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How safe is twistdrill craniostomy?

Abstract：

:The incidence of haemorrhagic complications of intracranial pressure monitoring (ICPM) has previously been reported. However, in these studies, the techniques employed to access the inside of the cranium varied. While 3-mm essentially blind 'twistdrill' craniostomies have been used, their role has been limited for fear of haemorrhagic sequelae. This has also restricted their use in clinical applications other than ICPM. We conducted a prospective observational study looking at haemorrhagic complications of the twistdrill in order to determine its safety and whether it has a role in other clinical settings. Over the period January 1994-February 2001, 941 patients had 1032 twistdrill procedures. There were 550 (58.4%) male patients and 391 (41.6%) female. The age range was 3 months to 93 years (median age 35 years). Only four procedures (0.38%) caused clinically significant bleeds attributable to the twistdrill --all of which were managed conservatively without requiring surgical evacuation. We conclude that twistdrill craniostomies are safe and that their use could be extended to other neurosurgical procedures and potentially to ICPM in non-neurosurgical centres.

journal_name

Br J Neurosurg

journal_title

British journal of neurosurgery

authors

Maartens NF,Lustgarten L,Josan V,Aziz TZ

doi

10.1080/02688690220148897

subject

Has Abstract

pub_date

2002-06-01 00:00:00

pages

290-3

issue

3

eissn

0268-8697

issn

1360-046X

journal_volume

16

pub_type

杂志文章

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