Programmable Shunt Valves for Pediatric Hydrocephalus: 22-Year Experience from a Singapore Children’s Hospital

(1) Background: pediatric hydrocephalus is a challenging condition. Programmable shunt valves (PSV) have been increasingly used. This study is undertaken to firstly, to objectively evaluate the efficacy of PSV as a treatment modality for pediatric hydrocephalus; and next, review its associated patie...

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Autores principales:	Min Li Tey, Lee Ping Ng, David C. Y. Low, Wan Tew Seow, Sharon Y. Y. Low
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	pediatric hydrocephalus programmable shunt valve ventriculoperitoneal shunt Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571
Acceso en línea:	https://doaj.org/article/f4f2e14004d24bcabcbf165c4dad2ffd
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spelling	oai:doaj.org-article:f4f2e14004d24bcabcbf165c4dad2ffd2021-11-25T16:59:23ZProgrammable Shunt Valves for Pediatric Hydrocephalus: 22-Year Experience from a Singapore Children’s Hospital10.3390/brainsci111115482076-3425https://doaj.org/article/f4f2e14004d24bcabcbf165c4dad2ffd2021-11-01T00:00:00Zhttps://www.mdpi.com/2076-3425/11/11/1548https://doaj.org/toc/2076-3425(1) Background: pediatric hydrocephalus is a challenging condition. Programmable shunt valves (PSV) have been increasingly used. This study is undertaken to firstly, to objectively evaluate the efficacy of PSV as a treatment modality for pediatric hydrocephalus; and next, review its associated patient outcomes at our institution. Secondary objectives include the assessment of our indications for PSV, and corroboration of our results with published literature. (2) Methods: this is an ethics-approved, retrospective study. Variables of interest include age, gender, hydrocephalus etiology, shunt failure rates and incidence of adjustments made per PSV. Data including shunt failure, implant survival, and utility comparisons between PSV types are subjected to statistical analyses. (3) Results: in this case, 51 patients with PSV are identified for this study, with 32 index and 19 revision shunts. There are 3 cases of shunt failure (6%). The mean number of adjustments per PSV is 1.82 times and the mean number of adjustments made per PSV is significantly lower for MEDTRONIC™ Strata PSVs compared with others (<i>p</i> = 0.031). Next, PSV patients that are adjusted more frequently include cases of shunt revisions, PSVs inserted due to CSF over-drainage and tumor-related hydrocephalus. (4) Conclusion: we describe our institutional experience of PSV use in pediatric hydrocephalus and its advantages in a subset of patients whose opening pressures are uncertain and evolving.Min Li TeyLee Ping NgDavid C. Y. LowWan Tew SeowSharon Y. Y. LowMDPI AGarticlepediatric hydrocephalusprogrammable shunt valveventriculoperitoneal shuntNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571ENBrain Sciences, Vol 11, Iss 1548, p 1548 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	pediatric hydrocephalus programmable shunt valve ventriculoperitoneal shunt Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571
spellingShingle	pediatric hydrocephalus programmable shunt valve ventriculoperitoneal shunt Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Min Li Tey Lee Ping Ng David C. Y. Low Wan Tew Seow Sharon Y. Y. Low Programmable Shunt Valves for Pediatric Hydrocephalus: 22-Year Experience from a Singapore Children’s Hospital
description	(1) Background: pediatric hydrocephalus is a challenging condition. Programmable shunt valves (PSV) have been increasingly used. This study is undertaken to firstly, to objectively evaluate the efficacy of PSV as a treatment modality for pediatric hydrocephalus; and next, review its associated patient outcomes at our institution. Secondary objectives include the assessment of our indications for PSV, and corroboration of our results with published literature. (2) Methods: this is an ethics-approved, retrospective study. Variables of interest include age, gender, hydrocephalus etiology, shunt failure rates and incidence of adjustments made per PSV. Data including shunt failure, implant survival, and utility comparisons between PSV types are subjected to statistical analyses. (3) Results: in this case, 51 patients with PSV are identified for this study, with 32 index and 19 revision shunts. There are 3 cases of shunt failure (6%). The mean number of adjustments per PSV is 1.82 times and the mean number of adjustments made per PSV is significantly lower for MEDTRONIC™ Strata PSVs compared with others (<i>p</i> = 0.031). Next, PSV patients that are adjusted more frequently include cases of shunt revisions, PSVs inserted due to CSF over-drainage and tumor-related hydrocephalus. (4) Conclusion: we describe our institutional experience of PSV use in pediatric hydrocephalus and its advantages in a subset of patients whose opening pressures are uncertain and evolving.
format	article
author	Min Li Tey Lee Ping Ng David C. Y. Low Wan Tew Seow Sharon Y. Y. Low
author_facet	Min Li Tey Lee Ping Ng David C. Y. Low Wan Tew Seow Sharon Y. Y. Low
author_sort	Min Li Tey
title	Programmable Shunt Valves for Pediatric Hydrocephalus: 22-Year Experience from a Singapore Children’s Hospital
title_short	Programmable Shunt Valves for Pediatric Hydrocephalus: 22-Year Experience from a Singapore Children’s Hospital
title_full	Programmable Shunt Valves for Pediatric Hydrocephalus: 22-Year Experience from a Singapore Children’s Hospital
title_fullStr	Programmable Shunt Valves for Pediatric Hydrocephalus: 22-Year Experience from a Singapore Children’s Hospital
title_full_unstemmed	Programmable Shunt Valves for Pediatric Hydrocephalus: 22-Year Experience from a Singapore Children’s Hospital
title_sort	programmable shunt valves for pediatric hydrocephalus: 22-year experience from a singapore children’s hospital
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/f4f2e14004d24bcabcbf165c4dad2ffd
work_keys_str_mv	AT minlitey programmableshuntvalvesforpediatrichydrocephalus22yearexperiencefromasingaporechildrenshospital AT leepingng programmableshuntvalvesforpediatrichydrocephalus22yearexperiencefromasingaporechildrenshospital AT davidcylow programmableshuntvalvesforpediatrichydrocephalus22yearexperiencefromasingaporechildrenshospital AT wantewseow programmableshuntvalvesforpediatrichydrocephalus22yearexperiencefromasingaporechildrenshospital AT sharonyylow programmableshuntvalvesforpediatrichydrocephalus22yearexperiencefromasingaporechildrenshospital
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Programmable Shunt Valves for Pediatric Hydrocephalus: 22-Year Experience from a Singapore Children’s Hospital

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