Abstract：
BACKGROUND:Freehand ventriculostomy is one of the most commonly performed neurosurgical procedures. While a variety of approaches have been described, frontal via Kocher's point is the most common. Multiple trajectories have been described, but no consensus exists as to the most efficacious. Our objective was to assess the literature regarding trajectories for frontal ventriculostomy and their associated success rates and complications. METHODS:We performed a systematic review of the literature, querying the PubMed/MEDLINE database with the search term "(EVD OR extra-ventricular drain OR ventriculostomy OR external ventricular drain) AND (hand OR freehand OR bedside)" and reported the characteristics and findings of both simulation and clinical studies according to trajectory and catheter position. Final catheter tip position was graded on the Kakarla scale. RESULTS:A total of 198 abstracts were screened; 40 full papers were assessed. Sixteen were included, 11 of which were clinical studies and 5 of which were simulation studies. Six studies coronally targeted the ipsilateral medial epicanthus (IMC), 4 utilized an orthogonal trajectory (P), and 1 targeted the naison (N). Ideal placement (Kakarla grade 1) was achieved in 954 of 1391 (68.58%) procedures when the IMC was targeted versus 243 of 354 (70.43%) when P was targeted. Potentially harmful (Kakarla grade 3) placement was observed in 142 of 1391 (10.21%) procedures when the IMC was targeted and 20 of 345 (5.80%) when P was targeted. All 5 simulation studies found the IMC target to be inferior. CONCLUSIONS:The IMC is the most prevalent trajectory for frontal ventriculostomy but no target is demonstrably superior. More robust clinical research is required to determine the optimal trajectory.
journal_name
World Neurosurgjournal_title
World neurosurgeryauthors
Amoo M,Henry J,Javadpour Mdoi
10.1016/j.wneu.2020.11.065subject
Has Abstractpub_date
2020-11-30 00:00:00pages
292-297eissn
1878-8750issn
1878-8769pii
S1878-8750(20)32440-2journal_volume
146pub_type
杂志文章,评审abstract：BACKGROUND:Despite decades of research, cerebral vasospasm (CV) continues to account for high morbidity and mortality in patients who survive their initial aneurysmal subarachnoid hemorrhage. OBJECTIVE:To define the scope of the problem and review key treatment strategies that have shaped the way CV is managed in the ...
journal_title：World neurosurgery
pub_type： 杂志文章,评审
doi：10.1016/j.wneu.2019.03.083
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journal_title：World neurosurgery
pub_type： 杂志文章,多中心研究
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journal_title：World neurosurgery
pub_type： 杂志文章
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abstract：BACKGROUND:The current study is an external validation of 4 scoring models proposed in the literature for predicting ventriculoperitoneal shunt insertion after aneurysmal subarachnoid hemorrhage (aSAH) using retrospective patient data from Sheffield Teaching Hospital (STH). METHODS:Data were collected on various demog...
journal_title：World neurosurgery
pub_type： 杂志文章
doi：10.1016/j.wneu.2020.11.146
更新日期：2020-12-01 00:00:00
abstract：BACKGROUND:Battery replacement or revision surgery for neuromodulation implants is conventionally performed using sharp dissection. Meticulous dissection within thick scar tissue is vital to avoid damage to surrounding lead(s), which could result in more extensive revision surgery. Traditional electrosurgery devices ar...
journal_title：World neurosurgery
pub_type： 杂志文章,多中心研究
doi：10.1016/j.wneu.2018.01.007
更新日期：2018-04-01 00:00:00
abstract：OBJECTIVE:The present study aimed to characterize the mechanism of fluid shear stress (FSS)-induced endothelial cell (EC) injury via protein kinase C alpha (PKCα)-mediated vascular endothelial cadherin (VE-cadherin) and p120-catenin (p120ctn) expression. METHODS:We designed a T chamber system that produced stable FSS ...
journal_title：World neurosurgery
pub_type： 杂志文章
doi：10.1016/j.wneu.2020.01.028
更新日期：2020-04-01 00:00:00
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journal_title：World neurosurgery
pub_type： 杂志文章
doi：10.1016/j.wneu.2016.12.029
更新日期：2017-03-01 00:00:00
abstract：BACKGROUND:For several variants of quasi-moyamoya disease, cerebral revascularization treatment is as effective as it is for the more typical cases of moyamoya disease. Here, we examined a case of moyamoya disease with concurrent congenital rubella syndrome (CRS). On the basis of concurrent underlying disease, the pati...
journal_title：World neurosurgery
pub_type：
doi：10.1016/j.wneu.2020.02.081
更新日期：2020-06-01 00:00:00
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journal_title：World neurosurgery
pub_type： 杂志文章
doi：10.1016/j.wneu.2017.09.053
更新日期：2017-12-01 00:00:00
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journal_title：World neurosurgery
pub_type： 杂志文章
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journal_title：World neurosurgery
pub_type： 杂志文章
doi：10.1016/j.wneu.2019.04.060
更新日期：2019-08-01 00:00:00
abstract：BACKGROUND:Obsessive-compulsive disorder (OCD) is a brain disorder with a lifetime prevalence of 2.3%, causing severe functional impairment as a result of anxiety and distress, persistent and repetitive, unwanted, intrusive thoughts (obsessions), and repetitive ritualized behavior (compulsions). Approximately 40%-60% o...
journal_title：World neurosurgery
pub_type： 杂志文章
doi：10.1016/j.wneu.2016.10.046
更新日期：2017-01-01 00:00:00
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journal_title：World neurosurgery
pub_type： 临床试验,杂志文章
doi：10.1016/j.wneu.2016.05.097
更新日期：2016-09-01 00:00:00
abstract：BACKGROUND:Stent-assisted coil embolization and flow diversion with the Pipeline embolization device (PED) are both effective endovascular treatment options for ophthalmic segment aneurysms (OSAs) of the internal carotid artery. Here we present a large comparative cohort study. METHODS:A multicenter, retrospective coh...
journal_title：World neurosurgery
pub_type： 杂志文章,多中心研究
doi：10.1016/j.wneu.2017.05.104
更新日期：2017-09-01 00:00:00
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journal_title：World neurosurgery
pub_type： 杂志文章,评审
doi：10.1016/j.wneu.2016.11.130
更新日期：2017-02-01 00:00:00
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journal_title：World neurosurgery
pub_type： 杂志文章
doi：10.1016/j.wneu.2017.07.118
更新日期：2017-11-01 00:00:00
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journal_title：World neurosurgery
pub_type： 杂志文章
doi：10.1016/j.wneu.2016.10.011
更新日期：2017-01-01 00:00:00
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journal_title：World neurosurgery
pub_type： 杂志文章
doi：10.1016/j.wneu.2018.12.093
更新日期：2018-12-31 00:00:00
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journal_title：World neurosurgery
pub_type： 杂志文章
doi：10.1016/j.wneu.2018.06.030
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journal_title：World neurosurgery
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journal_title：World neurosurgery
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journal_title：World neurosurgery
pub_type： 杂志文章
doi：10.1016/j.wneu.2020.07.033
更新日期：2020-11-01 00:00:00
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journal_title：World neurosurgery
pub_type： 历史文章,杂志文章
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更新日期：2017-07-01 00:00:00
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journal_title：World neurosurgery
pub_type： 杂志文章
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更新日期：2016-06-01 00:00:00
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journal_title：World neurosurgery
pub_type： 杂志文章
doi：10.1016/j.wneu.2018.05.118
更新日期：2018-08-01 00:00:00
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journal_title：World neurosurgery
pub_type： 杂志文章
doi：10.1016/j.wneu.2018.02.053
更新日期：2018-05-01 00:00:00
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journal_title：World neurosurgery
pub_type： 杂志文章
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更新日期：2019-06-01 00:00:00
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journal_title：World neurosurgery
pub_type：
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更新日期：2020-08-01 00:00:00
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journal_title：World neurosurgery
pub_type： 杂志文章
doi：10.1016/j.wneu.2018.04.221
更新日期：2018-08-01 00:00:00
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journal_title：World neurosurgery
pub_type： 杂志文章
doi：10.1016/j.wneu.2018.05.192
更新日期：2018-10-01 00:00:00
