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CC BY 4.0 · Indian Journal of Neurotrauma
DOI: 10.1055/s-0044-1800788
Technical Note

Guiding Device for Subdurostomy Catheters in the Management of Chronic Subdural Hematoma: Moscote–Agrawal Subdurostomy Catheter Introducer

Luis Rafael Moscote-Salazar 
1   Department of Research, Colombian Clinical Research Group in Neurocritical Care, Bogota, Colombia
,
Amit Agrawal 
2   Department of Neurosurgery, All India Institute of Medical Sciences, Saket Nagar, Bhopal, Madhya Pradesh, India
,
William Florez
1   Department of Research, Colombian Clinical Research Group in Neurocritical Care, Bogota, Colombia
,
Ariana Chacon
1   Department of Research, Colombian Clinical Research Group in Neurocritical Care, Bogota, Colombia
› Author Affiliations Funding None.
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Abstract

The drainage of chronic subdural hematoma is a very frequently performed neurosurgical procedure. The management often requires subdurostomy with catheter placement for hematoma drainage. Sometimes, the catheter misplacement can lead to complications that could be catastrophic. This technical note introduces the Moscote–Agrawal guiding device, a tool designed to enhance the accuracy and safety of catheter placement during subdurostomy. We hope that this concept can be adapted by neurosurgeons around the world to minimize procedural risks, improve outcomes, and ensure the safety of neurosurgical practices.

Keywords

hematoma drainage - Moscote–Agrawal guiding device - chronic subdural hematoma - neurosurgery - neurotrauma


Publication History

Article published online:
06 December 2024

© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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  • References

  • 1 Alvis-Miranda HR, Alcalá-Cerra G, Rubiano AM, Moscote-Salazar LR. Chronic subdural hematoma: physiopathology and surgical management. Bol Asoc Med P R 2014; 106 (04) 58-63
    PubMedSearch in Google Scholar
  • 2 Alcalá-Cerra G, Young AM, Moscote-Salazar LR, Paternina-Caicedo A. Efficacy and safety of subdural drains after burr-hole evacuation of chronic subdural hematomas: systematic review and meta-analysis of randomized controlled trials. World Neurosurg 2014; 82 (06) 1148-1157
    CrossrefPubMedSearch in Google Scholar
  • 3 Peng D, Zhu Y. External drains versus no drains after burr-hole evacuation for the treatment of chronic subdural haematoma in adults. Cochrane Database Syst Rev 2016; 2016 (08) CD011402
    PubMedSearch in Google Scholar
  • 4 Moscote-Salazar LR, Agrawal A. Letter: subdural pneumocephalus aspiration reduces recurrence of chronic subdural hematoma. Oper Neurosurg (Hagerstown) 2020; 18 (02) E62
    CrossrefPubMedSearch in Google Scholar
  • 5 Mishra R, Deora H, Florez-Perdomo WA. et al. Clinical and radiological characteristics for recurrence of chronic subdural hematoma: a systematic review and meta-analysis. Neurol Int 2022; 14 (03) 683-695
    CrossrefPubMedSearch in Google Scholar
  • 6 Rodriguez B, Morgan I, Young T. et al. Surgical techniques for evacuation of chronic subdural hematoma: a mini-review. Front Neurol 2023; 14: 1086645
    CrossrefPubMedSearch in Google Scholar