Medical Journal of The Islamic Republic of Iran (MJIRI)
Iran University of Medical Sciences
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URL: http://mjiri.iums.ac.ir/article-1-158-en.html
Abstract
Background
line of treatment for management of hydrocephalus despite available new techniques and
systems of shunting. Associated complications should be recognized and managed properly,
but the most recognized complications are shunt obstruction which its prevalence
through surgical approach is discussed here. Two approaches (frontal and parietal) are used
to insert ventriculoperitoneal shunt. In this study we retrospectively examined patterns of
shunt failure in patients with symptoms of shunt malfunction. Factors analyzed included
site of failure, time from shunt placement or last revision of failure, age of patient at time of
failure, infection and primary etiology of hydrocephalus. Two approaches were compared
to determine which one is more associated with shunt failure.
: Shunting procedures specifically ventriculoperitoneal shunts are the mainMethods
retrospectively examined, in 126 cases who were shunted through frontal approach, 48 cases
and in 124 patients whose shunts were inserted through parietal approach 64 cases of
malfunction observed. All data was analyzed with SPSS software and with T-test,and then
the failure rate for frontal versus parietal approach was compared.
: 250 patients with symptoms of shunt malfunction over 4 years period wereResults
of underlying cause of ventriculoperitoneal shunt failure was observed, with the
less failure rates through frontal approach.
: Significant difference in malfunction rate between these two approaches regardlessConclusion
shunt failure and frontal approach demonstrated less failure rate, but as it is
known placing the catheter tip away from the choroids plexus is the most important factor
avoiding obstruction.
: Although proximal obstruction is the most common cause of ventriculoperitoneal| Rights and permissions | |
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