Skip to main content

Early Shunting Using the Parallel Shunt System in Hemorrhagic Hydrocephalus: In Vitro Testing of Handling, Technical Complications and Clogging Rate

  • Conference paper
  • First Online:

Part of the book series: Acta Neurochirurgica Supplementum ((NEUROCHIRURGICA,volume 106))

Abstract

In order to minimize the duration of external cerebrospinal fluid (CSF) drainage after hemorrhagic hydrocephalus we are testing a parallel shunt system that can be implanted very early after bleeding. It should be able to tolerate a high load of protein and blood in the CSF. After clearance of the CSF, the valveless arm of the shunt is closed by a percutaneous manipulation and the valve-arm is opened.

This is a preview of subscription content, log in via an institution.

Buying options

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   169.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD   219.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD   219.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

References

  1. Chan KH, Mann KS (1988) Prolonged therapeutic external ventricular drainage: a prospective study. Neurosurgery 23(4): 436–438

    Article  PubMed  CAS  Google Scholar 

  2. Hasan D, Vermeulen M, Wijdicks EFM et al (1989) Management problems in acute hydrocephalus after subarachnoid hemorrhage. Stroke 20:747–753

    Article  PubMed  CAS  Google Scholar 

  3. Khanna RK, Rosenblum ML, Rock JP et al (1995) Prolonged external ventricular drainage with percutaneous long-tunnel ventriculostomies. J Neurosurg 83(5):791–794

    Article  PubMed  CAS  Google Scholar 

  4. Lo CH, Spelman D, Bailey M et al (2007) External ventricular drain infections are independent of drain duration: an argument against elective revision. J Neurosurg 106(3):378–383

    Article  PubMed  Google Scholar 

  5. Lozier AP, Sciacca RR, Romagnoli MF et al (2002) Ventriculostomy-related infections: a critical review of the literature. Neurosurgery 51(1):170–182

    Article  PubMed  Google Scholar 

  6. Lyke KE, Obasanjo OO, Williams MA et al (2001) Ventriculitis complicating use of intraventricular catheters in adult neurosurgical patients. Clin Infect Dis 33(12):2028–2033

    Article  PubMed  CAS  Google Scholar 

  7. Mayhall CG, Archer NH, Lamb VA et al (1984) Ventriculostomy-related infections: a prospective epidemiologic study. NEJM 310(9):553–559

    Article  PubMed  CAS  Google Scholar 

  8. Öhrström JK, Skou JK, Ejlertsen T et al (1989) Infected ventriculostomy: bacteriology and treatment. Acta Neurochir 100(1–2): 67–69

    Article  Google Scholar 

  9. Paramore CG, Turner DA (1994) Relative risks of ventriculostomy infection and morbidity. Acta Neurochir 128(1–2):79–84

    Article  Google Scholar 

  10. Park P, Garton HJ, Kocan MJ, Thompson BG (2004) Risk of infection with prolonged ventricular catheterization. Neurosurgery 55(3):594–601

    Article  PubMed  Google Scholar 

  11. Pfisterer W, Mühlbauer M, Czech T, Reinprecht A (2003) Early diagnosis of external ventricular drainage infection: results of a prospective study. J Neurol Neurosurg Psych 74(7):929–932

    Article  CAS  Google Scholar 

  12. Schade RP, Schinkel J, Visser LG et al (2005) Bacterial meningitis caused by the use of ventricular or lumbar cerebrospinal fluid catheters. J Neurosurg 102(2):229–234

    Article  PubMed  Google Scholar 

  13. Smith RW, Alksne JF (1976) Infections complicating the use of external ventriculostomy. J Neurosurg 44(5):567–570

    Article  PubMed  CAS  Google Scholar 

  14. Steinbok P, Cochrane DD, Kestle JRW (1996) The significance of bacteriologically positive ventriculoperitoneal shunt components in the absence of other signs of shunt infection. J Neurosurg 84:617–623

    Article  PubMed  CAS  Google Scholar 

  15. Stenager E, Gerner-Smidt P, Kock-Jensen C (1986) Ventriculostomy-related infections – an epidemiological study. Acta Neurochir 83(1–2):20–23

    Article  CAS  Google Scholar 

  16. Sundbärg G, Kjallquest A, Lundberg N, Ponten U (1972) Complications due to prolonged ventricular fluid pressure recording in clinical practice. In: Brock M, Dietz H (eds) Intracranial pressure I: Experimental and clinical aspects. Springer, Berlin, Germany, pp 348–351

    Chapter  Google Scholar 

  17. Sundbärg G, Nordström CH, Söderström S (1988) Complications due to prolonged ventricular fluid pressure recording. Brit J Neurosurg 2(4):485–495

    Article  Google Scholar 

  18. Zingale A, Ippolito S, Pappalardo P et al (1999) Infections and re-infections in long-term external ventricular drainage: a variation upon a theme. J Neurosurg Sci 43(2):125–133

    PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to U. Meier .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2010 Springer-Verlag/Wien

About this paper

Cite this paper

Al-Zain, F., Meier, U., Lemcke, J. (2010). Early Shunting Using the Parallel Shunt System in Hemorrhagic Hydrocephalus: In Vitro Testing of Handling, Technical Complications and Clogging Rate. In: Czernicki, Z., Baethmann, A., Ito, U., Katayama, Y., Kuroiwa, T., Mendelow, D. (eds) Brain Edema XIV. Acta Neurochirurgica Supplementum, vol 106. Springer, Vienna. https://doi.org/10.1007/978-3-211-98811-4_20

Download citation

  • DOI: https://doi.org/10.1007/978-3-211-98811-4_20

  • Published:

  • Publisher Name: Springer, Vienna

  • Print ISBN: 978-3-211-98758-2

  • Online ISBN: 978-3-211-98811-4

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics