title: Rapid Pore Cranial Drilling With External Ventricular Drainage for Treatment of Intraventricular Hemorrhage: A 36-Year Case Series.
abstract: This study aimed to describe the technique details of rapid pore cranial drilling with external ventricular drainage and document its clinical outcomes by highlighting the advantages over the traditional and modified cranial drilling technique. Intraventricular hemorrhage is one of the most severe subtypes of hemorrhagic stroke with high mortality. The amount of blood in the ventricles is associated with severity of outcomes, and fast removal of the blood clot is the key to a good prognosis. Between 1977 and 2013, 3773 patients admitted for intraventricular hemorrhage underwent rapid pore cranial drilling drainage. The therapeutic effects and clinical outcomes were retrospectively analyzed. Of these patients, 1049 (27.8%) experienced complete remission, 1788 (47.4%) had improved condition, and 936 (24.8%) died. A total of 3229 (85.6%) patients gained immediate remission. One typical case was illustrated to demonstrate the efficacy of the rapid pore drilling technique. Rapid pore cranial drilling drainage in patients with intraventricular hemorrhage is fast, effective, and provides immediate relief in patients with severe conditions. It could be a better alternative to the conventional drilling approach for treatment of intraventricular hemorrhage. A randomized controlled trial for direct comparison between the rapid pore cranial drilling drainage and conventional drilling technique is in urgent need.
authors.affiliation: 1 Qilu Hospital, Shandong University, Jinan, Shandong Province, China.|2 Weifang Yidu Central Hospital, Weifang, Shandong Province, China.
authors.forename: Wei
authors.initials: W
authors.lastname: Zhang
authors.affiliation: 3 Qianfoshan Hospital, Jinan, Shandong Province, China.
authors.forename: Lin
authors.initials: L
authors.lastname: Wei
authors.affiliation: 1 Qilu Hospital, Shandong University, Jinan, Shandong Province, China.
authors.forename: Gang
authors.initials: G
authors.lastname: Li
authors.affiliation: 4 Yantai Hospital of Binzhou Medical College, Yantai, Shandong Province, China.
authors.forename: Jinlong
authors.initials: J
authors.lastname: Sun
authors.affiliation: 5 Affiliated Hospital of Qingdao University, Qingdao, Shandong Province, China.
authors.forename: Peng
authors.initials: P
authors.lastname: Jin
authors.affiliation: 5 Affiliated Hospital of Qingdao University, Qingdao, Shandong Province, China.
authors.forename: Jun
authors.initials: J
authors.lastname: Yang
authors.affiliation: 6 Weifang People's Hospital, Weifang, Shandong Province, China.
authors.forename: Daokui
authors.initials: D
authors.lastname: Wang
authors.affiliation: 2 Weifang Yidu Central Hospital, Weifang, Shandong Province, China.
authors.forename: Yunan
authors.initials: Y
authors.lastname: Bai
authors.affiliation: 1 Qilu Hospital, Shandong University, Jinan, Shandong Province, China.
authors.forename: Xingang
authors.initials: X
authors.lastname: Li
authors.affiliation: 7 Linyi People's Hospital, Linyi, Shandong Province, China.
authors.forename: Chang
authors.initials: C
authors.lastname: Fei
authors.affiliation: 8 No.2 Hospital of Shandong University, Jinan, Shandong Province, China.
authors.forename: Chengwei
authors.initials: C
authors.lastname: Wang
authors.affiliation: 9 No.1 Hospital of Zibo, Zibo, Shandong Province, China.
authors.forename: Baoan
authors.initials: B
authors.lastname: Wang
authors.affiliation: 4 Yantai Hospital of Binzhou Medical College, Yantai, Shandong Province, China.
authors.forename: Shumao
authors.initials: S
authors.lastname: Pan
authors.affiliation: 10 Juxian People's Hospital, Rizhao, Shandong Province, China.
authors.forename: Jihai
authors.initials: J
authors.lastname: Du
authors.affiliation: 11 No.2 Hospital of Rongcheng, Weihai, Shandong Province, China.
authors.forename: Bo
authors.initials: B
authors.lastname: Xie
authors.affiliation: 12 Dezhou People's Hospital, Dezhou, Shandong Province, China.
authors.forename: Dongfang
authors.initials: D
authors.lastname: Xu
authors.affiliation: 13 Taian Central Hospital, Taian, Shandong Province, China.
authors.forename: Changming
authors.initials: C
authors.lastname: Xin
authors.affiliation: 14 No.3 Jinan Hospital, Jinan, Shandong Province, China.
authors.forename: Jihua
authors.initials: J
authors.lastname: Wang
authors.affiliation: 8 No.2 Hospital of Shandong University, Jinan, Shandong Province, China.
authors.forename: Qinglin
authors.initials: Q
authors.lastname: Zhang
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002543:Cerebral Hemorrhage / Q000601:surgery*; D002552:Cerebral Ventricles / Q000601:surgery*; D002648:Child; D002675:Child, Preschool; D003399:Craniotomy / Q000295:instrumentation*; D004322:Drainage / Q000379:methods*; D004867:Equipment Design; D005260:Female; D015600:Glasgow Coma Scale; D006801:Humans; D007223:Infant; D008297:Male; D008875:Middle Aged; D011379:Prognosis; D012189:Retrospective Studies; D016896:Treatment Outcome
keywords: External ventricular drainage; Intraventricular hemorrhage; Rapid pore cranial drilling