Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Comparable temperature-dependent predatory impacts of two invasive crayfish, <i>Pontastacus leptodactylus</i> and <i>Pacifastacus leniusculus</i>.

Biological invasions·2026
Same author

Early mobilization in the neurotrauma intensive care unit: a service evaluation of current practice and barriers.

Frontiers in neurology·2026
Same author

Trends and Regional Variation in Heat-Related EMS Encounters in the US.

Prehospital emergency care·2026
Same author

Outcomes of kidney transplants from donors after cardiac arrest; a UK population-based cohort study.

BMC nephrology·2026
Same author

Heat-Related Emergency Medical Services Activations in the United States, 2020-2024: Rates, Demographics, and Geographic Distribution.

American journal of public health·2026
Same author

A clinically defined and xeno-free hydrogel system for regenerative medicine.

Materials futures·2026
Same journal

Unilateral Biportal Endoscopic Decompression for Symptomatic Lumbar Stenosis Associated with Degenerative Scoliosis in Elderly Patients.

World neurosurgery·2026
Same journal

A protected microknife system for safe and ergonomic dural incision in endoscopic endonasal surgery: a technical note.

World neurosurgery·2026
Same journal

The Complementary Role of Size and Morphology in Predicting Intracranial Aneurysm Rupture: An Intra-Patient Matched Study.

World neurosurgery·2026
Same journal

Clinical Efficacy of Onyx Embolization in the Treatment of Distal Intracranial Microaneurysms.

World neurosurgery·2026
Same journal

Long-term Survival Rates in U.S. Veterans Shunted for iNPH: A Focused Analysis of Radiological Predictors.

World neurosurgery·2026
Same journal

Effects of Teriparatide on Complications and Surgical Outcomes in Patients Undergoing Correction of Adult Spinal Deformity: A Retrospective Cohort Study and Cost-Effectiveness Analysis.

World neurosurgery·2026
See all related articles

Related Experiment Video

Updated: Oct 19, 2025

Neuronavigation and Laparoscopy Guided Ventriculoperitoneal Shunt Insertion for the Treatment of Hydrocephalus
14:59

Neuronavigation and Laparoscopy Guided Ventriculoperitoneal Shunt Insertion for the Treatment of Hydrocephalus

Published on: October 14, 2022

8.2K

Is Image Guidance Essential for External Ventricular Drain Insertion?

Benjamin Fisher1, Wai Cheong Soon1, John Ong2

  • 1Department of Neurosurgery, Queen Elizabeth Hospital Birmingham, Birmingham, United Kingdom.

World Neurosurgery
|September 23, 2021
PubMed
Summary
This summary is machine-generated.

Image-guided external ventricular drain (EVD) placement significantly reduces suboptimal catheter placement compared to freehand techniques. This approach may enhance accuracy and decrease complications in selected cases.

Keywords:
External ventricular drainImage guidanceNeuronavigationStereotaxyUltrasound

More Related Videos

Cone Beam Intraoperative Computed Tomography-based Image Guidance for Minimally Invasive Transforaminal Interbody Fusion
05:37

Cone Beam Intraoperative Computed Tomography-based Image Guidance for Minimally Invasive Transforaminal Interbody Fusion

Published on: August 6, 2019

6.5K
Microvascular Decompression: Salient Surgical Principles and Technical Nuances
10:35

Microvascular Decompression: Salient Surgical Principles and Technical Nuances

Published on: July 5, 2011

46.6K

Related Experiment Videos

Last Updated: Oct 19, 2025

Neuronavigation and Laparoscopy Guided Ventriculoperitoneal Shunt Insertion for the Treatment of Hydrocephalus
14:59

Neuronavigation and Laparoscopy Guided Ventriculoperitoneal Shunt Insertion for the Treatment of Hydrocephalus

Published on: October 14, 2022

8.2K
Cone Beam Intraoperative Computed Tomography-based Image Guidance for Minimally Invasive Transforaminal Interbody Fusion
05:37

Cone Beam Intraoperative Computed Tomography-based Image Guidance for Minimally Invasive Transforaminal Interbody Fusion

Published on: August 6, 2019

6.5K
Microvascular Decompression: Salient Surgical Principles and Technical Nuances
10:35

Microvascular Decompression: Salient Surgical Principles and Technical Nuances

Published on: July 5, 2011

46.6K

Area of Science:

  • Neurosurgery
  • Medical Imaging
  • Clinical Outcomes

Background:

  • External ventricular drain (EVD) placement is crucial for managing intracranial pressure.
  • Accuracy and complication rates vary among different EVD insertion techniques.
  • Comparing image guidance (neuronavigation, ultrasound) with freehand methods is essential.

Purpose of the Study:

  • To compare the accuracy and complication rates of neuronavigation-guided, ultrasound-guided, and freehand EVD placement.
  • To conduct a meta-analysis of existing literature to support single-center findings.
  • To evaluate the impact of guidance techniques on EVD tip placement and procedural outcomes.

Main Methods:

  • Retrospective review of 294 patients undergoing EVD insertion (January 2016 - April 2019).
  • Data collection included demographics, indication, Evans index, guidance method, and complications.
  • EVD tip placement accuracy assessed using the Kakarla grading system (optimal vs. suboptimal).

Main Results:

  • While not statistically significant in the single-center cohort, image-guided EVD placement showed a trend towards lower suboptimal rates (10.6%-15.6%) versus freehand (20.8%).
  • Meta-analysis of pooled data revealed a significant reduction in suboptimal EVD placement with image-guided versus freehand techniques (OR 0.50, P=0.002).
  • Surgeon seniority and procedure-related factors did not significantly impact EVD accuracy or complications.

Conclusions:

  • Image-guided EVD placement significantly reduces the rate of suboptimally placed drains when data is pooled with prior studies.
  • Image guidance may improve catheter placement accuracy and reduce procedure-related complications in appropriately selected patients.
  • Further research may refine patient selection for image-guided EVD insertion.