How I do it: flexible endoscopic aspiration of intraventricular hemorrhage.
Level V
Where this comes from
- Record sourced from PubMed, PMID 32700081.
- Also identified by DOI 10.1007/s00701-020-04499-z and PMC identifier 7593288.
- Licence recorded as CC BY.
- The licence permits redistribution, so the abstract is shown in full and the full text is available from the publisher.
Abstract
As intraventricular blood is a strong negative prognostic factor, intraventricular hemorrhage requires prompt and aggressive management to reduce intracranial hypertension. A flexible scope can be used to navigate and to aspirate blood clots from all four ventricles. Complete restoration of CSF pathways from the lateral ventricle to the foramen of Magendie can be obtained. Flexible neuroendoscopic aspiration of IVH offers the opportunity to immediately reduce intracranial hypertension, reduce EVD obstruction and replacement rates, and decrease infections and shunt dependency.
Medical subject headings
- Cerebral Hemorrhage
- Intracranial Hypertension
- Neuroendoscopy