Rapid Pore Cranial Drilling With External Ventricular Drainage for Treatment of Intraventricular Hemorrhage: A 36-Year Case Series

Author:

Zhang Wei12,Wei Lin3,Li Gang1,Sun Jinlong4,Jin Peng5,Yang Jun5,Wang Daokui6,Bai Yunan2,Li Xingang1,Fei Chang7,Wang Chengwei8,Wang Baoan9,Pan Shumao4,Du Jihai10,Xie Bo11,Xu Dongfang12,Xin Changming13,Wang Jihua14,Zhang Qinglin8

Affiliation:

1. Qilu Hospital, Shandong University, Jinan, Shandong Province, China

2. Weifang Yidu Central Hospital, Weifang, Shandong Province, China

3. Qianfoshan Hospital, Jinan, Shandong Province, China

4. Yantai Hospital of Binzhou Medical College, Yantai, Shandong Province, China

5. Affiliated Hospital of Qingdao University, Qingdao, Shandong Province, China

6. Weifang People's Hospital, Weifang, Shandong Province, China

7. Linyi People's Hospital, Linyi, Shandong Province, China

8. No.2 Hospital of Shandong University, Jinan, Shandong Province, China

9. No.1 Hospital of Zibo, Zibo, Shandong Province, China

10. Juxian People's Hospital, Rizhao, Shandong Province, China

11. No.2 Hospital of Rongcheng, Weihai, Shandong Province, China

12. Dezhou People's Hospital, Dezhou, Shandong Province, China

13. Taian Central Hospital, Taian, Shandong Province, China

14. No.3 Jinan Hospital, Jinan, Shandong Province, China

Abstract

This study aimed to describe the technique details of rapid pore cranial drilling with external ventricular drainage and document its clinical outcomes by highlighting the advantages over the traditional and modified cranial drilling technique. Intraventricular hemorrhage is one of the most severe subtypes of hemorrhagic stroke with high mortality. The amount of blood in the ventricles is associated with severity of outcomes, and fast removal of the blood clot is the key to a good prognosis. Between 1977 and 2013, 3773 patients admitted for intraventricular hemorrhage underwent rapid pore cranial drilling drainage. The therapeutic effects and clinical outcomes were retrospectively analyzed. Of these patients, 1049 (27.8%) experienced complete remission, 1788 (47.4%) had improved condition, and 936 (24.8%) died. A total of 3229 (85.6%) patients gained immediate remission. One typical case was illustrated to demonstrate the efficacy of the rapid pore drilling technique. Rapid pore cranial drilling drainage in patients with intraventricular hemorrhage is fast, effective, and provides immediate relief in patients with severe conditions. It could be a better alternative to the conventional drilling approach for treatment of intraventricular hemorrhage. A randomized controlled trial for direct comparison between the rapid pore cranial drilling drainage and conventional drilling technique is in urgent need.

Publisher

International College of Surgeons

Subject

Surgery

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