Comparison of Differential-pressure and Flow-regulated Shunt Valves in Adult Communicating Hydrocephalus

Cheng-Chia Tsai, Kwo-Chi Hu, Cheng-Kuei Chang

Research output: Contribution to journalArticle

Abstract

Objective: The aim of the present study was to clarify whether flow-regulating shunt valves (Orbis Sigma Valve [OSV]) are advantageous in adult communicating hydrocephalus with regarding to shunt complication and surgical revision rate in comparison with standard differential-pressure valves (DPV). Methods: During a three-year period, 84 DPV and 62 OSV were implanted by two neurosurgeons for adult patients with communicating hydrocephalus. Patients medical charts were analyzed retrospectively for demographic data, diagnosis at shunt implantation, valve type, incidence of shunt complications and surgical revision rate. Results: The causes of communicating hydrocephalus of adults between two groups showed no differences; the leading three were cerebrovascular accident (CVA), traumatic brain injury (TBI) and idiopathic normal pressure hydrocephalus (NPH). The incidence of subdural collections was lower in the OSV group (11.9%, DPV vs 3.2%, OSV, P<0.05). However, the postoperative complication rate and surgical shunt revision rate did not have statistically significant difference between two groups in our study. Conclusions: In our retrospective study, the OSV shunt had the advantage of reducing incidence of non-traumatic subdural collections in the treatment of communicating hydrocephalus of adults.
Original languageUndefined/Unknown
Pages (from-to)173-180
Number of pages8
JournalFormosan Journal of Surgery
Volume39
Issue number4
Publication statusPublished - 2006
Externally publishedYes

Keywords

  • communicating hydrocephalus
  • cerebrovascular accident
  • traumatic brain injury

Cite this

Comparison of Differential-pressure and Flow-regulated Shunt Valves in Adult Communicating Hydrocephalus. / Tsai, Cheng-Chia ; Hu, Kwo-Chi ; Chang, Cheng-Kuei .

In: Formosan Journal of Surgery, Vol. 39, No. 4, 2006, p. 173-180.

Research output: Contribution to journalArticle

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title = "Comparison of Differential-pressure and Flow-regulated Shunt Valves in Adult Communicating Hydrocephalus",
abstract = "本研究在闡述固定壓力系統腦室腹腔引流管(DPV)及流速自動調節腦室腹腔引流管(OSV)對成人交通性水腦症的手術臨床經驗比較。 馬偕醫院神經外科在三年期間共收錄一百四十六例成人交通性水腦症,其中84例使用DPV引流管,62例使用OSV引流管,由病例分析其病人的年紀分佈,致病原因,DPV引流管的壓力種類,術後併發症及引流管再次手術的機率。 結果顯示在成人性水腦症的致病原因中,前三位分別為腦中風、腦損傷及正常壓力水腦症。OSV引流管組教DPV組引流管組,其硬腦膜下積液的發生機率較低(P<0.05)。然而,在DPV及OSV引流管兩組比較中,其他術後併發症及引流管再次手術的機率並無明顯差異。 本研究的經驗是,在成人交通性水腦症的引流管手術當中,OSV引流管可減少硬腦膜下積液的機率。",
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author = "Cheng-Chia Tsai and Kwo-Chi Hu and Cheng-Kuei Chang",
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AU - Hu, Kwo-Chi

AU - Chang, Cheng-Kuei

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N2 - 本研究在闡述固定壓力系統腦室腹腔引流管(DPV)及流速自動調節腦室腹腔引流管(OSV)對成人交通性水腦症的手術臨床經驗比較。 馬偕醫院神經外科在三年期間共收錄一百四十六例成人交通性水腦症,其中84例使用DPV引流管,62例使用OSV引流管,由病例分析其病人的年紀分佈,致病原因,DPV引流管的壓力種類,術後併發症及引流管再次手術的機率。 結果顯示在成人性水腦症的致病原因中,前三位分別為腦中風、腦損傷及正常壓力水腦症。OSV引流管組教DPV組引流管組,其硬腦膜下積液的發生機率較低(P<0.05)。然而,在DPV及OSV引流管兩組比較中,其他術後併發症及引流管再次手術的機率並無明顯差異。 本研究的經驗是,在成人交通性水腦症的引流管手術當中,OSV引流管可減少硬腦膜下積液的機率。

AB - 本研究在闡述固定壓力系統腦室腹腔引流管(DPV)及流速自動調節腦室腹腔引流管(OSV)對成人交通性水腦症的手術臨床經驗比較。 馬偕醫院神經外科在三年期間共收錄一百四十六例成人交通性水腦症,其中84例使用DPV引流管,62例使用OSV引流管,由病例分析其病人的年紀分佈,致病原因,DPV引流管的壓力種類,術後併發症及引流管再次手術的機率。 結果顯示在成人性水腦症的致病原因中,前三位分別為腦中風、腦損傷及正常壓力水腦症。OSV引流管組教DPV組引流管組,其硬腦膜下積液的發生機率較低(P<0.05)。然而,在DPV及OSV引流管兩組比較中,其他術後併發症及引流管再次手術的機率並無明顯差異。 本研究的經驗是,在成人交通性水腦症的引流管手術當中,OSV引流管可減少硬腦膜下積液的機率。

KW - communicating hydrocephalus

KW - cerebrovascular accident

KW - traumatic brain injury

M3 - 文章

VL - 39

SP - 173

EP - 180

JO - Formosan Journal of Surgery

JF - Formosan Journal of Surgery

SN - 1011-6788

IS - 4

ER -