Document Detail

Hydrocephalus therapy: reduction of shunt occlusions using a peel-away sheath.
MedLine Citation:
PMID:  12954541     Owner:  NLM     Status:  MEDLINE    
In order to avoid shunt occlusions through particles of brain parenchyma a new procedure was used. Conventionally during ventricle puncture brain tissue may intrude into perforating holes of the ventricular catheter and subsequently shunt dysfunction may occur. By using a peel-away sheath the ventricular catheter can be protected during puncture. The conventional technique (n=90) was compared with the peel-away sheath technique (n=20) in a retrospective analyses in regard to shunt revisions during a 1-year period. Shunt revision was done in 18% (16/90) within 1 year using the conventional technique, respectively, 5% (1/20) using the peel-away sheath technique. Although criteria for statistical significance were not reached these data are worth to be mentioned. A randomised prospective study is initiated and the key features are presented.
Uwe Kehler; A Klöhn; O Heese; J Gliemroth
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Clinical neurology and neurosurgery     Volume:  105     ISSN:  0303-8467     ISO Abbreviation:  Clin Neurol Neurosurg     Publication Date:  2003 Sep 
Date Detail:
Created Date:  2003-09-04     Completed Date:  2003-11-04     Revised Date:  2009-10-14    
Medline Journal Info:
Nlm Unique ID:  7502039     Medline TA:  Clin Neurol Neurosurg     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  253-5     Citation Subset:  IM    
Neurosurgical Department, University Hospital Hamburg Eppendorf, 20246, Hamburg, Germany.
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MeSH Terms
Cerebral Ventricles
Equipment Design
Equipment Failure
Hydrocephalus / therapy*
Neurosurgical Procedures / instrumentation,  methods*
Retrospective Studies
Ventriculoperitoneal Shunt / adverse effects*

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