gms | German Medical Science

67th Annual Meeting of the German Society of Neurosurgery (DGNC)
Joint Meeting with the Korean Neurosurgical Society (KNS)

German Society of Neurosurgery (DGNC)

12 - 15 June 2016, Frankfurt am Main

Article

Send article

Ventriculostomy and subsequent ventriculoperitoneal shunt placement after subarachnoid hemorrhage: the effect of side on postoperative complications

Meeting Abstract

Search Medline for

  • Inja Ilic - Klinik für Neurochirurgie, Rheinische Friedrich-Wilhelms-Universität Bonn, Germany
  • Patrick Schuss - Klinik für Neurochirurgie, Rheinische Friedrich-Wilhelms-Universität Bonn, Germany
  • Valeri Borger - Klinik für Neurochirurgie, Rheinische Friedrich-Wilhelms-Universität Bonn, Germany
  • Alexis Hadjiathanasiou - Klinik für Neurochirurgie, Rheinische Friedrich-Wilhelms-Universität Bonn, Germany
  • Hartmut Vatter - Klinik für Neurochirurgie, Rheinische Friedrich-Wilhelms-Universität Bonn, Germany
  • Erdem Güresir - Klinik für Neurochirurgie, Rheinische Friedrich-Wilhelms-Universität Bonn, Germany

Deutsche Gesellschaft für Neurochirurgie. 67. Jahrestagung der Deutschen Gesellschaft für Neurochirurgie (DGNC), 1. Joint Meeting mit der Koreanischen Gesellschaft für Neurochirurgie (KNS). Frankfurt am Main, 12.-15.06.2016. Düsseldorf: German Medical Science GMS Publishing House; 2016. DocP 087

doi: 10.3205/16dgnc462, urn:nbn:de:0183-16dgnc4622

Published: June 8, 2016

© 2016 Ilic et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 License. See license information at http://creativecommons.org/licenses/by/4.0/.

Outline

Text

Objective: In patients suffering from aneurysmal subarachnoid hemorrhage (SAH) with shunt-dependent hydrocephalus, subsequent ventriculoperitoneal shunt (VPS) placement is mandatory after ventriculostomy. However, in patients with previous ventriculostomy, the side of proximal VPS catheter placement is still controversially discussed. We therefore analyzed patients with ventriculostomy and subsequent VPS placement after SAH concering postoperative complications.

Method: From 2004 to 2014, 123 of 675 patients suffering from SAH underwent subsequent VPS placement after ventriculostomy in the authors’ institution. Patients were divided into two groups according to position of ventriculostomy and side of the proximal VPS catheter (same-side group versus contralateral-side-group). Procedure-related infectious and bleeding complications after VPS placement were assessed and further analyzed.

Results: Overall, postoperative VPS infections occurred in 6 of 123 patients (5%). Furthermore, 4 of 123 patients (3%) suffered from VPS-related hemorrhage. However, VPS infection rate did not differ significantly between patients in the same-side and the contralateral-side group (p=0.4). VPS-related hemorrhage rate did not differ significantly between patients in the same-side and the contralateral-side group (p=0.3).

Conclusions: The present data suggests that the use of the ventriculostomy site for VPS placement might be safe regarding postoperative VPS infections and VPS-related hemorrhage.