Summary
Twelve commercially available sets for drainage of cerebrospinal fluid were tested for handling, design, features for fixation of the ventricular catheter, reliability of the anti-reflux valve, obstruction, efficiency of the air ventilation filter caps, accuracy of flow measurement and adjustment of flow, quality of material, adjustment, and cost.
All systems showed considerable deficiencies in their reliability and handling. None of them can be recommended without certain restrictions and they should all be revised.
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References
Aschoff A, Arnu T, Steinmetz T, Resch K, Wirtz R, Tronnier V (1990) Komplikation externer Liquordrainagen. 7. Arbeitstreffen Neurologische Intensivmedizin, München 25–27. 1. 1990
Bering E (1951) A simplified apparatus for constant ventricular drainage. J Neurosurg 8: 450–452
Crawford A, Munslow R (1943) A method of prolonged ventricular drainage. Ann Surg 117: 798–799
Dandy W (1918) Ventriculography following the injection of air into the cerebral ventricles. Ann Surg 68: 5–11
Dandy W (1919) Experimental hydrocephalus. Ann Surg 70: 129–142
De Lange S (1977) Treatment of hydrocephalus. In: Vinken P, Bruyn G (eds) Handbook of clinical neurology, vol 30(1). NorthHolland Publ Company, Antwerpen New York Oxford, pp 565–607
Friedman W, Vries J (1980) Percutaneous tunnel ventriculostomy. Summary of 100 procedures. J Neurosurg 53: 662–665
Grubbauer H, Oberbauer R (1981) Die externe Ventrikeldrainage: Behandlungsmöglichkeit von zerebrospinalen Shuntinfektionen und Ventrikulitis. Wien klin Wschr 93: 393–395
HasselW, Bogdahn U (1990) Entwicklung und Anwendung eines Ventrikeldrainagen-Druckmeßsystems. 7. Arbeitstreffen Neurologische Intensivmedizin, München 25–27. 1. 1990
Hemmer R (1984) Klinik und Therapie der dysraphischen Fehlbildungen und des Hydrocephalus. In: Dietz H, Umbach W, Wüllenweber R (eds) Klinische Neurochirurgie, vol 2. Thieme, Stuttgart, pp 24–27
Ingraham F, Cambell J (1941) An apparatus for closed drainage of ventricular system. Ann Surg 114: 1096–1098
Kaufmann G, Clark K (1970) Emergency frontal twist drill ventriculostomy. J Neurosurg 33: 226–227
Krause F (1911) Chirurgie des Gehirns und Rückenmarks. Urban & Schwarzenberg, Wien, pp 145–160
Kusske J, Turner P, Ojemann G, Harris A (1973) Ventriculostomy for the treatment of the acute hydrocephalus following subarachnoid hemorrhage. J Neurosurg 38: 591–595
Lundberg N, Troupp H, Lorin H (1965) Continous recording of the ventricular fluid pressure in patients with severe acute traumatic brain injury. J Neurosurg 22: 581–590
Mayall C, Archer N, Archer-Lamb V, Spadora A, Baggelt J, Ward J, Marajan R (1984) Ventriculostomy-related infections. N Engl J Med 310: 553–559
Merrem B (1970) Die Ventrikeldrainage. Zbl Neurochirurgie 31: 127–148
Pampus F (1953) Zur Technik der Ventrikeldrainage. Zbl Neurochirurgie 13: 219–223
Pertuiset B, Van Effenterre R, Horn Y (1976) Temporary external valve drainage in hydrocephalus with increased ventricular fluid pressure. Acta Neurochir (Wien) 33: 173–181
Poppen J (1943) Ventricular drainage as a valuable procedure in neurosurgery. Arch Neurol Psychiatry 50: 587–589
Richard K, Block F: Untersuchung des Regelverhaltens von Shuntsystemen zur operativen Behandlung des Hydrozephalus. Abschlußbericht zum Forschungsvorhaben R: 328/3-2, gefördert von der DFG (not published)
Shapiro H, Wyte S, Harris A, Galindo A (1972) Disposable system for intraventricular pressure measurement and CSF drainage. J Neurosurg 36: 798–801
Sjöquist O (1937) Beobachtungen über die Liquorsekretion beim Menschen. Zbl Neurochirurgie 1: 8–18
Smith R, Alksne J (1976) Infections complicating the use of external ventriculostomy. J Neurosurg 44: 567–570
Voth D, Nakayama N (1976) Ein neues ventilgesteuertes System für die präluminäre Ventrikeldrainage. Neurochirurgia 19: 196–201
White R, Daktars J, Yashon D, Albin M (1969) Temporary control of cerebrospinal fluid volume and pressure by means of an externalized valve drainage system. J Neurosurg 30: 264–269
Wyler A, Kelly W (1972) Use of antibiotics with external ventriculostomies. J Neurosurg 37: 185–188
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Tronnier, V., Aschoff, A., Hund, E. et al. Commercial external ventricular drainage sets: Unsolved safety and handling problems. Acta neurochir 110, 49–56 (1991). https://doi.org/10.1007/BF01402048
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DOI: https://doi.org/10.1007/BF01402048