TY  - JOUR
AU  - Salman, Saif D.
AU  - Tawk, Rabih G.
AU  - Ravindran, Krishnan
AU  - Tonetti, Daniel A.
AU  - Brandmeir, Nicholas
AU  - Jahromi, Behnam Rezai
AU  - Jahromi, Babak
AU  - Byrne, Richard W.
AU  - Freeman, William D.
PY  - 2025
TI  - IRRAflow active irrigation and drainage system: A glimpse into the future of cerebrospinal fluid shunts
JO  - Brain Hemorrhages
SN  - 2589-238X
SP  - 339
EP  - 342
VL  - 6
IS  - 6
AB  - Chronic hydrocephalus after subarachnoid hemorrhage may become inevitable, necessitating a permanent cerebrospinal fluid shunt. We report a 40-year-old woman with SAH and a CHESS score of 6. We implemented the IRRAflow active irrigation and drainage system which expedited hemorrhage clearance in 4 days compared to one or two weeks longer with standard external ventricular drains. This system reduced the inflammatory load and preserved the arachnoid granulations, which are responsible for CSF resorption. Further, expedited recanalization of the fourth ventricle prevented an exponential increase in intracranial pressure. Collectively, these factors prevented CSF shunt dependency.
UR  - https://doi.org/10.1016/j.hest.2025.10.002
DO  - 10.1016/j.hest.2025.10.002