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Review
. 2022 Feb;45(1):317-328.
doi: 10.1007/s10143-021-01616-z. Epub 2021 Aug 15.

Use of emerging technologies to enhance the treatment paradigm for spontaneous intraventricular hemorrhage

Austin B Carpenter  1 , Jacques Lara-Reyna  2 , Trevor Hardigan  2 , Travis Ladner  2 , Christopher Kellner  2 , Kurt Yaeger  3
Affiliations
Review

Use of emerging technologies to enhance the treatment paradigm for spontaneous intraventricular hemorrhage

Austin B Carpenter et al. Neurosurg Rev. 2022 Feb.

Abstract

The presence of intraventricular hemorrhage (IVH) portends a worse prognosis in patients presenting with spontaneous intracerebral hemorrhage (ICH). Intraventricular hemorrhage increases the rates of hydrocephalus, ventriculitis, and long-term shunt dependence. Over the past decade, novel medical devices and protocols have emerged to directly treat IVH. Presently, we review new technological adaptations to treating intraventricular hemorrhage in an effort to focus further innovation in treating this morbid neurosurgical pathology. We summarize current and historical treatments as well as innovations in IVH including novel procedural techniques, use of the Integra Surgiscope, use of the Artemis evacuator, use of BrainPath, novel catheter technology, large bore external ventricular drains, the IRRAflow, the CerebroFlo, and the future directions of the field. Technology and medical devices for both surgical and nonsurgical methods are advancing the treatment of IVH. With many promising new technologies on the horizon, prospects for improved clinical care for IVH and its etiologies remain hopeful.

Keywords: Hematoma evacuation; Innovation; Intraventricular hemorrhage; Outcomes.

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References

    1. Abunimer AM, Abou-Al-Shaar H, Cavallo C, Mahan MA, Labib MA (2018) Minimally invasive approaches for the management of intraventricular hemorrhage. J Neurosurg Sci 62(6):734–744 - DOI
    1. Alan N, Lee P, Ozpinar A, Gross BA, Jankowitz BT (2017) Robotic stereotactic assistance (ROSA) utilization for minimally invasive placement of intraparenchymal hematoma and intraventricular catheters. World Neurosurg 108:996.e7-e10. https://doi.org/10.1016/j.wneu.2017.09.027 - DOI
    1. Alexopoulos G, Prim M, Khan M, Quadri N, Urquiaga JF, El Tecle N et al (2020) Minimally invasive evacuation of severe intraventricular hemorrhage using the BrainPath endoport-assisted microsurgical system. World Neurosurg 134:e540–e548. https://doi.org/10.1016/j.wneu.2019.10.135 - DOI - PubMed
    1. Aten Q, Killeffer J, Seaver C, Reier L (2020) Causes, complications, and costs associated with external ventricular drainage catheter obstruction. World Neurosurg 134:501–506. https://doi.org/10.1016/j.wneu.2019.10.105 - DOI - PubMed
    1. Atzema C, Mower WR, Hoffman JR, Holmes JF, Killian AJ, Wolfson AB (2006) Prevalence and prognosis of traumatic intraventricular hemorrhage in patients with blunt head trauma. J Trauma 60(5):1010–1017. https://doi.org/10.1097/01.ta.0000218038.28064.9d - DOI - PubMed

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