Use of flexible endoscopic aspiration for an intraventricular small floating clot with hemorrhage: a technical note

Neki, Hiroaki; Shibata, Aoto; Komine, Hiroyuki; Kohyama, Shinya; Yamane, Fumitaka; Ishihara, Shoichiro; Kikkawa, Yuichiro

doi:10.1007/s10143-020-01392-2

Cited by 5 publications

(1 citation statement)

References 22 publications

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“…[2,3,16,18,27] However, more recent reports have encouraged neurosurgeons to apply the method. [13,21,22,[28][29][30]33] Studies comparing neuroendoscopy and external ventricular drainage (EVD) plus alteplase administration favor the former, which is associated with lower mortality rates, less shunting dependency, more effective clot removal, and better outcomes. [8] ere is a lack of information related to the long-term functional outcomes of intraventricular endoscopic brainwashing (EBW) treatment.…”

Section: Introductionmentioning

confidence: 99%

The long-term effect on functional outcome of endoscopic brainwashing for intraventricular hemorrhage compared to external ventricular drainage alone: A retrospective single-center cohort study

Sarti,

Costa,

Araujo

et al. 2024

Surgical Neurology International

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Background: Intraventricular hemorrhage (IVH) is a complex condition with both mechanical and chemical effects, resulting in mortality rates of 50–80%. Recent reports advocate for neuroendoscopic treatment, particularly endoscopic brainwashing (EBW), but long-term functional outcomes remain insufficiently explored. This study aims to outline the step-by-step procedure of EBW as applied in our institution, providing results and comparing them with those of external ventricular drainage (EVD) alone. Methods: We performed a retrospective analysis of adult patients with IVH who underwent EBW and patients submitted to EVD alone at our institution. All medical records were reviewed to describe clinical and radiological characteristics. Results: Although both groups had similar baseline factors, EBW patients exhibited a larger hemoventricle (median Graeb score 25 vs. 23 in EVD, P = 0.03) and a higher prevalence of chronic kidney disease and diabetes. Short-term mortality was lower in EBW (52% and 60% at 1 and 6 months) compared to EVD (80% for both), though not statistically significant (P = 0.06). At one month, 16% of EBW patients achieved a good outcome (Modified Rankin scale < 3) versus none in the EVD group (P = 0.1). In the long term, favorable outcomes were observed in 32% of EBW patients and 11% of EVD patients (P = 0.03), with no significant difference in shunt dependency. Conclusion: Comparing EBW and EVD, patients submitted to the former treatment have the highest modified Graeb scores and, at a long-term follow-up, have better outcomes, demonstrated by the improvement of the patients in the follow-up.

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