Vp Shunt Hemorrhage
After multivariate analysis only dapt was significantly associated with hemorrhage or 31 23 95 ci 2 98 327 32.
Vp shunt hemorrhage. Studies have shown that intraventricular hemorrhage can occur in nearly 31 of shunt revisions. Seven of these hemorrhages were observed in patients on dapt and 1 occurred in a patient not on dapt. A total of 8 cases 10 of new hemorrhage were observed along the intracranial proximal catheter of the vp shunt.
The purpose of this article is to report a case of delayed intraventricular hemorrhage ivh following a vps and to review the literature regarding anatomic factors that could potentially explain this rare complication. Surgical wound healing for a ventriculo peritoneal shunt vp shunt. A ventriculoperitoneal vp shunt is a medical device that relieves pressure on the brain caused by fluid accumulation.
Early weaning from an evd and conversion to a vp shunt was performed irrespective of ivh or high protein content in the csf. This study included 33 consecutive patients with initial fisher grade 3 4 subarachnoid hemorrhage who had undergone conversion from external ventricular drainage evd to a ventriculoperitoneal vp shunt and whose computed tomography scan showed ivh at the time of shunt placement. Vp shunting is a surgical procedure that primarily treats a condition called.
This small clinical series suggests that placement of a vp shunt in patients on dual antiplatelet therapy may be associated with an increased but low rate of symptomatic intracranial hemorrhage. Seven of these hemorrhages were observed in patients on dapt and 1 occurred in a patient not on dapt. After multivariate analysis only dapt was significantly associated with hemorrhage or 31 23 95 ci 2 98 327 32.
Permanent shunt placement occurred in 173 7 1 patients following ventriculostomy at a median interval of 15 days interquartile range. A total of 8 cases 10 of new hemorrhage were observed along the intracranial proximal catheter of the vp shunt. The hemorrhage can cause an impairment in shunt function which can lead to severe neurological deficiencies.