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What should we do with a discontinued shunt?

Authors
 Yun-Ho Lee  ;  Eun Kyung Park  ;  Dong-Seok Kim  ;  Joong-Uhn Choi  ;  Kyu-Won Shim 
Citation
 CHILDS NERVOUS SYSTEM, Vol.26(6) : 791-796, 2010 
Journal Title
 CHILDS NERVOUS SYSTEM 
ISSN
 0256-7040 
Issue Date
2010
MeSH
Adolescent ; Adult ; Cerebrospinal Fluid Shunts/instrumentation* ; Child ; Child, Preschool ; Equipment Failure* ; Equipment Failure Analysis ; Female ; Follow-Up Studies ; Humans ; Hydrocephalus/diagnostic imaging ; Hydrocephalus/surgery* ; Hydrocephalus/therapy ; Male ; Radiography ; Retrospective Studies ; Time Factors ; Ventriculoperitoneal Shunt/instrumentation* ; Young Adult
Keywords
Hydrocephalus ; Shunt disconnection ; Shunt malfunction ; Ventriculoperitoneal shunt
Abstract
PURPOSE: The reported rate is up to 10% of shunt disconnection or fracture, either ventriculoperitoneal or subduroperitoneal. However, not all of shunt discontinuity is associated with shunt malfunction. We analyzed the discontinuity of the shunt system and related factors and tried to present a follow-up policy. METHODS: This is a retrospective study involving 22 patients who presented with shunt disconnection because of malfunction or other reasons between January 2003 and October 2008. To evaluate shunt function, we performed a shuntogram, temporary ligation, or intraoperative exploration. RESULTS: Nine (40.9%) of 22 patients had nonfunctioning shunts. The shunt system was removed in eight cases, and one patient refused surgical management. Of these 22 patients with disconnected shunts, 17 shunts placed in the occipital area were discontinued. The discontinuations were mostly fractured at neck (52%), not disconnected at connection site. CONCLUSION: Shunt disconnection has not been always represented a shunt malfunction. We thought many patients with disconnected shunt may be independent from shunt system, and it can be a good chance for patient to remove the shunt system.
Full Text
http://link.springer.com/article/10.1007%2Fs00381-009-1061-x
DOI
10.1007/s00381-009-1061-x
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Neurosurgery (신경외과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Dong Seok(김동석)
Park, Eun Kyung(박은경)
Shim, Kyu Won(심규원) ORCID logo https://orcid.org/0000-0002-9441-7354
Lee, Yun Ho(이윤호)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/101013
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