Publicou 6 edições por ano
ISSN Imprimir: 0278-940X
ISSN On-line: 1943-619X
Indexed in
Hydrocephalus and Ventriculoperitoneal Shunts: Modes of Failure and Opportunities for Improvement
RESUMO
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.
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Rumalla Kavelin, Letchuman Vijay, Smith Kyle A., Arnold Paul M., Hydrocephalus in Pediatric Traumatic Brain Injury: National Incidence, Risk Factors, and Outcomes in 124,444 Hospitalized Patients, Pediatric Neurology, 80, 2018. Crossref
-
Morosanu Cezar Octavian, Filip Gabriela Adriana, Nicolae Liviu, Florian Ioan Stefan, From the heart to the bladder—particularities of ventricular shunt topography and the current status of cerebrospinal fluid diversion sites, Neurosurgical Review, 43, 3, 2020. Crossref
-
Skar Gwenn L., Snowden Jessica N., Pathogenesis, Diagnosis, and Treatment of Central Nervous System Catheter Infections, in The Microbiology of Central Nervous System Infections, 2018. Crossref
-
Mitchell S.C., Grangard G., Kahouli W., Dalldorf C., Crain A., Lee E., Hamlin A., Feeney L., Johnstone H., Luke G.P., Diamond S.G., Bauer D.F., Snap-valve cerebral shunt design for intracranial pressure operation and ultrasound visualization, Medical Engineering & Physics, 66, 2019. Crossref
-
Dias Sandra Fernandes, Lalou Afroditi–Despina, Spang Regine, Haas-Lude Karin, Garnett Matthew, Fernandez Helen, Czosnyka Marek, Schuhmann Martin U., Czosnyka Zofia, Value of computerized shunt infusion study in assessment of pediatric hydrocephalus shunt function—a two center cross-sectional study, Child's Nervous System, 36, 1, 2020. Crossref
-
Zhang Hongri, Zhang Jinsen, Peng Jinghua, Hao Xiaowei, Li Gang, The diagnosis of ventriculoperitoneal shunt malfunction by using phase-contrast cine magnetic resonance imaging, Journal of Clinical Neuroscience, 64, 2019. Crossref
-
Silva Nicole A., Goldstein Ira M., Obstruction of Ventriculoperitoneal Shunt After Myelography—Report of a Unique Case and Its Treatment, World Neurosurgery, 134, 2020. Crossref
-
Lalou Afroditi-Despina, Czosnyka Marek, Garnett Matthew R., Nabbanja Eva, Petrella Gianpaolo, Hutchinson Peter J., Pickard John D., Czosnyka Zofia, Shunt infusion studies: impact on patient outcome, including health economics, Acta Neurochirurgica, 162, 5, 2020. Crossref
-
Falcone Joseph, Ho Cindy, Eskandari Ramin, Vadivelu Sudhakar, Madsen Joseph R, Muhonen Michael G, A Noninvasive Retrograde Flushing System for Shunted Hydrocephalus: Initial Case Series of 25 Patients, Cureus, 2020. Crossref
-
Aghayev Kamran, Iqbal Sheikh MA, Asghar Waseem, Shahmurzada Bunyad, Vrionis Frank D., Advances in CSF shunt devices and their assessment for the treatment of hydrocephalus, Expert Review of Medical Devices, 18, 9, 2021. Crossref
-
Kratimenos Panagiotis, Burd Angela, Oluigbo Chima, Cerebral‐ventricular Shunts, in Emergency Management of the Hi‐Tech Patient in Acute and Critical Care, 2021. Crossref
-
Taha Mahmoud M., AlBakry Amr, Shamloul Mahmoud, Abdelbary Tarek, Management of peritoneal abscess after ventriculoperitoneal shunt, Interdisciplinary Neurosurgery, 25, 2021. Crossref
-
Korshoj Lee E., Shi Wen, Duan Bin, Kielian Tammy, The Prospect of Nanoparticle Systems for Modulating Immune Cell Polarization During Central Nervous System Infection, Frontiers in Immunology, 12, 2021. Crossref
-
Auricchio Anna Maria, Bohnen Angela, Nichelatti Michele, Cenzato Marco, Talamonti Giuseppe, Management of Slit Ventricle Syndrome: A Single-Center Case Series of 32 Surgically Treated Patients, World Neurosurgery, 158, 2022. Crossref
-
Khalatbari Hedieh, Parisi Marguerite T., Management of Hydrocephalus in Children: Anatomic Imaging Appearances of CSF Shunts and Their Complications, American Journal of Roentgenology, 216, 1, 2021. Crossref
-
Yaeger Kurt, Mocco J, Future Directions of Endovascular Neurosurgery, Neurosurgery Clinics of North America, 33, 2, 2022. Crossref
-
Khalatbari Hedieh, Parisi Marguerite T., Complications of CSF Shunts in Pediatrics: Functional Assessment With CSF Shunt Scintigraphy—Performance and Interpretation, American Journal of Roentgenology, 215, 6, 2020. Crossref
-
Beaver Matthew, Lagundzin Dragana, Thapa Ishwor, Lee Junghyae, Ali Hesham, Kielian Tammy, Skar Gwenn L., Freitag Nancy E., Cutibacterium acnes Central Nervous System Catheter Infection Induces Long-Term Changes in the Cerebrospinal Fluid Proteome , Infection and Immunity, 89, 4, 2021. Crossref
-
Gholampour Seifollah, Patel Jay, Yamini Bakhtiar, Frim David, Cerebrospinal fluid hydrocephalus shunting: cisterna magna, ventricular frontal, ventricular occipital, Neurosurgical Review, 45, 4, 2022. Crossref
-
Colombo Elena Virginia, Bongetta Daniele, Cofano Fabio, Versace Alessandro, Garbossa Diego, Bertuccio Alessandro, Armocida Daniele, d’Auria Patrizia, Farina Lisa Maria, Assietti Roberto, Tartara Fulvio, Ventricular Peritoneal Shunting Using Modified Keen’s Point Approach: Technical Report and Cases Series, Surgeries, 3, 4, 2022. Crossref