Yonsei Med J.  2013 Sep;54(5):1091-1097. 10.3349/ymj.2013.54.5.1091.

Comparison of Drainage Volume of Chronic Subdural Hematoma According to Drainage Catheter Type

• Lee GY
• Oh CH
• Shim YS
• Yoon SH
• Park HC
• Park CO
• Hyun D

• KMID: 1793154
• DOI: http://doi.org/10.3349/ymj.2013.54.5.1091

Abstract

PURPOSE
To assess the therapeutic value of two different drainage catheters in treating chronic subdural hematoma (CSDH).
MATERIALS AND METHODS
Two types of drainage catheters can be used to treat CSDH according to the position of holes in the catheter: open-type or closed-type catheter. In this retrospective study, 199 total patients with CSDH were reviewed according to catheter type. Among them, 84 patients were and 113 in the closed-type group (holes positioned within the distal-most 1 cm of the catheter). The surgeon selected the catheter type. Total drainage volume, initial drainage volume within 2 days, percentage of initial drainage volume per total drainage volume, duration of catheter insertion, and reoperation rate were compared.
RESULTS
Total drainage volume was not different between the two groups (p=0.333). The initial drainage volume within 2 days was larger in the open-type group than closed-type group (p=0.024), but the percentage of initial drainage volume per total drainage volume was not different (p=0.354). The duration of catheter insertion was shorter in the open-type group than closed-type group (p=0.015). The reoperation rate of CSDH was also higher in the open-type group than closed-type group (p=0.004).
CONCLUSION
CSDH drainage with an open-type catheter is faster compared with a closed-type catheter, but total drainage volume is similar and reoperation rate is higher. Therefore, the open-type catheter for CSDH drainage has limited clinical value.

Keyword

Chronic subdural hematoma; catheter; drainage

MeSH Terms

Adolescent
Adult
Aged
Aged, 80 and over
Catheters/*adverse effects
Child
Child, Preschool
Drainage
Equipment Design
Female
Hematoma, Subdural, Chronic/surgery/*therapy
Humans
Infant
Male
Middle Aged
Retrospective Studies

Figure

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  Fig. 1 The open-type catheter has 5 holes within the distal-most 5 cm, with a large hole at the end position of the catheter.

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  Fig. 2 The closed-type catheter's hole configuration has 8 holes within the distal-most 1 cm.

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