Table 2 Indications for revision surgery in nine patients with shunt malfunction on 16 occasions
From: Challenges in cerebrospinal fluid shunting in patients with glioblastoma
Indication | n | Type of surgical revision |
|---|---|---|
Wound dehiscence with pneumocephalus | 1 | Wound revision |
Delayed fluid collection in resection cavity | 1 | Additional cystoperitoneal shunt implantation |
Valve and proximal catheter obstruction | 3 | Catheter replacement |
Proximal catheter obstruction | 1 | Valve and catheter replacement |
Proximal catheter dislocation | 1 | Reinsertion |
Distal catheter dislocation | 1 | Reinsertion |
Valve malfunction | 3 | Valve replacement |
Delayed trapped ventricle and CSF collection in cavity, valve malfunction | 1 | New implantation of proximal shunt catheters without anti-siphon device |
Intracerebral abscess | 1 | Removal of ventriculoperitoneal shunt, implantation of external ventricle drainage |
Delayed trapped ventricle and CSF collection in cavity | 1 | New implantation of proximal catheters |
Persistent hydrocephalus despite adjustment of programmable valve | 2 | Removal of anti-siphon device |