Trends in CSF Leakage Associated with Duraplasty in Infratentorial Procedures over the Last 20 Years: A Systematic Review

被引:0
|
作者
Achinger K.G. [1 ]
Williams L.N. [1 ]
机构
[1] J. Crayton Pruitt Family Department of Biomedical Engineering, University of Florida, Gainesville, FL
关键词
Cerebral spinal fluid leakage; Cranial dura mater; Dura grafts; Synthetic graft; Xenogeneic graft;
D O I
10.1615/CritRevBiomedEng.v51.i2.30
中图分类号
学科分类号
摘要
Cerebrospinal fluid (CSF) leakage is a common postoperative complication of neurosurgical procedures, with iatrogenic causes accounting for 16% of CSF leakages. This complication increases healthcare costs and patient morbidity. The focus of this review is to analyze the rates of CSF leakage of some of the most commonly used xenogeneic and synthetic dural substitutes following surgeries in the infratentorial region of the brain where surgical repair can be most challenging. A systematic literature search was conducted using studies detailing duraplasty procedures performed with nonautologous grafts in the infratentorial region in PubMed. Studies were identified using the following search terms: “posterior fossa” or “infratentorial” were used in combination with “CSF leak,” “CSF leakage,” “cerebrospinal fluid leakage,” “duraplasty” or “dura graft.” The outcome of interest was a measure of the prevalence of CSF leakage rates following posterior fossa neurosurgery. Studies that contributed data to this review were published between 2006 and 2021. The dural graft materials utilized included: bovine collagen, acellular dermis, equine collagen, bovine pericardium, collagen matrix, and expanded polytetrafluoroethylene (ePTFE). The number of subjects in studies on each of these grafts ranged from 6 to 225. CSF leak rates ranged from 0% to 25% with the predominance of studies reporting between 3% and 15%. The studies that utilize bovine collagen, equine collagen, and acellular dermis reported higher CSF leakage rates; whereas studies that utilized ePTFE, bovine pericardium, and collagen matrix reported lower CSF leakage rates. Due to the heterogeneity of methodologies used across these studies, it is difficult to draw a direct correlation between the dural patch products used and CSF leaks. Larger prospective controlled studies that evaluate various products in a head-to-head fashion, using the same methods and animal models, are needed to conclude the relative efficacy of these dural patch products. © 2023 by Begell House, Inc.
引用
收藏
页码:33 / 44
页数:11
相关论文
共 50 条
  • [31] Long-term outcomes of bioprosthetic valves in the mitral position a systematic review of studies published over the last 20 years
    Koulouroudias, Marinos
    Di Mauro, Michele
    Lorusso, Roberto
    EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY, 2023, 64 (05)
  • [32] Epidemiology of Taenia solium infection in the Russian Federation in the last 20 years: a systematic review
    Bobic, B.
    Cirkovic, V
    Klun, I
    Stajner, T.
    Srbljanovic, J.
    Bauman, N.
    Djurkovic-Djakovic, O.
    JOURNAL OF HELMINTHOLOGY, 2021, 95
  • [33] Is mass classification in mammograms a solved problem? - A critical review over the last 20 years
    Dias Pedro, Ricardo Wandre
    Machado-Lima, Ariane
    Nunes, Fatima L. S.
    EXPERT SYSTEMS WITH APPLICATIONS, 2019, 119 : 90 - 103
  • [34] Sarcomatoid carcinomas of the lung: review of cases at a university hospital over the last 20 years
    Nogueira Gregorio, A.
    Fernandez-Lomana Idiondo, E. M.
    Atienza Robles, M.
    Marcos Munoz, A.
    de Casasola Rodriguez, G. Garcia
    Parron Collar, D.
    Diaz de Lezcano, I.
    Saiz Camin, M.
    VIRCHOWS ARCHIV, 2018, 473 : S313 - S314
  • [35] A Review of Cystic Lesions of the Adrenal Gland: Our Experience over the Last 20 Years
    Sebastiano, C.
    Zhao, X.
    Deng, F-M
    Das, K.
    LABORATORY INVESTIGATION, 2013, 93 : 137A - 137A
  • [36] A Review of Cystic Lesions of the Adrenal Gland: Our Experience over the Last 20 Years
    Sebastiano, C.
    Zhao, X.
    Deng, F-M
    Das, K.
    MODERN PATHOLOGY, 2013, 26 : 137A - 137A
  • [37] Global trends and hotspots in pain associated with bipolar disorder in the last 20 years: a bibliometric analysis
    Zhao, Hong Qing
    Zhou, Mi
    Jiang, Jia Qi
    Luo, Zhi Qiang
    Wang, Yu Hong
    FRONTIERS IN NEUROLOGY, 2024, 15
  • [38] What can we learn from the last 20 years: A review of litigation trends in otolaryngology
    Patel, Alisha
    Harrison, Rebecca
    Oremule, Babatunde
    SURGEON-JOURNAL OF THE ROYAL COLLEGES OF SURGEONS OF EDINBURGH AND IRELAND, 2020, 18 (02): : 75 - 79
  • [39] TRENDS IN INCIDENCE FOR GESTATIONAL TROPHOBLASTIC DISEASE OVER THE LAST 20 YEARS IN A POPULATION-BASED STUDY
    Eysbouts, Y. K.
    Bulten, J.
    Ottevanger, P. B.
    Thomas, C. M. G.
    Ten Kate-Booij, M. J.
    van Herwaarden, A. E.
    Siebers, A. G.
    Sweep, F. C. G. J.
    Massuger, L. F. A. G.
    INTERNATIONAL JOURNAL OF GYNECOLOGICAL CANCER, 2015, 25 (09) : 90 - 90
  • [40] Trends over the last 20 years in the clinical background of young Japanese patients with coronary artery disease
    Imamura, H
    Izawa, A
    Kai, R
    Yokoseki, O
    Uchikawa, SI
    Yazaki, Y
    Kinoshita, O
    Hongo, M
    Kubo, K
    CIRCULATION JOURNAL, 2004, 68 (03) : 186 - 191