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Use of emerging technologies to enhance the treatment paradigm for spontaneous intraventricular hemorrhage
Neurosurgical Review ( IF 2.8 ) Pub Date : 2021-08-15 , DOI: 10.1007/s10143-021-01616-z
Austin B Carpenter 1 , Jacques Lara-Reyna 2 , Trevor Hardigan 2 , Travis Ladner 2 , Christopher Kellner 2 , Kurt Yaeger 2
Affiliation  

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.



中文翻译:

使用新兴技术增强自发性脑室内出血的治疗模式

脑室内出血 (IVH) 的存在预示着自发性脑出血 (ICH) 患者的预后较差。脑室内出血会增加脑积水、脑室炎和长期分流依赖的发生率。在过去十年中,出现了直接治疗 IVH 的新型医疗设备和方案。目前,我们回顾了治疗脑室内出血的新技术,旨在进一步创新治疗这种病态的神经外科病理学。我们总结了 IVH 的当前和历史治疗以及创新,包括新的手术技术、Integra Surgiscope 的使用、Artemis 抽空器的使用、BrainPath 的使用、新的导管技术、大口径外部脑室引流管、IRRAflow、CerebroFlo、以及该领域的未来方向。用于手术和非手术方法的技术和医疗设备正在推进 IVH 的治疗。随着许多有前途的新技术的出现,改善 IVH 及其病因的临床护理的前景仍然充满希望。

更新日期:2021-08-19
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