Abstract
OBJECTIVEVentricular shunt (VS) durability has been well studied in the pediatric population and in patients with normal pressure hydrocephalus; however, further evaluation in a more heterogeneous adult population is needed. This study aims to evaluate the effect of diagnosis and valve type-fixed versus programmable-on shunt durability and cost for placement of shunts in adult patients.METHODSThe authors retrospectively reviewed the medical records of all patients who underwent implantation of a VS for hydrocephalus at their institution over a 3-year period between August 2013 and October 2016 with a minimum postoperative follow-up of 6 months. The primary outcome was shunt revision, which was defined as reoperation for any indication after the initial procedure. Supply costs, shunt durability, and hydrocephalus etiologies were compared between fixed and programmable valves.RESULTSA total of 417 patients underwent shunt placement during the index time frame, consisting of 62 fixed shunts (15%) and 355 programmable shunts (85%). The mean follow-up was 30 ± 12 (SD) months. The shunt revision rate was 22% for programmable pressure valves and 21% for fixed pressure valves (HR 1.1 [95% CI 0.6-1.8]). Shunt complications, such as valv...Continue Reading
References
Nov 1, 1994·Neurosurgery·M Lund-JohansenK Wester
Nov 1, 1995·Neurosurgery·H L WeinerJ H Wisoff
Dec 22, 1999·Neurosurgery·I F PollackP D Adelson
Aug 2, 2001·British Journal of Neurosurgery·G Zemack, B Romner
Dec 25, 2004·Neurosurgery·Ravish V Patwardhan, Anil Nanda
Jan 11, 2005·Surgical Neurology·Florian RingelBernhard Meyer
Mar 1, 2005·Surgical Neurology·Julio SoteloMiguel Angel López
Nov 16, 2006·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Matthew J McGirtGeorge Jallo
Sep 21, 2007·Neurosurgery·Yvonne WuNalin Gupta
Jan 22, 2008·Acta Neurologica Scandinavica·A Brean, P K Eide
Sep 16, 2008·Neurosurgery·Marvin BergsneiderXiao Hu
Mar 19, 2009·Journal of Neurology, Neurosurgery, and Psychiatry·D FarahmandM Tisell
Aug 16, 2011·World Neurosurgery·G Kesava ReddyBharat Guthikonda
Dec 13, 2012·Journal of Neurosurgery. Spine·Owoicho AdogwaJoseph S Cheng
Mar 5, 2013·Journal of Neurology, Neurosurgery, and Psychiatry·Johannes LemckeDirk Stengel
Jun 4, 2013·The Cochrane Database of Systematic Reviews·Morten ZiebellMarianne Juhler
Sep 1, 2015·Journal of Neurosurgery·Dan FarahmandCarsten Wikkelsö
Sep 2, 2016·Neurosurgical Focus·Shyamal C BirAnil Nanda
Jun 27, 2017·International Journal of Surgery·Min LiXiaoping Yin
Mar 17, 2018·Journal of Neurosurgery·Nitish Agarwal
Citations
May 3, 2019·Neurosurgery·Sonia AjmeraPaul Klimo
Feb 6, 2020·Arquivos de neuro-psiquiatria·Fernando Campos Gomes PintoManoel Jacobsen Teixeira
Jun 17, 2020·The Cochrane Database of Systematic Reviews·Luis GaregnaniSantiago Adalberto Portillo Medina
Jun 15, 2019·Journal of Neurosurgery·Ahmed KashkoushRobert M Friedlander
Oct 10, 2020·Surgical Neurology International·Virendra Rajendrakumar DesaiGavin Britz
Aug 23, 2019·Operative Neurosurgery·Eduardo Orrego-GonzálezAjith J Thomas
Feb 20, 2020·Arquivos de neuro-psiquiatria·Fernando Campos Gomes PintoManoel Jacobsen Teixeira
Apr 4, 2021·Medicina·Yasin HamaratArminas Ragauskas
Nov 3, 2020·Acta neurologica Belgica·Matheus Fernandes de OliveiraF C G Pinto
May 23, 2021·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Benjamin J HallBenedetta Pettorini
Jun 3, 2021·Life·Susan P MollanAlex J Sinclair
Nov 15, 2021·Neuro-Chirurgie·M PerrotteT Gaberel