Malplacement of ventricular catheters by neurosurgeons: A single institution experience

Andrea Saladino, J. Bradley White, Eelco F M Wijdicks, Giuseppe Lanzino

Research output: Contribution to journalArticle

64 Citations (Scopus)

Abstract

Introduction: The placement of cerebrospinal fluid (CSF) diversion devices requires an appropriate technical expertise associated with proper surgical training in order to minimize undue complications. This study sought to review a single institution's experience with placement of external ventricular drains (EVD) and ventriculoperitoneal (VP) shunts as performed by neurosurgeons with procedure-specific training. Methods: A retrospective database review was conducted for all patients who underwent intraventricular CSF diversion over a 5-year period from March 2003 to February 2008. Included in the analysis were ventriculostomy procedures that included EVDs, VP shunts, and ventriculoatrial shunts. Results: A total of 138 patients underwent 212 ventriculostomy procedures. Seventy-one (51%) patients were male and sixty-seven (49%) were female. The median age was 50.1 years. A ventriculostomy-related hemorrhage was identified in 15 (7.1%) patients-4 of whom developed new symptoms. Twenty-six (12.3%) ventriculostomy catheters were malplaced as determined from post-procedural imaging. Ventriculostomy-related infections were identified in 7 (3.3%) patients, 4 of whom had EVDs and 3 of whom had VP shunts. Conclusion: The placement of intraventricular catheters by neurosurgeons remains a relatively safe and effective procedure that is associated with infrequent rates of symptomatic hemorrhage and infection.

Original languageEnglish (US)
Pages (from-to)248-252
Number of pages5
JournalNeurocritical Care
Volume10
Issue number2
DOIs
StatePublished - Apr 2009

Fingerprint

Ventriculostomy
Catheters
Ventriculoperitoneal Shunt
Cerebrospinal Fluid
Hemorrhage
Professional Competence
Infection
Neurosurgeons
Databases
Equipment and Supplies

Keywords

  • Hemorrhage
  • Infection
  • Ventriculostomy

ASJC Scopus subject areas

  • Critical Care and Intensive Care Medicine
  • Clinical Neurology

Cite this

Malplacement of ventricular catheters by neurosurgeons : A single institution experience. / Saladino, Andrea; White, J. Bradley; Wijdicks, Eelco F M; Lanzino, Giuseppe.

In: Neurocritical Care, Vol. 10, No. 2, 04.2009, p. 248-252.

Research output: Contribution to journalArticle

Saladino, Andrea ; White, J. Bradley ; Wijdicks, Eelco F M ; Lanzino, Giuseppe. / Malplacement of ventricular catheters by neurosurgeons : A single institution experience. In: Neurocritical Care. 2009 ; Vol. 10, No. 2. pp. 248-252.
@article{1a398fc6b6c94869a36d51b63515d00e,
title = "Malplacement of ventricular catheters by neurosurgeons: A single institution experience",
abstract = "Introduction: The placement of cerebrospinal fluid (CSF) diversion devices requires an appropriate technical expertise associated with proper surgical training in order to minimize undue complications. This study sought to review a single institution's experience with placement of external ventricular drains (EVD) and ventriculoperitoneal (VP) shunts as performed by neurosurgeons with procedure-specific training. Methods: A retrospective database review was conducted for all patients who underwent intraventricular CSF diversion over a 5-year period from March 2003 to February 2008. Included in the analysis were ventriculostomy procedures that included EVDs, VP shunts, and ventriculoatrial shunts. Results: A total of 138 patients underwent 212 ventriculostomy procedures. Seventy-one (51{\%}) patients were male and sixty-seven (49{\%}) were female. The median age was 50.1 years. A ventriculostomy-related hemorrhage was identified in 15 (7.1{\%}) patients-4 of whom developed new symptoms. Twenty-six (12.3{\%}) ventriculostomy catheters were malplaced as determined from post-procedural imaging. Ventriculostomy-related infections were identified in 7 (3.3{\%}) patients, 4 of whom had EVDs and 3 of whom had VP shunts. Conclusion: The placement of intraventricular catheters by neurosurgeons remains a relatively safe and effective procedure that is associated with infrequent rates of symptomatic hemorrhage and infection.",
keywords = "Hemorrhage, Infection, Ventriculostomy",
author = "Andrea Saladino and White, {J. Bradley} and Wijdicks, {Eelco F M} and Giuseppe Lanzino",
year = "2009",
month = "4",
doi = "10.1007/s12028-008-9154-z",
language = "English (US)",
volume = "10",
pages = "248--252",
journal = "Neurocritical Care",
issn = "1541-6933",
publisher = "Humana Press",
number = "2",

}

TY - JOUR

T1 - Malplacement of ventricular catheters by neurosurgeons

T2 - A single institution experience

AU - Saladino, Andrea

AU - White, J. Bradley

AU - Wijdicks, Eelco F M

AU - Lanzino, Giuseppe

PY - 2009/4

Y1 - 2009/4

N2 - Introduction: The placement of cerebrospinal fluid (CSF) diversion devices requires an appropriate technical expertise associated with proper surgical training in order to minimize undue complications. This study sought to review a single institution's experience with placement of external ventricular drains (EVD) and ventriculoperitoneal (VP) shunts as performed by neurosurgeons with procedure-specific training. Methods: A retrospective database review was conducted for all patients who underwent intraventricular CSF diversion over a 5-year period from March 2003 to February 2008. Included in the analysis were ventriculostomy procedures that included EVDs, VP shunts, and ventriculoatrial shunts. Results: A total of 138 patients underwent 212 ventriculostomy procedures. Seventy-one (51%) patients were male and sixty-seven (49%) were female. The median age was 50.1 years. A ventriculostomy-related hemorrhage was identified in 15 (7.1%) patients-4 of whom developed new symptoms. Twenty-six (12.3%) ventriculostomy catheters were malplaced as determined from post-procedural imaging. Ventriculostomy-related infections were identified in 7 (3.3%) patients, 4 of whom had EVDs and 3 of whom had VP shunts. Conclusion: The placement of intraventricular catheters by neurosurgeons remains a relatively safe and effective procedure that is associated with infrequent rates of symptomatic hemorrhage and infection.

AB - Introduction: The placement of cerebrospinal fluid (CSF) diversion devices requires an appropriate technical expertise associated with proper surgical training in order to minimize undue complications. This study sought to review a single institution's experience with placement of external ventricular drains (EVD) and ventriculoperitoneal (VP) shunts as performed by neurosurgeons with procedure-specific training. Methods: A retrospective database review was conducted for all patients who underwent intraventricular CSF diversion over a 5-year period from March 2003 to February 2008. Included in the analysis were ventriculostomy procedures that included EVDs, VP shunts, and ventriculoatrial shunts. Results: A total of 138 patients underwent 212 ventriculostomy procedures. Seventy-one (51%) patients were male and sixty-seven (49%) were female. The median age was 50.1 years. A ventriculostomy-related hemorrhage was identified in 15 (7.1%) patients-4 of whom developed new symptoms. Twenty-six (12.3%) ventriculostomy catheters were malplaced as determined from post-procedural imaging. Ventriculostomy-related infections were identified in 7 (3.3%) patients, 4 of whom had EVDs and 3 of whom had VP shunts. Conclusion: The placement of intraventricular catheters by neurosurgeons remains a relatively safe and effective procedure that is associated with infrequent rates of symptomatic hemorrhage and infection.

KW - Hemorrhage

KW - Infection

KW - Ventriculostomy

UR - http://www.scopus.com/inward/record.url?scp=66649136574&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=66649136574&partnerID=8YFLogxK

U2 - 10.1007/s12028-008-9154-z

DO - 10.1007/s12028-008-9154-z

M3 - Article

C2 - 18923816

AN - SCOPUS:66649136574

VL - 10

SP - 248

EP - 252

JO - Neurocritical Care

JF - Neurocritical Care

SN - 1541-6933

IS - 2

ER -