Effect of ventricular catheter entry point and tip location on Proximal End occlusion: A Multicenter Study in Pediatric Patients

Authors : Burak Gezer, Mevlüt Özgür Taşkapilioğlu, Murat Zaimoğlu, Tuğba Morali Güler, Gökmen Kahiloğullari, Hakan Karabağli

Pages : 97-100

View : 48 | Download : 69

Publication Date : 2023-10-15

Article Type : Research Paper

Abstract :This multicenter study investigates the relationship between entry site and shunt tip position in proximal VP shunt dysfunctions. The medical records of 51 pediatric patients who were hospitalized for shunt dysfunction between 2010 and 2021 were retrospectively reviewed at Bursa Uludağ University, Ankara University, and Selçuk University. The study did not find a statistically significant relationship between the entry site of the shunt and the location of the shunt tip in terms of proximal shunt occlusion. However, it is believed that factors such as the choroid plexus and ependymal reaction play a more significant role in proximal shunt occlusion. Our findings are consistent with previous studies and emphasize the importance of the choroid plexus and ependymal reaction in shunt dysfunction. The study did not observe significant associations between the entry site of the shunt, etiology of shunt dysfunction, location of the proximal end on CT scans, and the risk of shunt failure. However, the study has limitations, including its retrospective design and limited sample size. Future prospective studies with larger sample sizes are needed. This study provides a foundation for future research aimed at improving the long-term effectiveness of VP shunt treatment and reducing complications in pediatric patients.
Keywords : proksimal şant disfonksiyonu, ventriküler şant, giriş noktası, hidrosefali