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Commentary: Response to “Systematic review and meta-analysis of external ventricular drain placement accuracy and narrative review of guidance devices”

  • Noah L.A. Nawabi
    Correspondence
    Corresponding author at: Computational Neuroscience Outcomes Center (CNOC), Department of Neurosurgery, Brigham and Women's Hospital, Harvard Medical School, 75 Francis Street, 02115 Boston, MA, United States.
    Affiliations
    Computational Neuroscience Outcomes Center (CNOC), Department of Neurosurgery, Brigham and Women's Hospital, Harvard Medical School, 75 Francis Street, 02115 Boston, MA, United States

    Department of Neurosurgery, Brigham and Women’s Hospital, Harvard Medical School, 75 Francis Street, 02115 Boston, MA, United States
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  • Brittany M. Stopa
    Affiliations
    Computational Neuroscience Outcomes Center (CNOC), Department of Neurosurgery, Brigham and Women's Hospital, Harvard Medical School, 75 Francis Street, 02115 Boston, MA, United States

    Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden
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  • Philipp Lassarén
    Affiliations
    Computational Neuroscience Outcomes Center (CNOC), Department of Neurosurgery, Brigham and Women's Hospital, Harvard Medical School, 75 Francis Street, 02115 Boston, MA, United States

    Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden
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  • Rania A. Mekary
    Affiliations
    Computational Neuroscience Outcomes Center (CNOC), Department of Neurosurgery, Brigham and Women's Hospital, Harvard Medical School, 75 Francis Street, 02115 Boston, MA, United States

    Department of Pharmaceutical Business and Administrative Sciences, School of Pharmacy, Massachusetts College of Pharmacy and Health Sciences University, 179 Longwood Avenue, 02115 Boston, MA, United States
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  • William Gormley
    Affiliations
    Computational Neuroscience Outcomes Center (CNOC), Department of Neurosurgery, Brigham and Women's Hospital, Harvard Medical School, 75 Francis Street, 02115 Boston, MA, United States

    Department of Neurosurgery, Brigham and Women’s Hospital, Harvard Medical School, 75 Francis Street, 02115 Boston, MA, United States

    Harvard Medical School, Boston, MA, United States
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      Highlights

      • Stuart et al. recently published a systematic review and meta-analysis on freehand EVD placement, a topic that has been extensively researched in our lab.
      • While certain results obtained by Stuart et al. were aligned with the results of our analysis, we feel their search of the literature was incomplete, as were the conducted analyses.
      • Stuart et al. ultimately concluded that while freehand EVD placement may not be an optimal placement technique for these devices, there is insufficient evidence to support guidance/image-assisted placement as the new standard of care.
      • Our overall interpretation of the literature, along with additional analyses carried out by our group that were not conducted by Stuart et al., have led us to a different conclusion: there is indeed sufficient evidence to support a shift in the standard of care for bedside EVD placement from freehand to guidance/image assisted.
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      References

        • Stuart M.J.
        • Antony J.
        • Withers T.K.
        • Ng W.
        Systematic review and meta-analysis of external ventricular drain placement accuracy and narrative review of guidance devices.
        J Clin Neurosci. 2021; 94: 140-151
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        • Essayed W.I.
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        • Lee B.H.
        • et al.
        Frameless neuronavigation with computer vision and real-time tracking for bedside external ventricular drain placement: a cadaveric study.
        J Neurosurg. 2021; : 1-10