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Use of emerging technologies to enhance the treatment paradigm for spontaneous intraventricular hemorrhage

Abstract

The presence of intraventricular hemorrhage (IVH) portends a worse prognosis in patients presenting with spontaneous intracerebral hemorrhage (ICH). Intraventricular hemorrhage increases the rates of hydrocephalus, ventriculitis, and long-term shunt dependence. Over the past decade, novel medical devices and protocols have emerged to directly treat IVH. Presently, we review new technological adaptations to treating intraventricular hemorrhage in an effort to focus further innovation in treating this morbid neurosurgical pathology. We summarize current and historical treatments as well as innovations in IVH including novel procedural techniques, use of the Integra Surgiscope, use of the Artemis evacuator, use of BrainPath, novel catheter technology, large bore external ventricular drains, the IRRAflow, the CerebroFlo, and the future directions of the field. Technology and medical devices for both surgical and nonsurgical methods are advancing the treatment of IVH. With many promising new technologies on the horizon, prospects for improved clinical care for IVH and its etiologies remain hopeful.

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Data availability

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KY and AC conceived and designed the manuscript. AC and KY prepared the manuscript. CPK, JLR, TH, and TL critically revised the manuscript. All authors reviewed submitted version of the manuscript. All authors approve final version of manuscript.

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Correspondence to Kurt Yaeger.

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Carpenter, A.B., Lara-Reyna, J., Hardigan, T. et al. Use of emerging technologies to enhance the treatment paradigm for spontaneous intraventricular hemorrhage. Neurosurg Rev 45, 317–328 (2022). https://doi.org/10.1007/s10143-021-01616-z

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  • DOI: https://doi.org/10.1007/s10143-021-01616-z

Keywords

  • Intraventricular hemorrhage
  • Hematoma evacuation
  • Innovation
  • Outcomes