Risk factors associated with distal catheter migration following ventriculoperitoneal shunt placement

Kingsley O Abode-Iyamah; Ryan Khanna; Zachary D Rasmussen; Oliver Flouty; Nader S Dahdaleh; Jeremy Greenlee; Matthew A Howard

doi:10.1016/j.jocn.2015.07.022

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Risk factors associated with distal catheter migration following ventriculoperitoneal shunt placement

Journal article

Peer reviewed

Risk factors associated with distal catheter migration following ventriculoperitoneal shunt placement

Kingsley O Abode-Iyamah, Ryan Khanna, Zachary D Rasmussen, Oliver Flouty, Nader S Dahdaleh, Jeremy Greenlee and Matthew A Howard

Journal of clinical neuroscience, Vol.25, pp.46-49

03/2016

DOI: 10.1016/j.jocn.2015.07.022

PMCID: PMC6262820

PMID: 26549674

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https://www.ncbi.nlm.nih.gov/pmc/articles/6262820View

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Abstract

Ventriculoperitoneal (VP) shunt placement is used to treat hydrocephalus. Shunt migration following VP shunt placement has been reported. The risk factors related to this complication have not been previously evaluated to our knowledge. In this retrospective cohort study, we aimed to determine risk factors leading to distal catheter migration and review the literature on the current methods of management and prevention. Adult patients undergoing VP shunt placement from June 2011 to December 2013 at a single institution were identified using electronic health records. The records were reviewed for demographic and procedural information, and subsequent treatment characteristics. The parameters of patients with distal shunt migration were compared to those undergoing new VP shunt placement for the same time period. We identified 137 patients undergoing 157 new VP shunt procedures with an average age of 57.7±standard deviation of 18.4years old. There were 16 distal shunt migrations. Body mass index >30kg/m2 and number of previous shunt procedures were found to be independent risk factors for distal catheter migration. Obesity and number of previous shunt procedures were factors for distal catheter migration. Providers and patients should be aware of these possible risk factors prior to VP shunt placement.

VP shunt

Distal shunt revision

Shunt malfunction

Shunt complication

Shunt migration

Shunt revision

Details

Title: Subtitle: Risk factors associated with distal catheter migration following ventriculoperitoneal shunt placement
Creators: Kingsley O Abode-Iyamah - Department of Neurosurgery, Carver College of Medicine, The University of Iowa, 200 Hawkins Drive, Iowa City, IA 52242, USA
Ryan Khanna - Department of Neurosurgery, Northwestern University, Feinberg School of Medicine, Chicago, IL, USA
Zachary D Rasmussen - The University of Iowa, Carver College of Medicine, Iowa City, IA, USA
Oliver Flouty - Department of Neurosurgery, Carver College of Medicine, The University of Iowa, 200 Hawkins Drive, Iowa City, IA 52242, USA
Nader S Dahdaleh - Department of Neurosurgery, Northwestern University, Feinberg School of Medicine, Chicago, IL, USA
Jeremy Greenlee - Department of Neurosurgery, Carver College of Medicine, The University of Iowa, 200 Hawkins Drive, Iowa City, IA 52242, USA
Matthew A Howard - Department of Neurosurgery, Carver College of Medicine, The University of Iowa, 200 Hawkins Drive, Iowa City, IA 52242, USA
Resource Type: Journal article
Publication Details: Journal of clinical neuroscience, Vol.25, pp.46-49
DOI: 10.1016/j.jocn.2015.07.022
PMID: 26549674
PMCID: PMC6262820
NLM abbreviation: J Clin Neurosci
ISSN: 0967-5868
eISSN: 1532-2653
Publisher: Elsevier Ltd
Language: English
Date published: 03/2016
Academic Unit: Neurology; Stead Family Department of Pediatrics; Iowa Neuroscience Institute; Neurosurgery; Otolaryngology
Record Identifier: 9984020760202771

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