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January 14, 2019NeurointerventionOpen Access

External Ventricular Drainage before Endovascular Treatment in Patients with Aneurysmal Subarachnoid Hemorrhage in Acute Period: Its Relation to Hemorrhagic Complications

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Why the study?

The authors sought to report their experience with external ventricular drainage before endovascular treatment in acute aneurysmal subarachnoid hemorrhage and examine its relation to hemorrhagic complications.

Does performing EVD before EVT increase hemorrhagic complications compared to performing it after EVT in patients with acute aneurysmal subarachnoid hemorrhage?

Population

122 patients with acute aSAH undergoing EVT and EVD within 72 hours of rupture

Comparison

EVD before EVT (pre-embo EVD) vs EVD after EVT (post-embo EVD)

Design

Cohort study

Follow-up

At discharge

Authors

YLYong Cheol LimYSYu Shik ShimSOSe-yang Oh

Discussion

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Member takes

Overview

Pre-EVD may not increase hemorrhage risk in aneurysmal SAH; hypothesis-generating, leaves optimal timing open pending RCTs.

Structured PICO

Does performing EVD before EVT increase hemorrhagic complications compared to performing it after EVT in patients with acute aneurysmal subarachnoid hemorrhage?

P
Population
122 patients with acute aneurysmal subarachnoid hemorrhage (aSAH) who underwent endovascular treatment (EVT) to secure the ruptured aneurysm and had external ventricular drainage (EVD) performed within 72 hours of rupture.
I
Intervention
External ventricular drainage (EVD) performed before endovascular treatment (EVT) (pre-embo EVD group, n=67)
C
Comparator
External ventricular drainage (EVD) performed after endovascular treatment (EVT) (post-embo EVD group, n=55)
O
Outcome
EVD-related hemorrhagic complications and rebleedingsafety

Performing external ventricular drainage before endovascular treatment in acute aneurysmal subarachnoid hemorrhage appears safe and does not increase hemorrhagic complications.

Cite This Study

Lim et al. (2019) studied this question.

synapsesocial.com/papers/6a7eb71f767a385c07026038https://doi.org/10.5469/neuroint.2018.01067
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