| Lumboperitoneal shunt placement using computed tomography and fluoroscopy in conscious patients. | |
| | |
MedLine Citation:
|
PMID: 19249929 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
The authors have developed a minimally invasive lumboperitoneal shunt placement procedure conducted after administration of a local anesthetic. The procedure involves placing a guide wire and a peel-away sheath under fluoroscopic and CT guidance. Between June 2004 and August 2006, 40 patients (21 men and 19 women; mean age 72.5 years [range 33-86 years]) underwent surgery. A Codman Hakim programmable valve system (82-3844, Codman & Shurtleff, Inc.) was used for the procedure. The mean operating time was 53 minutes, and 7 patients (17.5%) developed shunt dysfunction complications. These complications comprised an infected shunt valve in 2 patients, postoperative lower-limb pain in 1 patient, and shunt obstruction (caused by debris and hemorrhage) at the ventral and lumbar ends in 2 patients each. This procedure is less invasive than conventional lumboperitoneal shunt insertion and could be performed as an outpatient surgery for treatment of idiopathic normal-pressure hydrocephalus. |
| | |
Authors:
|
Madoka Nakajima; Kuniaki Bando; Masakazu Miyajima; Hajime Arai |
Publication Detail:
|
Type: Journal Article |
Journal Detail:
|
Title: Journal of neurosurgery Volume: 111 ISSN: 0022-3085 ISO Abbreviation: J. Neurosurg. Publication Date: 2009 Sep |
Date Detail:
|
Created Date: 2009-09-02 Completed Date: 2009-10-22 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 0253357 Medline TA: J Neurosurg Country: United States |
Other Details:
|
Languages: eng Pagination: 618-22 Citation Subset: AIM; IM |
Affiliation:
|
Department of Neurosurgery, Juntendo University, Tokyo, Japan. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adult Aged Aged, 80 and over Cerebrospinal Fluid Shunts / instrumentation, methods* Female Fluoroscopy* Humans Hydrocephalus / surgery Lumbosacral Region Male Middle Aged Tomography, X-Ray Computed* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Fatal hemorrhage after attempted treatment of a basilar artery stenosis.
Next Document: Failure of temporal lobe resection for epilepsy in patients with mesial temporal sclerosis: results ...