Risk factors associated with distal catheter migration following ventriculoperitoneal shunt placement

被引:27
作者
Abode-Iyamah, Kingsley O. [1 ]
Khanna, Ryan [2 ]
Rasmussen, Zachary D. [3 ]
Flouty, Oliver [1 ]
Dandaleh, Nader S. [2 ]
Greenlee, Jeremy [1 ]
Howard, Matthew A., III [1 ]
机构
[1] Univ Iowa, Dept Neurosurg, Carver Coll Med, 200 Hawkins Dr, Iowa City, IA 52242 USA
[2] Northwestern Univ, Feinberg Sch Med, Dept Neurosurg, Chicago, IL 60611 USA
[3] Univ Iowa, Carver Coll Med, Iowa City, IA USA
关键词
Distal shunt revision; Shunt complication; Shunt malfunction; Shunt migration; Shunt revision; VP shunt; PERITONEAL SHUNTS; COMPLICATIONS; HYDROCEPHALUS; VENTRICULOATRIAL;
D O I
10.1016/j.jocn.2015.07.022
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Ventriculoperitoneal (VP) shunt placement is used to treat hydrocephalus. Shunt migration following VP shunt placement has been reported. The risk factors related to this complication have not been previously evaluated to our knowledge. In this retrospective cohort study, we aimed to determine risk factors leading to distal catheter migration and review the literature on the current methods of management and prevention. Adult patients undergoing VP shunt placement from June 2011 to December 2013 at a single institution were identified using electronic health records. The records were reviewed for demographic and procedural information, and subsequent treatment characteristics. The parameters of patients with distal shunt migration were compared to those undergoing new VP shunt placement for the same time period. We identified 137 patients undergoing 157 new VP shunt procedures with an average age of 57.7 +/- standard deviation of 18.4 years old. There were 16 distal shunt migrations. Body mass index >30 kg/m(2) and number of previous shunt procedures were found to be independent risk factors for distal catheter migration. Obesity and number of previous shunt procedures were factors for distal catheter migration. Providers and patients should be aware of these possible risk factors prior to VP shunt placement. (C) 2015 Elsevier Ltd. All rights reserved.
引用
收藏
页码:46 / 49
页数:4
相关论文
共 20 条
[1]   FREQUENCY AND CAUSES OF SHUNT REVISIONS IN DIFFERENT CEREBROSPINAL-FLUID SHUNT TYPES [J].
BORGBJERG, BM ;
GJERRIS, F ;
ALBECK, MJ ;
HAUERBERG, J ;
BORGESEN, SE .
ACTA NEUROCHIRURGICA, 1995, 136 (3-4) :189-194
[2]   Failure of cerebrospinal fluid shunts: Part 1: Obstruction and mechanical failure [J].
Browd, SR ;
Ragel, BT ;
Gottfried, ON ;
Kestle, JRW .
PEDIATRIC NEUROLOGY, 2006, 34 (02) :83-92
[3]   Intraabdominal Complications Secondary to Ventriculoperitoneal Shunts: CT Findings and Review of the Literature [J].
Chung, Jae-Joon ;
Yu, Jeong-Sik ;
Kim, Joo Hee ;
Nam, Se Jin ;
Kim, Myeong-Jin .
AMERICAN JOURNAL OF ROENTGENOLOGY, 2009, 193 (05) :1311-1317
[4]  
Ernst A, 1980, Acta Med Iugosl, V34, P137
[5]   The use of laparoscopy in the diagnosis and treatment of abdominal complications of ventriculo-peritoneal shunts in children [J].
Esposito, C ;
Porreca, A ;
Gangemi, M ;
Garipoli, V ;
De Pasquale, M .
PEDIATRIC SURGERY INTERNATIONAL, 1998, 13 (5-6) :352-354
[6]   TIME-RELATED PATTERNS OF VENTRICULAR SHUNT FAILURE [J].
KAST, J ;
DUONG, D ;
NOWZARI, F ;
CHADDUCK, WM ;
SCHIFF, SJ .
CHILDS NERVOUS SYSTEM, 1994, 10 (08) :524-528
[7]  
Kavic Stephen M, 2007, JSLS, V11, P14
[8]   Laparoscopic-assisted distal ventriculoperitoneal shunt placement [J].
Khosrovi, H ;
Kaufman, HH ;
Hrabovsky, E ;
Bloomfield, SM ;
Prabhu, V ;
El-Kadi, HA .
SURGICAL NEUROLOGY, 1998, 49 (02) :127-134
[9]  
Lam CH, 1997, BRIT J NEUROSURG, V11, P43
[10]  
LORTATJACOB S, 1984, CHIR PEDIATR, V25, P17