Document Detail

Shunt survival rates by using the adjustable differential pressure valve combined with a gravitational unit (proGAV) in pediatric neurosurgery.
MedLine Citation:
PMID:  23135777     Owner:  NLM     Status:  Publisher    
OBJECT: Overdrainage is a chronic complication in shunted pediatric patients with hydrocephalus. The use of adjustability of differential pressure (DP) valves in combination with antisiphoning devices may help to overcome this sequela and may diminish the rate of possible shunt failures. The purpose of this retrospective study is to report our experience on shunt survival and infection rate with an adjustable DP valve with integrated gravitational unit in pediatric hydrocephalus. METHODS: The proGAV consists of an adjustable differential pressure (DP) valve and a gravitational unit. During the time period of July 2004 and December 2009, a total of 237 adjustable gravitational valves were used in 203 children (age, 6.5 ± 6.54; 0-27 years). In the follow-up period, valve and shunt failures as well as rate of infection were recorded. RESULTS: Within the average follow-up time of 21.9 ± 10.3 months (range, 6-72 months), the valve survival rate was 83.8 %. The overall shunt survival rate including all necessary revisions was 64.3 %. Looking at the group of infants (<1 year of age) within the cohort, the valve survival rate was 77.3 % and the shunt survival rate was 60.9 %. The overall infection rate was 4.6 %. CONCLUSION: In a concept of avoiding chronic overdrainage by using the proGAV in hydrocephalic children, we observed a good rate of valve and shunt survival. Compared to previous reported series, we experienced the proGAV as a reliable tool for the treatment of pediatric hydrocephalus.
Ulrich-W Thomale; Anna F Gebert; Hannes Haberl; Matthias Schulz
Related Documents :
9500637 - Use of low-dose okt3 as induction therapy in liver transplantation.
23129357 - Monitoring of regional tissue oxygenation with near-infrared spectroscopy during the ea...
16539277 - Efficacy of cyclosporin-a in the long-term management of thrombocytopenia associated wi...
25078377 - Comparison of the effects of longer chain inulins with different degrees of polymerizat...
15854087 - The effect of oral prednisolone with chronic obstructive pulmonary disease undergoing c...
22795877 - Low vitamin d status does not adversely affect short-term functional outcome after tota...
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-11-8
Journal Detail:
Title:  Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery     Volume:  -     ISSN:  1433-0350     ISO Abbreviation:  Childs Nerv Syst     Publication Date:  2012 Nov 
Date Detail:
Created Date:  2012-11-8     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8503227     Medline TA:  Childs Nerv Syst     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Pediatric Neurosurgery, Charité Universitätsmedizin Berlin, Berlin, Germany,
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  (1)H, (13)C, (15)N resonance assignments of murine hepatitis virus nonstructural protein 3a.
Next Document:  Phase Ib trial of the oral angiogenesis inhibitor pazopanib administered concurrently with erlotinib...