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Open Access 01-04-2021 | Intracranial Hypertension | Editorial (by Invitation)- CSF Circulation

Benefits and obstacles of telemetric ICP monitoring

Authors: Joachim M. K. Oertel, Matthias J. M. Huelser

Published in: Acta Neurochirurgica | Issue 4/2021

Excerpt

The commercial use of telemetric intracranial pressure (ICP) monitoring has been in use for over a decade now. The first device which was licensed is the Neurovent-P-tel probe® (Raumedic, Helmbrecht, Germany) in 2009 followed by reports of its first clinical use [2, 3, 8, 24]. Preclinical studies showed a sufficient long-term stability of the ICP measurement with only a minimal zero drift with good accuracy [9, 11, 12]. …

Antes S, Stadie A, Muller S, Linsler S, Breuskin D, Oertel J (2018) Intracranial pressure-guided shunt valve adjustments with the Miethke sensor reservoir. World Neurosurg 109:e642–e650. https://doi.org/10.1016/j.wneu.2017.10.044CrossRefPubMed

Antes S, Tschan CA, Heckelmann M, Breuskin D, Oertel J (2016) Telemetric intracranial pressure monitoring with the raumedic Neurovent P-tel. World Neurosurg 91:133–148. https://doi.org/10.1016/j.wneu.2016.03.096CrossRefPubMed

Antes S, Tschan CA, Kunze G, Ewert L, Zimmer A, Halfmann A, Oertel J (2014) Clinical and radiological findings in long-term intracranial pressure monitoring. Acta Neurochir (Wien) 156:1009–1019; discussion 1019. https://doi.org/10.1007/s00701-013-1991-7CrossRef

Antes S, Tschan CA, Oertel JM (2014) An operative technique combining endoscopic third ventriculostomy and long-term ICP monitoring. Childs Nerv Syst 30:331–335. https://doi.org/10.1007/s00381-013-2269-3CrossRefPubMed

Barber JM, Pringle CJ, Raffalli-Ebezant H, Pathmanaban O, Ramirez R, Kamaly-Asl ID (2017) Telemetric intra-cranial pressure monitoring: clinical and financial considerations. Br J Neurosurg 31:300–306. https://doi.org/10.1080/02688697.2016.1229752CrossRefPubMed

Ertl P, Hermann EJ, Heissler HE, Krauss JK (2017) Telemetric intracranial pressure recording via a shunt system integrated sensor: a safety and feasibility study. J Neurol Surg A Cent Eur Neurosurg 78:572–575. https://doi.org/10.1055/s-0037-1603632CrossRefPubMed

Evensen KB, Eide PK (2020) Measuring intracranial pressure by invasive, less invasive or non-invasive means: limitations and avenues for improvement. Fluids Barriers CNS 17:34. https://doi.org/10.1186/s12987-020-00195-3CrossRefPubMedPubMedCentral

Freimann FB, Schulz M, Haberl H, Thomale UW (2014) Feasibility of telemetric ICP-guided valve adjustments for complex shunt therapy. Childs Nerv Syst 30:689–697. https://doi.org/10.1007/s00381-013-2324-0CrossRefPubMed

Freimann FB, Sprung C, Chopra SS, Vajkoczy P, Wolf S (2013) Large-scale referencing of the telemetric neurovent-P-tel intracranial pressure sensor in a porcine model. Pediatr Neurosurg 49:29–32. https://doi.org/10.1159/000355561CrossRefPubMed

10.

Grand W, Leonardo J, Chamczuk AJ, Korus AJ (2016) Endoscopic third ventriculostomy in 250 adults with hydrocephalus: patient selection, outcomes, and complications. Neurosurgery 78:109–119. https://doi.org/10.1227/NEU.0000000000000994CrossRefPubMed

11.

Kiefer M, Antes S, Leonhardt S, Schmitt M, Orakcioglu B, Sakowitz OW, Eymann R (2012) Telemetric ICP measurement with the first CE-approved device: data from animal experiments and initial clinical experiences. Acta Neurochir Suppl 114:111–116. https://doi.org/10.1007/978-3-7091-0956-4_20CrossRefPubMed

12.

Kiefer M, Antes S, Schmitt M, Krause I, Eymann R (2011) Long-term performance of a CE-approved telemetric intracranial pressure monitoring. Conf Proc IEEE Eng Med Biol Soc 2011:2246–2249. https://doi.org/10.1109/IEMBS.2011.6090426CrossRef

13.

Kitchen WJ, Singh N, Hulme S, Galea J, Patel HC, King AT (2011) External ventricular drain infection: improved technique can reduce infection rates. Br J Neurosurg 25:632–635. https://doi.org/10.3109/02688697.2011.578770CrossRefPubMed

14.

Korfias SI, Banos S, Alexoudi A, Themistoklis K, Vlachakis E, Patrikelis P, Gatzonis S, Sakas DE (2020) Telemetric intracranial pressure monitoring: our experience with 22 patients investigated for intracranial hypertension. Br J Neurosurg 1–12. https://doi.org/10.1080/02688697.2020.1849544

15.

Lilja-Cyron A, Kelsen J, Andresen M, Fugleholm K, Juhler M (2018) Feasibility of telemetric intracranial pressure monitoring in the neuro intensive care unit. J Neurotrauma 35:1578–1586. https://doi.org/10.1089/neu.2017.5589CrossRefPubMed

16.

Norager NH, Lilja-Cyron A, Bjarkam CR, Duus S, Juhler M (2018) Telemetry in intracranial pressure monitoring: sensor survival and drift. Acta Neurochir (Wien) 160:2137–2144. https://doi.org/10.1007/s00701-018-3691-9CrossRef

17.

Oertel JMK, Huelser MJM (2019) Telemetric home monitoring of intracranial pressure-where are we now. Acta Neurochir (Wien) 161:1603–1604. https://doi.org/10.1007/s00701-019-03962-wCrossRef

18.

Oertel JMK, Huelser MJM (2020) Is there an ideal shunt valve and opening pressure setting for NPH? Acta Neurochir (Wien) 162:2965–2966. https://doi.org/10.1007/s00701-020-04598-xCrossRef

19.

Pedersen SH, Norager NH, Lilja-Cyron A, Juhler M (2019) Telemetric intracranial pressure monitoring in children. Childs Nerv Syst. https://doi.org/10.1007/s00381-019-04271-4

20.

Pennacchietti V, Prinz V, Schaumann A, Finger T, Schulz M, Thomale UW (2020) Single center experiences with telemetric intracranial pressure measurements in patients with CSF circulation disturbances. Acta Neurochir (Wien) 162:2487–2497. https://doi.org/10.1007/s00701-020-04421-7CrossRef

21.

Rot S, Dweek M, Gutowski P, Goelz L, Meier U, Lemcke J (2020) Comparative investigation of different telemetric methods for measuring intracranial pressure: a prospective pilot study. Fluids Barriers CNS 17:63. https://doi.org/10.1186/s12987-020-00225-0CrossRefPubMedPubMedCentral

22.

Tschan CA, Velazquez Sanchez VF, Heckelmann M, Antes S (2019) Home telemonitoring of intracranial pressure. Acta Neurochir (Wien) 161:1605–1617. https://doi.org/10.1007/s00701-019-03959-5CrossRef

23.

Waqar M, Ellenbogen JR, Stovell MG, Al-Mahfoudh R, Mallucci C, Jenkinson MD (2016) Long-term outcomes of endoscopic third ventriculostomy in adults. World Neurosurg 94:386–393. https://doi.org/10.1016/j.wneu.2016.07.028CrossRefPubMed

24.

Welschehold S, Schmalhausen E, Dodier P, Vulcu S, Oertel J, Wagner W, Tschan CA (2012) First clinical results with a new telemetric intracranial pressure-monitoring system. Neurosurgery 70:44–49; discussion 49. https://doi.org/10.1227/NEU.0b013e31822dda12CrossRefPubMed

Title: Benefits and obstacles of telemetric ICP monitoring
Authors: Joachim M. K. Oertel
Matthias J. M. Huelser
Publication date: 01-04-2021
Publisher: Springer Vienna
Keyword: Intracranial Hypertension
Published in: Acta Neurochirurgica / Issue 4/2021
Print ISSN: 0001-6268
Electronic ISSN: 0942-0940
DOI: https://doi.org/10.1007/s00701-021-04730-5

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