Complications of lumboperitoneal shunts

Vincent Y. Wang, Nicholas Barbaro, Michael T. Lawton, Lawrence Pitts, Sandeep Kunwar, Andrew T. Parsa, Nalin Gupta, Michael W. McDermott

Research output: Contribution to journalArticle

69 Citations (Scopus)

Abstract

OBJECTIVE: Placement of a lumboperitoneal (LP) shunt is a method for treating communicating hydrocephalus. These shunts can be placed with or without valves. We sought to review the complications associated with the use of LP shunts with the increasing use of horizontal-vertical (HV) valve systems. PATIENTS AND METHODS: A retrospective chart review of all patients who received LP shunts at University of California, San Francisco from 1998 to 2005 was performed. RESULTS: Of the 74 patients identified in this study, 67 underwent LP shunt placement for the first time, and seven patients had revisions of LP shunts that were originally placed at another hospital. There were a total of 44 revisions for the entire group: 27 patients had one revision, 10 patients had two or three revisions, and one patient had five revisions. Obstruction or migration of the peritoneal catheter was the most common reason for revision. The HV valve was responsible for shunt malfunction in nine patients and was the second-most common site of system problems. Overdrainage symptoms were observed in 11 patients, most of whom had LP shunts without any valve. No patients with an HV valve system developed an acquired Chiari malformation. There were three cases of infection, two of which required removal of the LP shunt. CONCLUSION: Overall, the placement of LP shunts for the treatment of communicating hydrocephalus seems to be a safe procedure. Serious complications such as subdural hematoma were not observed. The HV valve was associated with minor complications, but it was effective in reducing the incidence of overdrainage.

Original languageEnglish (US)
Pages (from-to)1045-1048
Number of pages4
JournalNeurosurgery
Volume60
Issue number6
DOIs
StatePublished - Jun 2007
Externally publishedYes

Fingerprint

Hydrocephalus
Subdural Hematoma
San Francisco
Catheters
Incidence
Infection
Therapeutics

Keywords

  • Horizontal-vertical valve
  • Lumboperitoneal shunts
  • Normal pressure hydrocephalus

ASJC Scopus subject areas

  • Clinical Neurology
  • Surgery

Cite this

Wang, V. Y., Barbaro, N., Lawton, M. T., Pitts, L., Kunwar, S., Parsa, A. T., ... McDermott, M. W. (2007). Complications of lumboperitoneal shunts. Neurosurgery, 60(6), 1045-1048. https://doi.org/10.1227/01.NEU.0000255469.68129.81

Complications of lumboperitoneal shunts. / Wang, Vincent Y.; Barbaro, Nicholas; Lawton, Michael T.; Pitts, Lawrence; Kunwar, Sandeep; Parsa, Andrew T.; Gupta, Nalin; McDermott, Michael W.

In: Neurosurgery, Vol. 60, No. 6, 06.2007, p. 1045-1048.

Research output: Contribution to journalArticle

Wang, VY, Barbaro, N, Lawton, MT, Pitts, L, Kunwar, S, Parsa, AT, Gupta, N & McDermott, MW 2007, 'Complications of lumboperitoneal shunts', Neurosurgery, vol. 60, no. 6, pp. 1045-1048. https://doi.org/10.1227/01.NEU.0000255469.68129.81
Wang VY, Barbaro N, Lawton MT, Pitts L, Kunwar S, Parsa AT et al. Complications of lumboperitoneal shunts. Neurosurgery. 2007 Jun;60(6):1045-1048. https://doi.org/10.1227/01.NEU.0000255469.68129.81
Wang, Vincent Y. ; Barbaro, Nicholas ; Lawton, Michael T. ; Pitts, Lawrence ; Kunwar, Sandeep ; Parsa, Andrew T. ; Gupta, Nalin ; McDermott, Michael W. / Complications of lumboperitoneal shunts. In: Neurosurgery. 2007 ; Vol. 60, No. 6. pp. 1045-1048.
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