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KMID : 0311119760170020163
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Yonsei Medical Journal
1976 Volume.17 No. 2 p.163 ~ p.171
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Critical Review of Shunting Procedures for Hydrocephalus
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Hahn, Yoon Sun
Kim, Hun Joo/Lee, Hun Jae
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Abstract
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The authors analyzed 174 consecutive shunting procedures for hydrocephalus at Severance Hospital, Yonsei University.
There were a total of 65 complications (48.5 %) among 134 patients. The most common complications were blockage of the catheters (26.2%) and shunt-related infections (15.4%).
Among the different types of shunting technique ventriculoatrial, ventriculoperitoneal and ventriculocisternal routes were most commonly used. The ventriculoatrial route had a greater complication rate (40%) than ventriculoperitoneal shunting (21. 8%). Flushing devices are critically reviewed and the disadvantages are discussed.
The authors suggested a need for a standardized prospective national data collection system where procedures and compilations may be assembled in a comparable form.
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