Abonnement à la biblothèque: Guest
Portail numérique Bibliothèque numérique eBooks Revues Références et comptes rendus Collections
Critical Reviews™ in Biomedical Engineering
SJR: 0.207 SNIP: 0.376 CiteScore™: 0.79

ISSN Imprimer: 0278-940X
ISSN En ligne: 1943-619X

Volume 47, 2019 Volume 46, 2018 Volume 45, 2017 Volume 44, 2016 Volume 43, 2015 Volume 42, 2014 Volume 41, 2013 Volume 40, 2012 Volume 39, 2011 Volume 38, 2010 Volume 37, 2009 Volume 36, 2008 Volume 35, 2007 Volume 34, 2006 Volume 33, 2005 Volume 32, 2004 Volume 31, 2003 Volume 30, 2002 Volume 29, 2001 Volume 28, 2000 Volume 27, 1999 Volume 26, 1998 Volume 25, 1997 Volume 24, 1996 Volume 23, 1995

Critical Reviews™ in Biomedical Engineering

DOI: 10.1615/CritRevBiomedEng.2016017149
pages 91-97

Hydrocephalus and Ventriculoperitoneal Shunts: Modes of Failure and Opportunities for Improvement

Julianne Jorgensen
Franklin W. Olin College of Engineering, Needham, Massachusetts, USA
Corin Williams
Tufts University, Medford, Massachusetts, USA
Alisha Sarang-Sieminski
Franklin W. Olin College of Engineering, Needham, Massachusetts, USA


Between 0.5 and 4 of every 1000 children are born with hydrocephalus. Hydrocephalus is an over-accumulation of cerebrospinal fluid (CSF) in the ventricles of the brain, which can affect cognitive function, vision, appetite, and cranial nerve function. Left untreated, hydrocephalus can result in death. The current treatment for hydrocephalus uses ventriculoperitoneal (VP) shunts with valves to redirect CSF from the ventricles into the peritoneum. Shunt technology is limited by a number of complications, which include infection after implantation, shunt obstruction due to clot formation or catheter obstruction by scar tissue or choroid plexus, disconnection and tubing migration, and overdrainage or underdrainage of CSF due to valve malfunction. While modifications to surgical procedures and shunt design have been introduced, only modest improvements in outcomes have been observed. Here we provide an overview of hydrocephalus, VP shunts, and their modes of failure, and we identify numerous areas of opportunity for biomedical engineers and physicians to collaborate to improve the performance of VP shunts.

Articles with similar content:

Therapy Considerations in Drug-Eluting Stents
Critical Reviews™ in Therapeutic Drug Carrier Systems, Vol.22, 2005, issue 1
Syed F. A. Hossainy, Jeffrey T. Ellis, Paul Macke Consigny, Santosh Prabhu, Deborah L. Kilpatrick
Long-Term Efficacy of Cardiac Pacemakers and Implantable Cardioverter/Defibrillators
Journal of Long-Term Effects of Medical Implants, Vol.20, 2010, issue 3
Matthew T. Bennett, Stanley K. K. Tung
Design, Control, and Sensory Feedback of Externally Powered Hand Prostheses: A Literature Review
Critical Reviews™ in Biomedical Engineering, Vol.41, 2013, issue 2
Aimee Cloutier, James Yang
Deep Learning in Gastrointestinal Endoscopy
Critical Reviews™ in Biomedical Engineering, Vol.44, 2016, issue 6
Markad V. Kamath, Sandeep Roopra, Malika P. Ganguli, Siwar Albashir, David Armstrong, Neha Kantipudi, Vivek Patel
The Minimally Invasive, Endoscopic Approach to Sinus Surgery
Journal of Long-Term Effects of Medical Implants, Vol.13, 2003, issue 3
Daniel G. Becker