Ventriculoperitoneal shunt complications: A review

Paff, Michelle; Alexandru-Abrams, Daniela; Muhonen, Michael G.; Loudon, William G.

doi:10.1016/j.inat.2018.04.004

Cited by 198 publications

(226 citation statements)

References 63 publications

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“…with range being similar for pediatric patents. 1,4,7,[9][10][11][12][13][14] This is in par with our study results.…”

Section: Discussionsupporting

confidence: 91%

“…17 Though with no touch technique our shunt infection rate stands at 8%, it is still lower compared to that reported in other series. 1,4,7,[9][10][11][12][13][14] The fact that the change of gloves before handing the shunt has been shown to be a simple and cost effective way to reduce postoperative shunt infections also stands in support of no touch techniqe. 18 Glove holes during shunt handling has been cited as a signifi cant risk factor for shunt infection.…”

Section: Discussionmentioning

confidence: 99%

“…Staph epidermidis and Staph aureus are common skin fl ora, and infection typically occurs during shunt placement due to contamination from the skin. 1 Rate of shunt infection is 3 -15%. with range being similar for pediatric patents.…”

Section: Discussionmentioning

confidence: 99%

“…15 Other effective means of reducing the rate of shunt infections include use of use perioperative antibiotics , optimizing sterile technique , and reducing the time of the procedure. 1 For example, after adopting a strict protocol for shunt placement, including special attention to skin prep, perioperative antibiotics, and operating time not exceeding 40 min, and shunt infection was noted to drop from 17.9% to 8%. 16 At our institute we use Chhabra shunt which is not antibiotic impregnated.…”

Section: Discussionmentioning

confidence: 99%

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VP Shunt Complications: Ten Years Experience at UDMNINAS

Lohani¹,

Baniya²

2019

Nep J Neurosci

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Ventriculo-Peritoneal shunt is significantly associated with complications like malfunction and infection. In this study, we aim to review our infection and malfunction rate. This is a retrospective review of charts of patients who underwent ventriculo-peritonealshunt at Upendra Devkota Memorial National Institute of Neurological and Allied Sciences, Bansbari, Nepal between 2008 and 2018. Patients were interviewed via telephone for information regarding shunt complications in the form of malfunction, infection, and the need for revision. A total of 357 patients underwent ventriculoperitonealshunt over a period of 10 years. of patients was 37.08 years. There were224 males and133 females with M:F::1.7:1.265 patients were available over telephone for interview. 54 of 265 (20.37%) patients needed shunt revision. 32 (12.07%) of them had shunt malfunction. 21 (7.92%) of them had shunt infection. One (0.37%) patient had problems with over drainage. Shunt complications were proportionate in pediatric population as well. Shunt complication at Upendra Devkota Memorial National Institute of Neurological and Allied Sciences is comparable to international data.

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“…with range being similar for pediatric patents. 1,4,7,[9][10][11][12][13][14] This is in par with our study results.…”

Section: Discussionsupporting

confidence: 91%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

VP Shunt Complications: Ten Years Experience at UDMNINAS

Lohani¹,

Baniya²

2019

Nep J Neurosci

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“…A common complication is a subsequent blockage which usually presents with symptoms attributable to the recurrence of hydrocephalus. The ventricular catheter or valve is the most common site of blockage and can be caused by debris such as blood or excess protein in the CSF [1]. Additionally, ventricular catheter blockage may be caused by choroid plexus becoming entangled in and obstructing the perforations at the tip of the ventricular catheter.…”

Section: Introductionmentioning

confidence: 99%

Ventriculoperitoneal Shunt Malfunction Due to a Fibrous Capsule Obstructing the Peritoneal Catheter

Heaney

Johnson

2020

Cureus

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Ventriculoperitoneal shunt obstruction is a common neurosurgical condition. Obstruction of the peritoneal catheter is less common than other sites of blockage in the system. We present a case of a ventriculoperitoneal shunt blockage caused by a sheath of hyalinised fibrous tissue that had encased the distal side slits of the peritoneal catheter resulting in sub-total blockage. The patient made a complete recovery following the removal of this fibrous tissue from the distal peritoneal catheter without the need to revise the entire shunt.

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