Mechanical complications of shunt for hydrocephalus

Introduction: Hydrocephalus is the pathology most frequently addressed and studied in pediatric neurosurgery. Over 15,000 new cases are diagnosed each year. Although it is the most com-mon procedure performed by pediatric neurosurgeons, the shunt implant for drainage of cerebrospinal fluid (CSF) als...

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Autor principal: Aline Saré de Melo
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Lenguaje:EN
Publicado: Brazilian Society for Pediatric Neurosurgery 2020
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spelling oai:doaj.org-article:bc628567b9bf46a48d7fa9abb763c1df2021-11-23T21:46:37ZMechanical complications of shunt for hydrocephalus2675-362610.29327/apn.v2i1(January-April).25https://doaj.org/article/bc628567b9bf46a48d7fa9abb763c1df2020-04-01T00:00:00Zhttps://www.archpedneurosurg.com.br/pkp/index.php/sbnped2019/article/view/25https://doaj.org/toc/2675-3626Introduction: Hydrocephalus is the pathology most frequently addressed and studied in pediatric neurosurgery. Over 15,000 new cases are diagnosed each year. Although it is the most com-mon procedure performed by pediatric neurosurgeons, the shunt implant for drainage of cerebrospinal fluid (CSF) also presents the highest rate of failure and replenishment. The last 50 years have been marked by important advances in quality of these implants. How-ever, little has changed regarding the prevalence of these failures. We will comment here the main mechanical failures of the shunt: disconnection, migration, fracture and scrap-ing of the catheter, hollow visceral perforation and distal catheter knot. Methods: Literature review about the main causes of mechanical failure in shunts Conclusion: Shunt dysfunction is still very common, despite technological advances in the treatment of hydrocephalus. Mechanical causes of shunt dysfunction correspond to about 30% of the reasons for changing or overhauling valves. Most of these occur due to surgical problems. Therefore, safe measures reduces these events their clinical features.Aline Saré de MeloBrazilian Society for Pediatric Neurosurgeryarticlehydrocephaluspediatric neurosurgerycerebrospinal fluid shuntmechanical complicationsPediatricsRJ1-570SurgeryRD1-811ENArchives of Pediatric Neurosurgery, Vol 2, Iss 1(January-April), Pp 44-48 (2020)
institution DOAJ
collection DOAJ
language EN
topic hydrocephalus
pediatric neurosurgery
cerebrospinal fluid shunt
mechanical complications
Pediatrics
RJ1-570
Surgery
RD1-811
spellingShingle hydrocephalus
pediatric neurosurgery
cerebrospinal fluid shunt
mechanical complications
Pediatrics
RJ1-570
Surgery
RD1-811
Aline Saré de Melo
Mechanical complications of shunt for hydrocephalus
description Introduction: Hydrocephalus is the pathology most frequently addressed and studied in pediatric neurosurgery. Over 15,000 new cases are diagnosed each year. Although it is the most com-mon procedure performed by pediatric neurosurgeons, the shunt implant for drainage of cerebrospinal fluid (CSF) also presents the highest rate of failure and replenishment. The last 50 years have been marked by important advances in quality of these implants. How-ever, little has changed regarding the prevalence of these failures. We will comment here the main mechanical failures of the shunt: disconnection, migration, fracture and scrap-ing of the catheter, hollow visceral perforation and distal catheter knot. Methods: Literature review about the main causes of mechanical failure in shunts Conclusion: Shunt dysfunction is still very common, despite technological advances in the treatment of hydrocephalus. Mechanical causes of shunt dysfunction correspond to about 30% of the reasons for changing or overhauling valves. Most of these occur due to surgical problems. Therefore, safe measures reduces these events their clinical features.
format article
author Aline Saré de Melo
author_facet Aline Saré de Melo
author_sort Aline Saré de Melo
title Mechanical complications of shunt for hydrocephalus
title_short Mechanical complications of shunt for hydrocephalus
title_full Mechanical complications of shunt for hydrocephalus
title_fullStr Mechanical complications of shunt for hydrocephalus
title_full_unstemmed Mechanical complications of shunt for hydrocephalus
title_sort mechanical complications of shunt for hydrocephalus
publisher Brazilian Society for Pediatric Neurosurgery
publishDate 2020
url https://doaj.org/article/bc628567b9bf46a48d7fa9abb763c1df
work_keys_str_mv AT alinesaredemelo mechanicalcomplicationsofshuntforhydrocephalus
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