Vp Shunt History
Ventriculoperitoneal vp shunts are a device used to shunt cerebrospinal fluid in the treatment of hydrocephalus.
Vp shunt history. Pseudocysts can also develop around ventriculopleural shunts due to adhesions caused by chronic pleural irritation. Pseudocyst formation is a common cause of distal catheter obstruction. Evidence based approach to complication prediction and avoidance during shunt surgery.
Pseudocysts are loculated collections of csf that form around the terminal end of the catheter. The most common symptoms are similar to normal shunt malfunction but there are several key differences. As the name suggests a catheter is placed with its tip in the ventricle.
Slit ventricle syndrome is an uncommon disorder associated with shunted patients but results in a large number of shunt revisions. Although obstruction and infection are the most common causes of shunt malfunction other complications can occur as well including bowel perforation pseudocyst formation and over draining which can lead to subdural hematoma formation. Nowadays there are different types of shunts that can be inserted and the decision on which.
Cases of ventriculoperitoneal shunt malfunction malposition misposition misplacement ap and lateral radiographs of the abdomen shows the distal portion of the vp shunt to be broken into multiple fragments. Vp shunt surgery has a considerable long term complication rate. Ventriculostomy without implants anton 1908 with implants and plexus coagulation initially had a very high operative mortality and were seldom successful in the long term but gradually improved over the next decades.
The external portion of the catheter is connected to a valve that regulates the flow of csf based on a preset pressure. The condition usually occurs several years after shunt implantation. Vp shunts have been in use for the past seventy years and are constantly evolving to meet the patient needs better.
In patients with ventriculoperitoneal shunts pseudocysts are caused by peritoneal adhesions or migration of the greater omentum over the shunt tip. A ventriculo peritoneal shunt is the most common long term treatment of hydrocephalus. To guide the pch ed with the assessment and management of ventriculoperitoneal shunt problems.