The Adjustable proGAV Shunt
| Autor: | Martina Messing-Jünger, H. A. Trost, Abolghassem Sepehrnia, Johannes Lemcke, Joachim K. Krauss, Hans-Christian Ludwig, Christoph Schul, Hans-Georg Schlosser, Christian Sprung, M. Javad Mirzayan, Friedrich Weber, Jürgen Höpfner, Ullrich Meier, Veit Rohde |
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| Rok vydání: | 2010 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent Observation Young Adult 03 medical and health sciences 0302 clinical medicine Germany medicine Humans Prospective Studies Child Aged Retrospective Studies Aged 80 and over business.industry Infant Middle Aged medicine.disease Survival Analysis Cerebrospinal Fluid Shunts Pressure level 3. Good health Hydrocephalus Surgery Shunt (medical) Treatment Outcome Multicenter study Child Preschool 030220 oncology & carcinogenesis Female Observational study Neurology (clinical) business 030217 neurology & neurosurgery Pediatric hydrocephalus Follow-Up Studies |
| Zdroj: | Neurosurgery. 66:465-474 |
| ISSN: | 0148-396X |
| DOI: | 10.1227/01.neu.0000365272.77634.6b |
| Popis: | OBJECTIVE: To evaluate the reliability of the gravitation-assisted adjustable proGAV shunt system with a prospective multicenter study conducted in 10 German hospitals. METHODS: Enrollment for this observational study began in April 2005 and concluded in February 2006. The protocol required re-examinations 3 and 6 months postoperatively and fixed the endpoint of follow-up at 12 months after implantation. Patients with different types of adult, juvenile, and pediatric hydrocephalus were included and 165 patients were enrolled; 9 died and 12 had incomplete follow-up. RESULTS: Of the assessable 144 patients, 130 completed the protocol after 12 months, whereas 14 failed because of the need to explant the device, mainly because of infection. In 12 patients, components of the shunt, not the valve, were revised. In 65 of the 144 patients, there were 102 readjustments of the valve in 67 incidences because of under- drainage and in 35 because of overdrainage. In 1 case, readjustment was not possible. Determination of pressure level with the verification instrument was safe and corresponded to the required x-ray controls after adjustments. No unintended readjustments were noted. CONCLUSION: The proGAV is a safe and reliable device. |
| Databáze: | OpenAIRE |
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