(1–2): 67–69
Paramore CG, Turner DA (1994) Relative risks of ventriculostomy infection and morbidity. Acta Neurochir 128(1–2):79–84
Park P, Garton HJ, Kocan MJ, Thompson BG (2004) Risk of infection with prolonged ventricular catheterization. Neurosurgery 55(3):594–601
Pfisterer W, Mühlbauer M, Czech T, Reinprecht A (2003) Early diagnosis of external ventricular drainage infection: results of a prospective study. J Neurol Neurosurg Psych 74(7):929–932
Schade RP, Schinkel J, Visser LG et al (2005) Bacterial meningitis caused by the use of ventricular or lumbar cerebrospinal fluid catheters. J Neurosurg 102(2):229–234
Smith RW, Alksne JF (1976) Infections complicating the use of external ventriculostomy. J Neurosurg 44(5):567–570
Steinbok P, Cochrane DD, Kestle JRW (1996) The significance of bacteriologically positive ventriculoperitoneal shunt components in the absence of other signs of shunt infection. J Neurosurg 84:617–623
Stenager E, Gerner-Smidt P, Kock-Jensen C (1986) Ventriculostomy-related infections – an epidemiological study. Acta Neurochir 83(1–2):20–23
Sundbärg G, Kjallquest A, Lundberg N, Ponten U (1972) Complications due to prolonged ventricular fluid pressure recording in clinical practice. In: Brock M, Dietz H (eds) Intracranial pressure I: Experimental and clinical aspects. Springer, Berlin, Germany, pp 348–351
Sundbärg G, Nordström CH, Söderström S (1988) Complications due to prolonged ventricular fluid pressure recording. Brit J Neurosurg 2(4):485–495
Zingale A, Ippolito S, Pappalardo P et al (1999) Infections and re-infections in long-term external ventricular drainage: a variation upon a theme. J Neurosurg Sci 43(2):125–133
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Al-Zain, F., Meier, U., Lemcke, J. (2010). Early Shunting Using the Parallel Shunt System in Hemorrhagic Hydrocephalus: In Vitro Testing of Handling, Technical Complications and Clogging Rate. In: Czernicki, Z., Baethmann, A., Ito, U., Katayama, Y., Kuroiwa, T., Mendelow, D. (eds) Brain Edema XIV. Acta Neurochirurgica Supplementum, vol 106. Springer, Vienna. https://doi.org/10.1007/978-3-211-98811-4_20
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