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An external ventricular drain (EVD), also known as a ventriculostomy or extraventricular drain, is a device used in neurosurgery to treat hydrocephalus and relieve elevated intracranial pressure when the normal flow of cerebrospinal fluid (CSF) inside the brain is obstructed.
The ventricular system is continuous with the central canal of the spinal cord from the fourth ventricle, [3] allowing for the flow of CSF to circulate. [ 3 ] [ 4 ] All of the ventricular system and the central canal of the spinal cord are lined with ependyma , a specialised form of epithelium connected by tight junctions that make up the blood ...
It is done by surgically penetrating the skull, dura mater, and brain such that the ventricular system ventricle of the brain is accessed. When catheter drainage is temporary, it is commonly referred to as an external ventricular drain (EVD). When catheter drainage is permanent, it is usually referred to as a shunt.
The coronary sinus drains through the posterior wall of right atrium at the orifice of the coronary sinus. [6] [1] This orifice is located at the posteroinferior aspect of the right atrium, just medial [1] and to the left of the orifice of inferior vena cava, [6] and between the inferior vena cava and the right atrioventricular orifice ...
Fourth ventricle location shown in red (E), pons (B); the floor of the ventricle is to the right, the roof to the left. The fourth ventricle has a roof at its upper (posterior) surface and a floor at its lower (anterior) surface, and side walls formed by the cerebellar peduncles (nerve bundles joining the structure on the posterior side of the ventricle to the structures on the anterior side).
A ventricle is one of two large chambers located toward the bottom of the heart that collect and expel blood towards the peripheral beds within the body and lungs. The blood pumped by a ventricle is supplied by an atrium, an adjacent chamber in the upper heart that is smaller than a ventricle.
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During contraction of the ventricular myocardium , the subendocardial coronary vessels (the vessels that enter the myocardium) are compressed due to the high ventricular pressures. This compression results in momentary retrograde blood flow (i.e., blood flows backward toward the aorta) which further inhibits perfusion of myocardium during systole.