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Published on: October 15, 2021
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Chronic subdural hematoma drainage using anti-thrombotic catheter technique
Joacir Graciolli Cordeiro1, Bernardo Assumpcao de Monaco1,2, Ronald Benveniste1
1Neurosurgery Department, University of Miami, Miami, FL, USA.
World Neurosurgery: X
|June 12, 2023
Summary
An anti-thrombotic catheter significantly reduced drainage obstruction in chronic subdural hematoma (cSDH) patients compared to conventional methods. This new catheter also improved daily drainage rates, showing promise for better cSDH treatment outcomes.
Area of Science:
- Neurosurgery
- Medical Devices
- Clinical Trials
Background:
- Chronic subdural hematoma (cSDH) is often treated with burr hole evacuation.
- Postoperative catheter drainage is standard but prone to obstruction.
- Drainage obstruction can lead to suboptimal treatment outcomes.
Purpose of the Study:
- To compare the efficacy of an anti-thrombotic catheter versus a conventional catheter for cSDH drainage.
- To evaluate obstruction rates, drainage volume, and complications associated with each catheter type.
Main Methods:
- A retrospective, non-randomized trial involving two groups of cSDH patients.
- Conventional drainage (CD) group (n=20) versus anti-thrombotic (AT) catheter group (n=14).
- Comparison of obstruction rates, drainage amounts, and complications.
Main Results:
- The AT group showed significantly less proximal obstruction (0% vs. 40% in CD group, p=0.006).
- Higher daily drainage rates were observed in the AT group (69.86 mL/day vs. 35.00 mL/day).
- No significant difference in symptomatic recurrence requiring surgery between groups (p=0.230).
Conclusions:
- Anti-thrombotic catheters significantly reduce obstruction during cSDH drainage compared to conventional catheters.
- Both catheter types are safe and effective for cSDH management.
- Anti-thrombotic catheters may offer improved drainage efficiency.
