A Novel Application of the Integra Camino Bolt for the Drainage of Chronic Subdural Hematoma: A Technical Note

Area of Science:

• Neurosurgery
• Medical Devices
• Geriatric Medicine

Background:

• Chronic subdural hematoma (cSDH) is a prevalent neurosurgical condition, particularly in the elderly.
• Aging populations and increased use of antiplatelet/anticoagulant therapies contribute to a rising incidence of cSDH.
• Current treatment options may not always be cost-effective, highlighting the need for simpler, economical solutions.

Purpose of the Study:

• To introduce and evaluate a novel, basic technique for draining chronic subdural hematoma (cSDH).
• To assess the efficacy and safety of using an Integra Camino bolt for cSDH management.
• To provide a potentially inexpensive and straightforward treatment option for cSDH.

Main Methods:

• A minimally invasive technique employing an Integra Camino bolt was utilized for cSDH drainage.
• The procedure was performed on two patients diagnosed with chronic subdural hematoma.
• Clinical outcomes and resolution of the hematoma were monitored post-intervention.

Main Results:

• Both patients experienced significant resolution of their chronic subdural hematomas.
• Associated clinical symptoms related to cSDH were effectively alleviated in both cases.
• No complications were reported during or after the procedure.

Conclusions:

• The described technique using an Integra Camino bolt offers a simple, safe, and effective method for managing chronic subdural hematoma.
• This approach presents a promising, cost-effective alternative for treating cSDH, especially in an aging demographic.
• Further investigation into this technique could support its broader adoption in neurosurgical practice.