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Hemorrhagic Complications Induced by External Ventricular Draining Catheters / 대한뇌혈관외과학회지
Korean Journal of Cerebrovascular Surgery ; : 256-262, 2011.
Artículo en Inglés | WPRIM | ID: wpr-143426
ABSTRACT

BACKGROUND:

External ventricular drainage (EVD) is one of the most frequently performed operative procedures in neurosurgery. A retrospective analysis was conducted for patients who underwent EVD to determine the incidence rate of post-procedural intracranial hemorrhage and to identify underlying risk factors.

METHODS:

Patients who underwent EVD between January 2003 and January 2011 were selected. Catheter-induced hemorrhage (CIH) was defined as any evidence of new hemorrhage on the post-procedural computerized tomography (CT) scan obtained within 24 hours of catheter insertion. The rate of hemorrhage was calculated, and the possible risk factors were statistically analyzed.

RESULTS:

The data of 229 patients were analyzed. Twenty-one patients developed CIH, for an incidence rate of 9.17%. The factors that increased the rate of CIH were age > or =60 years, bilateral catheter insertion, and pre-existing heart disease. The patients > or =60 years of age had a 2.8-fold increased risk of CIH. A history of heart disease contributed to a 20-fold increased risk of CIH (p or =60 years, bilateral catheter insertion, and a history of heart disease are the three most significant risk factors for CIH. Since these risk factors are not modifiable, all possible contributors should be considered to minimize the risk such as skilled maneuvers and techniques or high blood pressure.
Asunto(s)

Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Procedimientos Quirúrgicos Operativos / Modelos Logísticos / Drenaje / Incidencia / Estudios Retrospectivos / Factores de Riesgo / Hemorragias Intracraneales / Catéteres / Cardiopatías / Hemorragia Tipo de estudio: Estudio de etiología / Estudio de incidencia / Estudio observacional / Estudio pronóstico Límite: Humanos Idioma: Inglés Revista: Korean Journal of Cerebrovascular Surgery Año: 2011 Tipo del documento: Artículo

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Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Procedimientos Quirúrgicos Operativos / Modelos Logísticos / Drenaje / Incidencia / Estudios Retrospectivos / Factores de Riesgo / Hemorragias Intracraneales / Catéteres / Cardiopatías / Hemorragia Tipo de estudio: Estudio de etiología / Estudio de incidencia / Estudio observacional / Estudio pronóstico Límite: Humanos Idioma: Inglés Revista: Korean Journal of Cerebrovascular Surgery Año: 2011 Tipo del documento: Artículo