Predictors of ventriculoperitoneal shunt malfunctions in children
https://doi.org/10.56618/2071-2693_2023_15_1_5
Abstract
SUMMARY. Hydrocephalus is one of the most common diseases of the nervous system in children. Every year the number of cerebrospinal fluid shunt surgeries is raising but malfunction of shunt systems is also increasing.
PURPOSE OF THE STUDY: define risk factors of malfunctioning of shunt systems in children in the material of the neurosurgical department of the Children’s Republican Clinical Hospital of the Ministry of Health of the Republic of Tatarstan.
MATERIALS AND METHODS: research performed on 688 children with hydrocephalus that were implanted with ventriculoperitoneal shunt (VPS) in the Republic of Tatarstan from 1995 to 2016.
RESULTS: increase in age and body mass at the time of surgery decreased risk of VPS failure. Mean values of survival in children with post-inflammatory internal hydrocephalus is significantly lower than in patients with hydrocephalus of other etiology. Occlusive hydrocephalus mean values of survival are twice lower when compared to communicating hydrocephalus.
CONCLUSION. main factors influencing malfunctioning of VPS are type of hydrocephalus, age and weight of patients at the time of surgery and implant position of ventricular catheter.
About the Authors
D. I. AbdullinRussian Federation
Abdullin Damir Iskandarovich
49, Butlerov st., Kazan, 420012; 140, Orenburgskiy Trakt, Kazan, 420138
V. I. Danilov
Russian Federation
Danilov Valery Ivanovich
49, Butlerov st., Kazan, 420012
V. S. Ivanov
Russian Federation
Ivanov Vladimir Stanislavovich
49, Butlerov st., Kazan, 420012; 140, Orenburgskiy Trakt, Kazan, 420138
E. F. Fatichova
Russian Federation
Fatykhova El’za Fagilovna
140, Orenburgskiy Trakt, Kazan, 420138
V. S. Filatov
Russian Federation
Filatov Vladimir Sergeevich
140, Orenburgskiy Trakt, Kazan, 420138
E. R. Bariev
Russian Federation
Bariev Eduard Refatovich
140, Orenburgskiy Trakt, Kazan, 420138
A. G. Gazizov
Russian Federation
Gazizov Ajrat Gabel’haevich
140, Orenburgskiy Trakt, Kazan, 420138
V. V. Frolov
Russian Federation
Frolov Victor Vladimirovich
140, Orenburgskiy Trakt, Kazan, 420138
D. F. Zagidulin
Russian Federation
Zagidulin Damir Ferdinatovich
140, Orenburgskiy Trakt, Kazan, 420138
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Review
For citations:
Abdullin D.I., Danilov V.I., Ivanov V.S., Fatichova E.F., Filatov V.S., Bariev E.R., Gazizov A.G., Frolov V.V., Zagidulin D.F. Predictors of ventriculoperitoneal shunt malfunctions in children. Russian Neurosurgical Journal named after Professor A. L. Polenov. 2023;15(1):5-9. (In Russ.) https://doi.org/10.56618/2071-2693_2023_15_1_5