Success Rates and Complications of Ventriculoperitoneal and Ventriculoatrial Shunting: A Systematic Review
Background and Aim: The insertion of Ventriculoperitoneal (VP) or Ventriculoatrial (VA) shunt is the first line of treatment in patients with hydrocephalus and normal-pressure hydrocephalus. The provision of a safety profile for shunting in the treatment of hydrocephalus patients is very important....
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Guilan University of Medical Sciences
2021-01-01
|
| Series: | Iranian Journal of Neurosurgery |
| Subjects: | |
| Online Access: | http://irjns.org/article-1-255-en.pdf |
| _version_ | 1797778225101799424 |
|---|---|
| author | Hamid Rezaee Amin Tavallaii Ehsan Keykhosravi |
| author_facet | Hamid Rezaee Amin Tavallaii Ehsan Keykhosravi |
| author_sort | Hamid Rezaee |
| collection | DOAJ |
| description | Background and Aim: The insertion of Ventriculoperitoneal (VP) or Ventriculoatrial (VA) shunt is the first line of treatment in patients with hydrocephalus and normal-pressure hydrocephalus. The provision of a safety profile for shunting in the treatment of hydrocephalus patients is very important. This study aimed to determine the success rates and complications of VP and VA shunting in patients with hydrocephalus.
Methods and Materials/Patients: This systematic review investigated the complication rates of VP and VA shunting in managing patients with hydrocephalus. All the published studies were searched in three electronic databases of Web of Science, PubMed and Google Scholar from March 20 to April 10, 2020, using the keywords of “Ventriculoperitoneal” and “Ventriculoatrial” in combination with “Hydrocephalus”.
Results: In total, nine articles met the eligibility criteria for being included in this review. Some studies showed a higher rate of shunt obstruction in patients undergoing VA shunting; however, other studies demonstrated no difference in terms of shunt obstruction. The rates of primary revision shunt were various within the ranges of 5.4%-48% and 9.1%-58% for VA and VP shunting, respectively. A higher rate of revision shunt was reported among the patients undergoing VP shunting, compared to that reported for VA shunting. The different mortality rates in various studies were estimated within the range of 0%-10% and at 13.9% for VA and VP shunting, respectively.
Conclusion: In general, no difference was reported between VA and VP shunting regarding the rates of complications and mortality. Due to the ease of placement and revision, VP shunting could be considered the first-line treatment of hydrocephalus. However, this approach has been preferred in newborns, and there have been insufficient data on adults in this regard. |
| first_indexed | 2024-03-12T23:14:13Z |
| format | Article |
| id | doaj.art-2b8f4401c36f4f6091356830f030bc9e |
| institution | Directory Open Access Journal |
| issn | 2423-6497 2423-6829 |
| language | English |
| last_indexed | 2024-03-12T23:14:13Z |
| publishDate | 2021-01-01 |
| publisher | Guilan University of Medical Sciences |
| record_format | Article |
| series | Iranian Journal of Neurosurgery |
| spelling | doaj.art-2b8f4401c36f4f6091356830f030bc9e2023-07-17T13:31:39ZengGuilan University of Medical SciencesIranian Journal of Neurosurgery2423-64972423-68292021-01-0171114Success Rates and Complications of Ventriculoperitoneal and Ventriculoatrial Shunting: A Systematic ReviewHamid Rezaee0Amin Tavallaii1Ehsan Keykhosravi2 Department of Neurosurgery, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran. Department of Neurosurgery, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran. Department of Neurosurgery, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran. Background and Aim: The insertion of Ventriculoperitoneal (VP) or Ventriculoatrial (VA) shunt is the first line of treatment in patients with hydrocephalus and normal-pressure hydrocephalus. The provision of a safety profile for shunting in the treatment of hydrocephalus patients is very important. This study aimed to determine the success rates and complications of VP and VA shunting in patients with hydrocephalus. Methods and Materials/Patients: This systematic review investigated the complication rates of VP and VA shunting in managing patients with hydrocephalus. All the published studies were searched in three electronic databases of Web of Science, PubMed and Google Scholar from March 20 to April 10, 2020, using the keywords of “Ventriculoperitoneal” and “Ventriculoatrial” in combination with “Hydrocephalus”. Results: In total, nine articles met the eligibility criteria for being included in this review. Some studies showed a higher rate of shunt obstruction in patients undergoing VA shunting; however, other studies demonstrated no difference in terms of shunt obstruction. The rates of primary revision shunt were various within the ranges of 5.4%-48% and 9.1%-58% for VA and VP shunting, respectively. A higher rate of revision shunt was reported among the patients undergoing VP shunting, compared to that reported for VA shunting. The different mortality rates in various studies were estimated within the range of 0%-10% and at 13.9% for VA and VP shunting, respectively. Conclusion: In general, no difference was reported between VA and VP shunting regarding the rates of complications and mortality. Due to the ease of placement and revision, VP shunting could be considered the first-line treatment of hydrocephalus. However, this approach has been preferred in newborns, and there have been insufficient data on adults in this regard.http://irjns.org/article-1-255-en.pdfhydrocephalusobstructionventriculoperitoneal shunt |
| spellingShingle | Hamid Rezaee Amin Tavallaii Ehsan Keykhosravi Success Rates and Complications of Ventriculoperitoneal and Ventriculoatrial Shunting: A Systematic Review Iranian Journal of Neurosurgery hydrocephalus obstruction ventriculoperitoneal shunt |
| title | Success Rates and Complications of Ventriculoperitoneal and Ventriculoatrial Shunting: A Systematic Review |
| title_full | Success Rates and Complications of Ventriculoperitoneal and Ventriculoatrial Shunting: A Systematic Review |
| title_fullStr | Success Rates and Complications of Ventriculoperitoneal and Ventriculoatrial Shunting: A Systematic Review |
| title_full_unstemmed | Success Rates and Complications of Ventriculoperitoneal and Ventriculoatrial Shunting: A Systematic Review |
| title_short | Success Rates and Complications of Ventriculoperitoneal and Ventriculoatrial Shunting: A Systematic Review |
| title_sort | success rates and complications of ventriculoperitoneal and ventriculoatrial shunting a systematic review |
| topic | hydrocephalus obstruction ventriculoperitoneal shunt |
| url | http://irjns.org/article-1-255-en.pdf |
| work_keys_str_mv | AT hamidrezaee successratesandcomplicationsofventriculoperitonealandventriculoatrialshuntingasystematicreview AT amintavallaii successratesandcomplicationsofventriculoperitonealandventriculoatrialshuntingasystematicreview AT ehsankeykhosravi successratesandcomplicationsofventriculoperitonealandventriculoatrialshuntingasystematicreview |