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Table 1 Study characteristics and findings

From: Therapy management and outcome of acute hydrocephalus secondary to intraventricular hemorrhage in adults

Study, year

Country

Study type

Population

Number of patients

Age, year

Interventions

Follow-up, month

Measurement

Outcome, score

Mortality, %

Conclusion

Wang et al., 2006 [13]

China

Prospective

Single-center

18

63.5

Physical removal of hematoma through craniotomy, septostomy approach, and EVD

6

GOS

3.83

5.6

Physical removal of the clot through an open exposure of the lateral ventricle approaching it from above through the corpus callosum made a rather impressive success rate

Yadav et al., 2007 [14]

UK

Prospective

Multi-center

25

-

Endoscopic removal of hematoma and ETV for hydrocephalus

6

GOS

3.32

24

Encouraging results had been shown thorough endoscopic management on hypertensive IVH patients with obstructive hydrocephalus

Hamada et al., 2008 [15]

Japan

Retrospective

Single-center

15

62

Endoscopic removal of hematoma and EVD

-

mRS

3.47

0

Endoscopy is of importance in the management of non-communicative hydrocephalus

Staykov et al., 2009 [16]

Germany

Prospective

Single-center

32

61

Treatment algorithm of IVF, EVD, and early application of LD

6

mRS

62.5% with good outcome (0–3)

15.6

First prospective study investigating combined treatment of IVF, EVD, and LD

Chen et al., 2011 [17]

China

Randomized controlled trial

Single-center

48

63.9

Endoscopic removal of hematoma and following EVD /traditional EVD

3

GOS

3.08 vs 3.33

20.8 vs 16.6

Endoscopic surgery had a significant lower incidence of shunt-dependent hydrocephalus and a shorter ICU stay compared with EVD surgery, and this can decrease the need for permanent VP shunt in IVH caused by thalamic hemorrhage

Wang et al., 2013 [13]

China

Randomized controlled trail

Multi-center

45

55.4

EVD and IVF

1

GOS

3.36

15.6

EVD plus EVT from the ipsilateral ventricle had faster blood clearance in the third and fourth ventricles than in the contralateral ventricle. Clinical outcome were similar in two strategies. Also, this is the first study investigating the effect of catheter location of EVD on patients’ outcome

Xia et al., 2014 [18]

China

Prospective

Single-center

8

68

EVD and early CLD

6

GOS

3.62

13

First prospective study providing insight into the safety, feasibility, and potential benefit of combining early CLD with EVD in moderate to severe IVH regardless of the presence of obstructive hydrocephalus

Obaid et al., 2015 [19]

Cananda

Retrospective

Single-center

8

58

Endoscopic removal of hematoma and ETV for hydrocephalus

21.3

mRS

3.5

37.5

ETV with or without endoscopic clot evacuation is a safe and effective method to treat IVH-related obstructive hydrocephalus

Ogiwara et al., 2021 [20]

Japan

Retrospective

Multi-center

8

54.4

Endoscopic removal of hematoma and ETV for hydrocephalus

At discharge

mRS

3

0

Tailor-made endoscopic strategy revealed a good hematoma evacuation rate and potential for improved functional outcome

  1. EVD external ventricular hemorrhage, GOS Glasgow Outcome Scale, ETV endoscopic third ventriculostomy, mRS modified Rankin Scale, IVF intraventricular fibrinolysis, LD lumber drainage, CLD continuous lumber drainage