Table 1.
EVD | VSGS | VAD | |
---|---|---|---|
Close system | – | + | + |
Continuous drainage | + | ± or + | – |
Repeated aspiration | – | – | + |
Labor intense | + | + | ++ |
Risk of over-drainage or under-drainage | + | + | – |
Electrolyte and nutritional loss | + | – | + |
Risk of infection | ++ | + | + |
CSF studies before conversion to a permanent shunt | ++ | ++ | + |
Changes of the hardware when converting to a permanent shunt | +++ | +++ | ± |
Survival duration | Short | Average 30 days | Long |
Unique complications and drawbacks | – | Catheter migration, unappealing scalp swelling, skull deformity, secondary subgaleal encephalocele | – |
Abbreviations: EVD: external ventricular drainage; VSGS: ventriculosubgaleal shunt; VAD: ventricular access device.