Can using a peel-away sheath in shunt implantation prevent ventricular catheter obstruction?

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dc.contributor.authorCamlar, Mahmut
dc.contributor.authorErsahin, Yusuf
dc.contributor.authorOzer, Fusun Demircivi
dc.contributor.authorSen, Fatih
dc.contributor.authorOrman, Mehmet
dc.date.accessioned2019-10-27T21:25:08Z
dc.date.available2019-10-27T21:25:08Z
dc.date.issued2011
dc.departmentEge Üniversitesien_US
dc.description37th Annual Meeting of the International-Society-for-Pediatric-Neurosurgery (ISPN) -- OCT 11-15, 2009 -- Los Angeles, CAen_US
dc.description.abstractShunt obstruction is the most common shunt complication. In 2003, Kehler et al. used peel-away sheath while implanting the ventricular catheter in 20 patients. They found less revision rate in the peel-away sheath group. We aimed to test the efficacy of this technique in cadavers. We used 100 fresh brains obtained from medicolegal autopsies. Posterior parietal and frontal approaches were used to puncture the lateral ventricle in each cerebral hemisphere. The ventricle is punctured with a peel-away sheath system. After the ventricle is reached, the mandarin is retracted and the ventricular catheter is introduced through the opening. The ventricular catheter was removed from the ventricle, the opening at the tip of the ventricular catheter was checked out for obstruction, and the number of patent and plugged openings was recorded. This procedure was repeated four times for each location with and without using peel-away sheath. The control group consisted of the procedures done without using peel-away sheath. The number of the plugged openings in the peel-away sheath group was significantly smaller than the control group. There was no significant difference between the two groups in terms of gender and left and right cerebral hemispheres. The obstruction rate was significantly lower in the posterior parietal approach. Pearson's correlation showed that increasing age was associated with less obstruction rate. Peel-away sheath decreases the number of plugged openings of the ventricular catheter. A clinical cooperative study is needed to prove that a peel-away sheath should be included in the ventricular shunt systems in the market.en_US
dc.description.sponsorshipInt Soc Pediat Neurosurg (ISPN)en_US
dc.identifier.doi10.1007/s00381-010-1226-7en_US
dc.identifier.endpage298en_US
dc.identifier.issn0256-7040
dc.identifier.issn1433-0350
dc.identifier.issue2en_US
dc.identifier.pmid20625740en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage295en_US
dc.identifier.urihttps://doi.org/10.1007/s00381-010-1226-7
dc.identifier.urihttps://hdl.handle.net/11454/44762
dc.identifier.volume27en_US
dc.identifier.wosWOS:000286324500016en_US
dc.identifier.wosqualityQ2en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherSpringeren_US
dc.relation.ispartofChilds Nervous Systemen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectCerebrospinal fluid shunten_US
dc.subjectHydrocephalusen_US
dc.subjectPeel-away sheathen_US
dc.subjectVentricular catheteren_US
dc.titleCan using a peel-away sheath in shunt implantation prevent ventricular catheter obstruction?en_US
dc.typeArticleen_US

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