Intraventricular hemorrhage and its fibrinolytic treatment: literature review

The review is dedicated to intraventricular hemorrhage (IVH) and its treatment with topical intraventricular fibrinolysis (IVF). We evaluated many clinical factors typical  for  IVH: etiology, classifications, symptoms, diagnostics, qualitative and quantitative  results and in case of re-bleeding th...

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Bibliographic Details
Published in:Ukrainian neurosurgical journal 2017-06 (2), p.5-10
Main Authors: Yuris L. Dzenis, Karlis Y. Stirans
Format: Article
Language:English
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Summary:The review is dedicated to intraventricular hemorrhage (IVH) and its treatment with topical intraventricular fibrinolysis (IVF). We evaluated many clinical factors typical  for  IVH: etiology, classifications, symptoms, diagnostics, qualitative and quantitative  results and in case of re-bleeding the breakdown site where blood enters venricular system.The paper considers main elements of IVF evaluated, namely indications, external ventricular drain (EVD) techniques, fibrinolytic administration through the drainage catheter vs  intratecali, fibrinolytic dosage used (urokinase, tissue plasminogen activator).The paper describes the results following IVH: mortality, main complications (re-bleeding, ventriculitis, shunt-dependence ect) and functional outcome. This article reviews the general points associated with IVH and its treatment with topical IVF.
ISSN:2663-9084
2663-9092
DOI:10.25305/unj.104497