Lumboperitoneal shunt placement using computed tomography and fluoroscopy in conscious patients.

Full Abstract

The authors have developed a minimally invasive lumboperitoneal shunt placement procedure conducted after administration of a local anesthetic. The procedure involves placing a guide wire and a peel-away sheath under fluoroscopic and CT guidance. Between June 2004 and August 2006, 40 patients (21 men and 19 women; mean age 72.5 years [range 33-86 years]) underwent surgery. A Codman Hakim programmable valve system (82-3844, Codman & Shurtleff, Inc.) was used for the procedure. The mean operating time was 53 minutes, and 7 patients (17.5%) developed shunt dysfunction complications. These complications comprised an infected shunt valve in 2 patients, postoperative lower-limb pain in 1 patient, and shunt obstruction (caused by debris and hemorrhage) at the ventral and lumbar ends in 2 patients each. This procedure is less invasive than conventional lumboperitoneal shunt insertion and could be performed as an outpatient surgery for treatment of idiopathic normal-pressure hydrocephalus.

Author information

Author/s: Nakajima, Madoka (M); Bando, Kuniaki (K); Miyajima, Masakazu (M); Arai, Hajime (H);

Affiliation: Department of Neurosurgery, Juntendo University, Tokyo, Japan.

Journal and publication information

Publication Type: Journal Article

Journal: Journal of neurosurgery (J Neurosurg), published in United States. (Language: eng)

Reference: 2009-Sep; vol 111 (issue 3) : pp 618-22

Dates: Created 2009/09/02; Completed 2009/10/22;

PMID: 19249929, status: MEDLINE (last retrieved date: 10/22/2009)

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