Ventriculoperitoneal shunt complications: A review
| Autor: | Michael G Muhonen, Michelle Paff, Daniela Alexandru-Abrams, William G Loudon |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
medicine.medical_specialty
business.industry Shunt malfunction lcsh:Surgery lcsh:RD1-811 macromolecular substances Bowel perforation medicine.disease lcsh:RC346-429 Shunt (medical) Hydrocephalus Surgery 03 medical and health sciences Catheter 0302 clinical medicine 030220 oncology & carcinogenesis medicine Neurology (clinical) Complication business lcsh:Neurology. Diseases of the nervous system 030217 neurology & neurosurgery |
| Zdroj: | Interdisciplinary Neurosurgery, Vol 13, Iss, Pp 66-70 (2018) |
| ISSN: | 2214-7519 |
| DOI: | 10.1016/j.inat.2018.04.004 |
| Popis: | Ventriculoperitoneal shunt (VPS) placement is one of the most commonly performed neurosurgical procedures and is necessary to treat most forms of hydrocephalus. Unfortunately, complications related to VPS placement are common, and multiple shunt revisions are almost expected throughout a patient's lifetime. Shunt malfunction may be attributed to multiple causes, including obstruction, infection, pseudocyst formation and bowel perforation. VPS obstruction, which is most often occurs in the proximal catheter, is the most common cause of VPS malfunction. Hardware infection is the second most common cause of VPS malfunction, and this is a complication is most often observed in infants, with premature infants being the most susceptible. Despite continuous attempts to reduce the incidence of VPS complications, such as improved sterile techniques, antibiotic impregnated catheters, and programmable valves, VPS malfunction remains a major problem, which often leads to multiple and costly hospital admissions. In the present review, the most common complications of VPS are discussed, including presentation and appropriate management. Keywords: Ventriculoperitoneal shunt, Ventriculoperitoneal shunt infection, Ventriculoperitoneal shunt malfunction, Ventriculoperitoneal shunt complications, Pediatric neurosurgery |
| Databáze: | OpenAIRE |
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