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 Experiment Videos

Percutaneous needle trephination. Experience in 200 cases

B Meyer1, K Schaller, V Rohde

  • 1Department of Neurosurgery, Klinikum Kalkweg, Duisburg, Federal Republic of Germany.

Acta Neurochirurgica
|January 1, 1994
PubMed
Summary
This summary is machine-generated.

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

Rb-loss is associated with high malignancy in chondrosarcoma.

Oncology reports·2005
Same author

Pellucid marginal degeneration coexistent with cornea plana in one member of a family exhibiting a novel KERA mutation.

The British journal of ophthalmology·2005
Same author

A fluorometric method for the differentiation of algal populations in vivo and in situ.

Photosynthesis research·2005
Same author

"Best friends" sharing the HMGA1 gene: comparison of the human and canine HMGA1 to orthologous other species.

The Journal of heredity·2005
Same author

Intermittent administration of betalactam-antibiotics for treatment of severe infection in hemodialysis patients.

European journal of medical research·2005
Same author

Pharmacokinetics of teicoplanin during continuous hemofiltration with a new and a 24-h used highly permeable membrane: rationale for therapeutic drug monitoring-guided dosage.

International journal of clinical pharmacology and therapeutics·2004

This study evaluates a modified needle for percutaneous ventriculostomy, finding it effective for external ventricular drainage with a 13% complication rate, including 1% intracerebral hemorrhage and 3% infection.

Area of Science:

  • Neurosurgery
  • Medical Devices
  • Minimally Invasive Procedures

Background:

  • Traditional percutaneous needles and burr-hole techniques for external ventricular drainage (EVD) have limitations.
  • A modified needle instrument has been developed to address shortcomings of conventional methods.

Purpose of the Study:

  • To prospectively evaluate the advantages and disadvantages of percutaneous ventriculostomy using a modified needle in a large patient cohort.
  • To assess the safety and efficacy of this technique for various indications requiring EVD.

Main Methods:

  • A prospective study involving 200 patients requiring external ventricular drainage.
  • Procedures performed using a modified 1.2 mm blunt needle with depth markings and a removable sharp guide, under local anesthesia as a bedside procedure.

Related Experiment Videos

  • Needle fixation with a plaster cast after rostral bending.

    • Main Results:

    • Mean drainage duration was 9 days; mean operative time was 20 minutes.
    • Overall complication rate was 13% (26/200 patients).
    • Complications included 2 intracerebral hemorrhages (1%), 5 infections (3% in non-infectious cases), and 19 needle loosenings (10%).

    Conclusions:

    • Percutaneous ventriculostomy with the modified needle is a feasible bedside procedure for external ventricular drainage.
    • While complications like needle loosening and infection can occur, the overall complication rate is manageable.
    • Further research may optimize this technique to minimize adverse events.