Long-tunneled external ventricular drainage (LTEVD) for the prevention and treatment of infections in pediatric and adult hydrocephalus - Takeaways - MDSpire

Long-tunneled external ventricular drainage (LTEVD) for the prevention and treatment of infections in pediatric and adult hydrocephalus

  • By

  • Mateo Tomas Fariña Nuñez

  • Veronica Percuoco

  • Lara Maria Höbner

  • Stefanos Voglis

  • Richard Parvin

  • Massimo Barbagallo

  • Adrian Elmi Terander

  • Erik Edström

  • Carlo Serra

  • Luca Regli

  • Victor E. Staartjes

  • Flavio Vasella

  • October 10, 2025

  • 0 min

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  • 1

    External ventricular drainage (EVD) is crucial for managing acute neurosurgical conditions like hydrocephalus and CNS infections.

  • 2

    Short-tunneled external ventricular drainage (STEVD) is common but associated with complications such as infections and catheter blockage.

  • 3

    Long-tunneled external ventricular drainage (LTEVD) was introduced to reduce EVD-related infections by increasing catheter tunnel length.

  • 4

    Despite potential benefits, LTEVD remains underutilized due to perceived complexity and longer operative times compared to STEVD.

  • 5

    This systematic review aims to evaluate LTEVD versus STEVD outcomes, focusing on infection rates and other complications in both pediatric and adult populations.

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