Clinical efficacy of long-tunneled and prolonged external ventricular drainage for patients with intraventricular hemorrhage associated with hydrocephalus
ZHANG Sheng-kun
TANG Zhong
CHEN Qi-fu
ZHANG Ming-fu
CHEN Si
DONG Bai-jing
CHU Ming
Abstract：Objective To explore the clinical efficacy of long-tunneled and prolonged external ventricular drainage(EVD)for patients with intraventricular hemorrhage(IVH)associated with hydrocephalus.Methods A retrospective analysis was conducted on the clinical data of 43 patients with IVH associated with hydrocephalus who underwent EVD between October 2019 and December 2022.Among them,26 patients were treated with traditional EVD(traditional group),and 17 patients received long-tunneled and prolonged EVD(long-tunneled and prolonged group).Results The mean duration of tube placement was significantly longer in the long-tunneled and prolonged group compared to the traditional group(16.17±5.29 days vs.9.76±1.14 days).Although the average hospital stay was slightly prolonged in the long-tunneled and prolonged group(18.70±6.99 days vs.15.53±3.16 days),there was no statistically significant difference between both groups(P=0.101).Notably,the rates of secondary ventricular catheter placement(0%vs.30.77%),cerebrospinal fluid leakage(0%vs.30.77%%),and intracranial infection(0%vs.26.92%)were markedly lower in the long-tunneled and prolonged group compared to the traditional group(P<0.05).At three months post-EVD,the good prognosis rate(100%;mRS score of 0～2)in the long-tunneled and prolonged group did not significantly differ from the traditional group(96.15%;P=0.605).Conclusions Long-tunneled and prolonged EVD is effective for patients with IVH accompanied by hydrocephalus;although it prolongs EVD tube placement duration,it dose not significantly increase hospital stay.It also reduces secondary ventricular catheter placement rate as well as rates of cerebrospinal fluid leakage and intracranial infection.
Keywords：Intraventricular hemorrhageHydrocephalusExternal ventricular drainageClinical efficacy
Publication Date：2024-04-25
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：5( 209-213 )