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Ventriculoperitoneal Shunting Surgery with Open Distal Shunt Catheter Placement in the Treatment of Hydrocephalus

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Abstract

Ventriculoperitoneal shunting (VPS) is a major therapy for hydrocephalus, but has a significant risk of device malfunctioning. In this study, we explored a novel distal shunt catheter placement method in VPS for the treatment of hydrocephalus. Five patients with different etiologies of hydrocephalus underwent VPS with open distant shunt catheter attached outside. We analyzed different variables (age, gender, medical history, clinical presentation, indication for surgery and surgical technique, postoperative complications) and occurrence of shunt failure and infection. All hydrocephalus patients who received the distal shunt catheter placed outside can undergo regular VPS again after the condition improves. The modified VPS in the treatment of hydrocephalus with the distal shunt catheter placed outside could potentially reduce the necessity of repeat surgery for addressing the complications caused by catheter obstruction and infections, reduce the chance of adhesions, and would be of benefit to those patients who need future revisions.

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References

  1. Wang, Z. (2008). Neurosurgery (p. 1071). Wuhan: Hubei Science and Technology Press.

    Google Scholar 

  2. Moslem, S., Payman, V., & Iraj, L. (2008). A review of hydrocephalus: History, etiologies, diagnosis, and treatment. Neurosurgery Quarterly, 18(3), 216–220.

    Article  Google Scholar 

  3. Schwamb, R., Dalpiaz, A., Miao, Y., Gonka, J., & Khan, S. A. (2014). Clinical manifestations of hydrocephalus: A review. Neurology and Clinical Neuroscience, 2, 173–177.

    Article  Google Scholar 

  4. Mazzini, L., Campini, R., Angelino, E., et al. (2003). Posttraumatic hydrocephalus: A clinical, neuroradiologic, and neuropsychologic assessment of long-term outcome. Archives of Physical Medicine and Rehabilitation, 84(11), 1637–1641.

    Article  PubMed  Google Scholar 

  5. Bhatoe, H. S., & Batish, V. K. (2005). Post head injury hydrocephalus. Indian Journal of Neurotrauma, 2(2), 131–133.

    Article  Google Scholar 

  6. Rajshekhar, V. (2009). Management of hydrocephalus in patients with tuberculous meningitis. Neurology India, 57(4), 368–374.

    Article  PubMed  Google Scholar 

  7. Goel, A. (2002). Tumour induced hydrocephalus and oedema: Pathology or natural defence. Journal of Postgraduate Medicine, 48(2), 153–154.

    CAS  PubMed  Google Scholar 

  8. Yadav, Y. R., Mukerji, G., Shenoy, R., Basoor, A., Jain, G., & Nelson, A. (2007). Endoscopic management of hypertensive intraventricular haemorrhage with obstructive hydrocephalus. BMC Neurology, 7, 1.

    Article  PubMed  PubMed Central  Google Scholar 

  9. Groat, J., & Neumiller, J. J. (2013). Review of the treatment & management of hydrocephalus. US Pharm, 38(3), HS8–HS11.

    Google Scholar 

  10. Yavuz, C., Demirtas, S., Caliskan, A., et al. (2013). Reasons, procedures, and outcomes in ventriculoatrial shunts: a single-center experience. Surg Neurology of International, 4, 10.

    Article  Google Scholar 

  11. Kupeli, E., Yilmaz, C., & Akcay, S. (2010). Pleural effusion following ventriculopleural shunt: Case reports and review of the literature. Annals of Thoracic Medicine, 5(3), 166–170.

    Article  PubMed  PubMed Central  Google Scholar 

  12. Hahn, Y. S., & Raimondi, A. J. (1976). Ventriculo-peritoneal shunting with one piece spring catheter. Technical Note. Yonsei Medical Journal, 17(2), 157–162.

    Article  CAS  PubMed  Google Scholar 

  13. Zhang, Q. (2004). Neurosurgery specifications and typical cases reviews (p. 513). Jinan: Shandong Science and Technology Press.

    Google Scholar 

  14. Chinese Medical Association. (2005). Clinical Practice Guidelines (Neurosurgery Volume) (p. 191). Beijing: People’s Health Publishing Press.

    Google Scholar 

  15. Parker, S. L., Attenello, F. J., Sciubba, D. M., et al. (2009). Comparison of shunt infection incidence in high-risk subgroups receiving antibiotic-impregnated versus standard shunts. Childs Nervous System, 25, 77–83.

    Article  Google Scholar 

  16. Neumiller, J., Neumiller, J., Gates, B., et al. (2007). Normal pressure hydrocephalus. US Pharm, 32(1), 56–61.

    Google Scholar 

  17. Lollis, S. S., Mamourian, A. C., Vaccaro, T. J., & Duhaime, A. C. (2010). Programmable CSF shunt valves: Radiographic identification and interpretation. American Journal of Neuroradiology, 31(7), 1343–1346.

    Article  PubMed  Google Scholar 

  18. Lee, W. C., Seo, D. H., Choe, I. S., Park, S. C., Ha, Y. S., & Lee, K. C. (2010). A comparative result of ventriculoperitoneal shunt, focusing mainly on gravity-assisted valve and programmable valve. Journal of Korean Neurosurgical Society, 48(3), 251–258.

    Article  PubMed  PubMed Central  Google Scholar 

  19. Kiefer, M., & Eymann, R. (2010). Gravitational shunt complications after a five-year follow-up. Acta Neurochirurgica Supplementum, 106, 107–112.

    Article  Google Scholar 

  20. Pan, S., Guan, M., Wang, Y., et al. (1997). Ventriculoperitoneal shunt complications: Five cases. Chinese Journal of Neurosurgery, 13(6), 341.

    Google Scholar 

  21. Nigim, F., Thomas, A. J., Papavassiliou, E., et al. (2014). Ventriculoperitoneal shunting: Laparoscopically assisted versus conventional open surgical approaches. Asian Journal of Neurosurgery, 9(2), 72–81.

    Article  PubMed  PubMed Central  Google Scholar 

  22. Argo, J. L., Yellumahanthi, D. K., Ballem, N., Harrigan, M. R., Fisher, W. S, 3rd, Wesley, M. M., et al. (2009). Laparoscopic versus open approach for implantation of the peritoneal catheter during ventriculoperitoneal shunt placement. Surgical Endoscopy, 23(7), 1449–1455.

    Article  PubMed  Google Scholar 

  23. Naftel, R. P., Argo, J. L., Shannon, C. N., Taylor, T. H., Tubbs, R. S., Clements, R. H., & Harrigan, M. R. (2011). Laparoscopic versus open insertion of the peritoneal catheter in ventriculoperitoneal shunt placement: Review of 810 consecutive cases. Journal of Neurosurgery, 115(1), 151–158.

    Article  PubMed  Google Scholar 

  24. Raysi Dehcordi, S., De Tommasi, C., Ricci, A., Marzi, S., Ruscitti, C., Amicucci, G., & Galzio, R. J. (2011). Laparoscopy-assisted ventriculoperitoneal shunt surgery: Personal experience and review of the literature. Neurosurgical Review, 34(3), 363–370.

    Article  PubMed  Google Scholar 

  25. Lain, C. H., & Villemure, J. G. (1997). Comparison between ventriculoatrial and ventriculoperitoneal shunting in the adult population. British Journal of Neurosurgery, 11(1), 43–48.

    Article  Google Scholar 

  26. ter Laan, M., & Mooij, J. J. (2006). Improvement after treatment of hydrocephalus in aneurysmal subarachnoid haemorrhage: Implications for grading and prognosis. Acta Neurochirurgica, 148(3), 325–328.

    Article  PubMed  Google Scholar 

  27. Gu, Z., Xu, A., Sun, Y., et al. (2003). The discussion of the safety and clinical applications in continued lumbar drainage of cerebrospinal fluid. Chinese Neurosurgery, 11(4), 408.

    Google Scholar 

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Authors and Affiliations

  1. Department of Neurosurgery, The First Affiliated Hospital of Jilin University, Changchun, China

    Yang Zhang, Xiaobo Zhu, Jinchuan Zhao, Kun Hou, Xianfeng Gao, Yang Sun & Wei Wang

  2. Department of Anesthesiology, The First Affiliated Hospital of Jilin University, No. 71 Xinmin Avenue, Changchun, 130021, Jilin, China

    Xiaona Zhang

Authors
  1. Yang Zhang
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  2. Xiaobo Zhu
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  3. Jinchuan Zhao
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  4. Kun Hou
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  5. Xianfeng Gao
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  6. Yang Sun
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  7. Wei Wang
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  8. Xiaona Zhang
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Correspondence to Xiaona Zhang.

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Zhang, Y., Zhu, X., Zhao, J. et al. Ventriculoperitoneal Shunting Surgery with Open Distal Shunt Catheter Placement in the Treatment of Hydrocephalus. Cell Biochem Biophys 73, 533–536 (2015). https://doi.org/10.1007/s12013-015-0697-2

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  • DOI: https://doi.org/10.1007/s12013-015-0697-2

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