Complications in the Treatment of Hydrocephalus in Children

Olsen, Leif; Frykberg, T.

doi:10.1111/j.1651-2227.1983.tb09733.x

Cited by 80 publications

(26 citation statements)

References 14 publications

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“…This seems comparable to the 0.35-1.4 range previously described [11][12][13][14][15]. Again, variability likely represents population differences; two previous es timates focus mainly on pediatrics [11,13], Over the 3 years studied, the proportion of revisions involving shunt removal decreased: 23% in 1988; 20% in 1990, and 17% in 1991. Since the proportion of all shunt revisions has remained quite steady (mean 48%, range 43-51%), this decrease in removals may reflect decreasing rates of shunt infection.…”

Section: Discussionsupporting

confidence: 53%

Epidemiology of Cerebrospinal Fluid Shunting

Bondurant

Jimenez²

1995

Pediatr Neurosurg

254

121

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The epidemiology of cerebrospinal fluid (CSF) shunting in the United States is not well known; however, with recent national surveys, the prevalence, incidence, and cost of these procedures can be estimated. The prevalence of CSF shunts in the United States appears to be greater than 125,000, though this is likely an underestimate of the true value. There are approximately 69,000 discharges each year with the diagnosis of hydrocephalus. These visits produce nearly 36,000 shunt-related procedures, 33,000 of which involve the placement of a shunt. CSF shunting procedures account for almost US$ 100 million of national health care expenditures each year. Unfortunately, nearly half of these dollars are spent on revision. The rates and costs of CSF shunting underscore the need for continued improvement in both materials and techniques.

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Section: Discussionsupporting

confidence: 53%

Epidemiology of Cerebrospinal Fluid Shunting

Bondurant

Jimenez²

1995

Pediatr Neurosurg

254

121

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“…1()|. Proximal obstruction is the most frequent type of failure according to the published data [3,17,23. 291 and our results.…”

Section: Discussionmentioning

confidence: 72%

Mechanical Complications in Shunts

Sainte‐Rose

Piatt²,

Rénier³

et al. 1991

Pediatr Neurosurg

393

206

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A retrospective study was conducted on 1,719 hydrocephalic patients, treated between 1974 and 1983 at the Hospital for Sick Children (Toronto) and l’Hôpital des Enfants Malades (Paris), in order to better understand shunt failure. The statistical analysis demonstrates the following: (1) A probability of occurrence of shunt malfunction of 81 % at 12 years of follow-up. (2) A high prevalence of shunt obstruction (56.1% of all malfunction) and fracture or disconnection of the tubings (13.6%). (3) A higher risk of proximal occlusion with flanged ventricular catheter. (4) Less malfunction with proximal-non-slit valves as compared to distal-slit valves. (5) The importance of pressure-flow characteristics of the shunt; because of an indircet relation between overdrainage and proximal occlusion. (6) A correlation between connectors and migration or fracture of the shunt. (7) Less distal obstructions when an open-ended distal-catheter was used. These complications were of some clinical, psychological and economical consequences. Their rate could be lowed.

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“…The most common location for distal catheter placement is the abdominal cavity. [2] VPS is thought to be associated with reduced complications compared to ventriculoatrial and ventriculopleural shunts which contributes to its popularity [2–5]. …”

Section: Introductionmentioning

confidence: 99%

Risk factors associated with distal catheter migration following ventriculoperitoneal shunt placement

Abode-Iyamah

Khanna

Rasmussen

et al. 2016

Journal of Clinical Neuroscience

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Ventriculoperitoneal (VP) shunt placement is used to treat hydrocephalus. Shunt migration following VP shunt placement has been reported. The risk factors related to this complication have not been previously evaluated to our knowledge. In this retrospective cohort study, we aimed to determine risk factors leading to distal catheter migration and review the literature on the current methods of management and prevention. Adult patients undergoing VP shunt placement from June 2011 to December 2013 at a single institution were identified using electronic health records. The records were reviewed for demographic and procedural information, and subsequent treatment characteristics. The parameters of patients with distal shunt migration were compared to those undergoing new VP shunt placement for the same time period. We identified 137 patients undergoing 157 new VP shunt procedures with an average age of 57.7 ± standard deviation of 18.4 years old. There were 16 distal shunt migrations. Body mass index >30 kg/m2 and number of previous shunt procedures were found to be independent risk factors for distal catheter migration. Obesity and number of previous shunt procedures were factors for distal catheter migration. Providers and patients should be aware of these possible risk factors prior to VP shunt placement.

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Complications in the Treatment of Hydrocephalus in Children

Cited by 80 publications

References 14 publications

Epidemiology of Cerebrospinal Fluid Shunting

Epidemiology of Cerebrospinal Fluid Shunting

Mechanical Complications in Shunts

Risk factors associated with distal catheter migration following ventriculoperitoneal shunt placement

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