• World Neurosurg · Sep 2016

    Clinical Trial

    A new subcutaneously anchored device for securing external CSF catheters: Our preliminary experience.

    • Paolo Frassanito, Luca Massimi, Gianpiero Tamburrini, Mauro Pittiruti, Francesco Doglietto, Carlotta Ginevra Nucci, and Massimo Caldarelli.
    • Pediatric Neurosurgery, Catholic University Medical School, Rome, Italy. Electronic address: paolo.frassanito@gmail.com.
    • World Neurosurg. 2016 Sep 1; 93: 1-5.

    BackgroundAccidental dislocation or removal is a well-known complication of external cerebrospinal fluid (CSF) drainage in daily clinical practice. At present, no data about the incidence of such complications are available in the scientific literature. SecurAcath (Interrad Medical, Plymouth, Minnesota, USA) is a subcutaneously anchored device recently adopted for securement of central venous catheters, known to be highly effective (and cost-effective) in reducing the risk of catheter dislodgement and/or accidental removal.MethodsWe report our preliminary experience with the use of SecurAcath to secure CSF drainage, either ventricular or spinal, to the skin.ResultsSecurAcath was used in 29 consecutive patients (age range: 3 weeks-16 years, median age 6.3 years). In particular, the device was used for 25 ventricular catheters (a patient received 2 catheters in the same procedure for bilateral brain abscess) and 5 spinal drainages. Period in place ranged from 1-4 weeks (median 22 days). No complication related to the use of the device was observed, in particular there was no case of dislocation or accidental removal of the catheter. The removal procedure was extremely easy. The device has proven its utility also in 3 cases requiring an adjustment of the length of the catheter.ConclusionsIn our experience, SecurAcath is a safe and effective device to secure CSF external catheters to the skin, with several relevant advantages: its placement and maintenance are easy; it may stay in place for the entire duration of the catheter; it allows a more complete antisepsis of the exit site, thus reducing local skin complications; it eliminates the risk of suture-related needlestick injuries.Copyright © 2016 Elsevier Inc. All rights reserved.

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