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Stopping CSF leaks at external ventricular drain exit sites: a technical note.
Child's Nervous System ( IF 1.4 ) Pub Date : 2020-05-05 , DOI: 10.1007/s00381-020-04632-4
Jignesh K Tailor 1 , Abhaya V Kulkarni 1, 2
Affiliation  

PURPOSE Cerebrospinal fluid (CSF) leak is a major risk factor for external ventricular drain infection. Here, we present a surgical technique to reduce the possibility of CSF leak at the external ventricular drain (EVD) exit site in high-risk patients. METHODS Vertical mattress sutures are placed circumferentially around the EVD catheter tract as it passes under the skin, so to close off the tract along which CSF may travel toward the exit site. RESULTS Specific case examples are discussed where the introduction of this technique was found to be helpful in stopping exit-site CSF leak. CONCLUSION In our experience, these surgical steps are useful adjuncts that should be considered in all high-risk patients undergoing EVD placement.

中文翻译:

在外部心室引流出口部位停止CSF泄漏:技术说明。

目的脑脊液(CSF)泄漏是外部心室引流感染的主要危险因素。在这里,我们提出一种外科手术技术,以减少高危患者在外部心室引流(EVD)出口部位脑脊液漏出的可能性。方法垂直的床垫缝合线在EVD导管经过皮肤下方时沿周向放置,以封闭EVD导管可沿出口流向的导管。结果讨论了具体案例,其中介绍了此技术对阻止出口站点CSF泄漏有帮助。结论根据我们的经验,这些手术步骤是所有接受EVD放置的高危患者都应考虑的有用辅助措施。
更新日期:2020-05-05
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