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ventriculostomy; ventricular shunt
Indications:
- hydrocephalus
Procedure:
- establishment of an opening in a cerebral ventricle, generally through the floor of the 3rd ventricle into the subarachnoid space
- CSF may be shunted to the
- peritoneal cavity (ventriculoperitoneal shunt)
- interpeduncular cistern (ventriculocisternostomy)
- right atrium [3]
- jugular vein [3]
- antibiotic-impregnated catheters reduce risk of infection (NNT*= 11) more effectively than systemic antibiotics (NNT=20) [5]
* NNT = number needed to treat to prevent 1 infection
Specific
ventriculo-atrial/jugular shunt
ventriculocisternostomy
ventriculoperitoneal (VP) shunt
General
cerebrospinal fluid shunt
References
- Stedman's Medical Dictionary 27th ed, Williams &
Wilkins, Baltimore, 1999
- Encyclopedia of Surgery: Ventricular shunt
http://www.surgeryencyclopedia.com/St-Wr/Ventricular-Shunt.html
- CPT
- Sells CF and Shurtleff DB
Cerebrospinal Fluid Shunts
West J Med. 1977 August; 127(2): 93-98
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1237715/?page=1
- The NNT: Antibiotics for Infection Prevention With Intracranial
Ventricular Shunt Placement.
http://www.thennt.com/nnt/antibiotics-for-infection-prevention-in-ventricular-shunt-placement/
- Ratilal B, Costa J, Sampaio C.
Antibiotic prophylaxis for surgical introduction of intracranial
ventricular shunts: a systematic review.
J Neurosurg Pediatr. 2008 Jan;1(1):48-56
PMID: 18352803
- Ratilal B, Costa J, Sampaio C
Antibiotic prophylaxis for surgical introduction of intracranial
ventricular shunt.
Cochrane Database Syst Rev. 2006 Jul 19;(3):CD005365.
PMID: 16856095