Innovations in Assist Devices to Improve External Ventricular Drain Placement: A Bibliometric Review of the Literature From 1985 to 2023
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View abstract on PubMed
Summary
This summary is machine-generated.New technologies aim to improve external ventricular drain (EVD) placement accuracy. While image guidance offers benefits, cost and procedure time remain barriers to widespread adoption for cerebrospinal fluid drainage.
Area Of Science
- Neurosurgery
- Medical Device Technology
- Image Guidance
Background
- External ventricular drain (EVD) placement is crucial for cerebrospinal fluid management.
- The traditional freehand technique carries risks of misplacement and complications.
- Emerging technologies seek to enhance EVD insertion accuracy and safety.
Purpose Of The Study
- To review recent technological advancements for improving EVD placement accuracy.
- To categorize and evaluate new devices designed for ventricular cannulation.
Main Methods
- A qualitative literature review across six databases (PubMed, Medline, Web of Knowledge, Scopus, ClinicalTrials.gov, Google Scholar).
- Inclusion of patent searches for relevant devices.
- Categorization of identified devices into four groups: ultrasound, electromagnetic, CT-based guidance, and mechanical assist.
Main Results
- Fifteen distinct devices for EVD placement were identified across four technological categories.
- Potential benefits include real-time feedback, reduced passes, and improved accuracy.
- Drawbacks involve increased cost and potential procedural time.
Conclusions
- While freehand EVD insertion is standard, new guidance technologies offer improved accuracy, especially in complex cases.
- Image guidance is preferred by a significant portion of neurosurgeons.
- Wider adoption is hindered by cost, availability, and procedural modifications.
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