Avoiding Ventricular Transgression during DBS Surgery: A Quality Improvement Intervention (P3.076)

摘要: OBJECTIVE: To determine whether modification of clinical practice to avoid ventricular transgression during deep brain stimulation (DBS) surgery reduces intracranial hemorrhage (ICH). BACKGROUND: In a previous study, we reported that is risk factor for ICH DBS lead placement. Consequently, as quality improvement (QI) initiative modified surgical technique and reduce the intraventricular (IVH). DESIGN/METHODS: Consecutive adult patients undergoing movement disorders at our institution, before after QI intervention, were included both groups compared. Demographic, data collected by detailed medical record review. Imaging studies evaluated systematically evidence transgression. The primary outcome was incidence IVH on post-operative imaging. RESULTS: Two-hundred fifty (177 pre- 73 post-intervention) met inclusion criteria. Mean age 65.5+/-10.8 years. Age (p<0.89), gender (p<0.33), diagnosis (p<0.1), imaging (p<0.68), hypertension (p<0.6) diabetes (p<0.82) did not differ between groups. There no significant difference in rate symptomatic (5 before, 3 p<0.81). significantly lower intervention (63.4 vs 6.8% p<0.0001) confirming successful change practice. also (15.4 4.1%, p<0.0001). Every associated with If ventricle transgressed, any 43% pre-intervention 40% post (p<0.9). 8.1% 14.5% (p<0.2). CONCLUSIONS: Avoiding ventricles placement leads decrease asymptomatic IVH. This successfully following DBS. Study Supported by: Disclosure: Dr. Bailey has nothing disclose. Tate Tatter Laxton Siddiqui received research support from Hanes Foundation.