5 Reasons LD May Outperform EVD in aSAH: Is Lumbar Drainage the Superior Strategy?
International Journal of Stroke (IJS), official journal of World Stroke Organization, shared a newly piblished study on X:
”New systematic review and meta analysis compares outcomes of external ventricular drainage and lumbar drainage in aSAH. When directly compared, LD was favored to EVD for early functional independence and survival”
Read the full article here.
In patients with aneurysmal subarachnoid hemorrhage (aSAH), cerebrospinal fluid diversion via lumbar drainage (LD) or external ventricular drainage (EVD) plays a critical role in managing complications.
In the recently published comprehensive meta-analysis ‘‘Outcomes of External Ventricular Drainage, and Lumbar Drainage in Aneurysmal Subarachnoid Hemorrhage: A Systematic Review, and Meta-Analysis” by Basel Musmar, Pascal Jabbour et al. in the IJS, a comparative overview of LD and EVD approaches in aSAH is discussed.
- LD was associated with lower risks of vasospasm, ischemic complications, severe disability, and mortality without an increased risk of rebleeding.
- EVD effectively reduced ischemic events but carried a higher infection risk.
Direct comparisons suggest LD may offer advantages in early functional recovery and survival, though clinical context and patient severity remain key considerations.
Further research is warranted to guide optimal intervention strategies!
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