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Case Reports
. 2021 May 22;13(5):e15167.
doi: 10.7759/cureus.15167.

Drainage, Irrigation, and Fibrinolytic Therapy (DRIFT) for Adult Intraventricular Hemorrhage Using IRRAflow® Self-Irrigating Catheter

Kenan Rajjoub  1 , Ryan M Hess  1 , Timothy E O'Connor  2 , Asham Khan  1 , Adnan H Siddiqui  3 , Elad I Levy  1
Affiliations
Case Reports

Drainage, Irrigation, and Fibrinolytic Therapy (DRIFT) for Adult Intraventricular Hemorrhage Using IRRAflow® Self-Irrigating Catheter

Kenan Rajjoub et al. Cureus. .

Abstract

Intraventricular hemorrhage (IVH) is a devastating neurosurgical condition associated with high rates of morbidity and mortality. It can occur as the result of several pathologies and typically presents with mental status changes, neurologic deficits, seizures, headaches, and decreased Glasgow Coma Scale score. These patients are often treated with placement of an external ventricular drain, which helps decrease the clot burden; however, they commonly clot off leading to multiple exchanges. We present a case in which drainage, irrigation, and fibrinolytic (DRIFT) therapy using IRRAflow® (IRRAS) irrigating catheter was used to treat a patient with severe IVH secondary to aneurysmal subarachnoid hemorrhage.

Keywords: aneurysmal subarachnoid haemorrhage; intraventricular hematoma; medical device technology development and assessment.

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Conflict of interest statement

The authors have declared that no competing interests exist.

Figures

Figure 1
Figure 1. Initial head CT
Figure 2
Figure 2. Cerebral angiogram demonstrating the A2-3 junction aneurysm
Figure 3
Figure 3. Head CT demonstrating right-sided IRRAflow catheter (red arrow) and left-sided standard catheter (blue arrow)
Figure 4
Figure 4. Head CT following placement of left-sided IRRAflow catheter
Arrows indicate catheter tips
Figure 5
Figure 5. Head CT following removal of right-sided IRRAflow
Arrow indicates left IRRAflow catheter tip
Figure 6
Figure 6. Head CT following ventriculoperitoneal shunt placement
Arrow indicates the tip of the shunt catheter
See this image and copyright information in PMC

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