Long-term follow-up of shunting therapy

被引：0
|
作者：
J.-K. Kang
Il Woo Lee
机构：
[1] Department of Neurosurgery,
[2] Kangnam St. Mary’s Hospital,undefined
[3] The Catholic University of Korea,undefined
[4] College of Medicine,undefined
[5] Seoul,undefined
[6] Korea e-mail: jkkmd@cmc.cuk.ac.kr Fax: +82-2–594–4248,undefined
来源：
Child's Nervous System | 1999年 / 15卷
关键词：
Abstract Ventricular CSF shunting surgery has changed the overall outcome figures for hydrocephalic patients over the past three decades. The factors that have improved the outcome are evolution of the shunt systems; improvement of the surgical environment and use of potent antibiotics; technological advances in brain imaging; and refinements in the assessment of cognitive and functional outcomes and of actuarial statistical techniques. But the recent large studies revealed that nearly half of all shunt placements were for revision; and there is a low but real percentage of cases in which death and neurological impairment are related to shunt surgery. The most frequent complication was shunt obstruction; followed by infection; disconnection; hematoma and slit ventricle syndrome. This clearly means that the shunt systems and the techniques in current use involve many problems that have yet to be solved. To solve these problems; new shunt systems should be developed and continuous efforts at reducing shunt infection should be made. The overall complication rate in the authors’ series was 31.7%; but we have been able to reduce the complication rate from 37% to 25% by exercising special care focused on the surgical environment and techniques. Careful; long-term follow-up using various parameters and proper statistical analysis is another important factor in improving surgical outcome. Multicenter and international studies will be easier with the development of a network; and it will give us a strong background to treat hydrocephalus.; Key words Hydrocephalus; Ventriculoperitoneal shunt; Long-term follow-up; Shunt complications; Shunt infections;
D O I：
暂无
中图分类号：
学科分类号：
摘要：
引用
收藏
页码：711 / 717
页数：6
相关论文
共 50 条
  • [41] IMMUNOSUPPRESSIVE THERAPY OF BEHCETS SYNDROME - LONG-TERM FOLLOW-UP EVALUATION
    BONNET, M
    [J]. JOURNAL FRANCAIS D OPHTALMOLOGIE, 1981, 4 (6-7): : 455 - 464
  • [42] LONG-TERM ANTICOAGULANT THERAPY IN ANGINA PECTORIS - FOLLOW-UP STUDY
    BORCHGREVINK, CF
    [J]. LANCET, 1962, 1 (7227): : 449 - &
  • [43] LONG-TERM FOLLOW-UP OF PATIENTS WITH AIDS ON MAINTENANCE THERAPY FOR TOXOPLASMOSIS
    LEPORT, C
    TOURNERIE, C
    RAGUIN, G
    FERNANDEZMARTIN, J
    NIYONGABO, T
    VILDE, JL
    [J]. EUROPEAN JOURNAL OF CLINICAL MICROBIOLOGY & INFECTIOUS DISEASES, 1991, 10 (03) : 191 - 193
  • [44] Long-term follow-up in depressed patients treated with electroconvulsive therapy
    Johanson, A
    Gustafson, L
    Risberg, J
    Rosén, I
    Sjöbeck, M
    Silfverskiöld, P
    [J]. JOURNAL OF ECT, 2005, 21 (04) : 214 - 220
  • [45] LONG-TERM FOLLOW-UP OF INTERSTITIAL CYSTITIS PATIENTS ON DMSO THERAPY
    EMERSON, LE
    PEREZMARRERO, RA
    [J]. JOURNAL OF UROLOGY, 1987, 137 (04): : A136 - A136
  • [46] Long-Term Follow-Up After Gene Therapy for Canavan Disease
    Leone, Paola
    Shera, David
    McPhee, Scott W. J.
    Francis, Jeremy S.
    Kolodny, Edwin H.
    Bilaniuk, Larissa T.
    Wang, Dah-Jyuu
    Assadi, Mitra
    Goldfarb, Olga
    Goldman, H. Warren
    Freese, Andrew
    Young, Deborah
    During, Matthew J.
    Samulski, R. Jude
    Janson, Christopher G.
    [J]. SCIENCE TRANSLATIONAL MEDICINE, 2012, 4 (165)
  • [47] Long-Term Follow-Up of Children With Congenital Hyperinsulinism on Octreotide Therapy
    Demirbilek, Huseyin
    Shah, Pratik
    Arya, Ved Bhushan
    Hinchey, Louise
    Flanagan, Sarah E.
    Ellard, Sian
    Hussain, Khalid
    [J]. JOURNAL OF CLINICAL ENDOCRINOLOGY & METABOLISM, 2014, 99 (10): : 3660 - 3667
  • [48] Long-term follow-up of nicotine replacement therapy for smoking cessation
    Takagi, Keigo
    Sasamoto, Shuichi
    Hata, Yoshinobu
    Tamaki, Kazuyoshi
    Takahashi, Shoji
    Sato, Fumitomo
    [J]. JOURNAL OF THORACIC ONCOLOGY, 2009, 4 (09) : S309 - S309
  • [49] SURGICAL THERAPY AND LONG-TERM FOLLOW-UP OF CHILDHOOD HEREDITARY PANCREATITIS
    MOIR, CR
    KONZEN, KM
    PERRAULT, J
    [J]. JOURNAL OF PEDIATRIC SURGERY, 1992, 27 (03) : 282 - 287
  • [50] Long-term evolution follow-up of patients treated with electroconvulsive therapy
    Tajes, M. T. A.
    Martinez, S. M. F.
    Paramo, M. P. F.
    [J]. EUROPEAN NEUROPSYCHOPHARMACOLOGY, 2006, 16 : S541 - S542
12345