Efecto de la localización del catéter proximal en la disfunción de derivaciones ventricular en adultos de dos instituciones de salud de Bogotá
La hidrocefalia es una patología caracterizada por la acumulación anormal de líquido cefalorraquídeo (LCR) en el sistema ventricular cerebral, cuyo manejo requiere sistemas de derivación como la ventriculoperitoneal o ventriculoatrial. Este estudio retrospectivo y multicéntrico evaluó el efecto de l...
- Autores:
-
Fonseca Mazeau, Pierre Yves
- Tipo de recurso:
- https://purl.org/coar/resource_type/c_7a1f
- Fecha de publicación:
- 2024
- Institución:
- Universidad El Bosque
- Repositorio:
- Repositorio U. El Bosque
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- Acceso en línea:
- https://hdl.handle.net/20.500.12495/13963
- Palabra clave:
- Hidrocefalia
Líquido Cefalorraquídeo
Derivación ventricular
Hydrocephalus
Cerebrospinal Fluid Shunts
WL 368
- Rights
- License
- Attribution-NonCommercial-NoDerivatives 4.0 International
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Efecto de la localización del catéter proximal en la disfunción de derivaciones ventricular en adultos de dos instituciones de salud de Bogotá |
| dc.title.translated.none.fl_str_mv |
Effect of proximal catheter location on ventricular shunt dysfunction in adults from two health institutions in Bogotá |
| title |
Efecto de la localización del catéter proximal en la disfunción de derivaciones ventricular en adultos de dos instituciones de salud de Bogotá |
| spellingShingle |
Efecto de la localización del catéter proximal en la disfunción de derivaciones ventricular en adultos de dos instituciones de salud de Bogotá Hidrocefalia Líquido Cefalorraquídeo Derivación ventricular Hydrocephalus Cerebrospinal Fluid Shunts WL 368 |
| title_short |
Efecto de la localización del catéter proximal en la disfunción de derivaciones ventricular en adultos de dos instituciones de salud de Bogotá |
| title_full |
Efecto de la localización del catéter proximal en la disfunción de derivaciones ventricular en adultos de dos instituciones de salud de Bogotá |
| title_fullStr |
Efecto de la localización del catéter proximal en la disfunción de derivaciones ventricular en adultos de dos instituciones de salud de Bogotá |
| title_full_unstemmed |
Efecto de la localización del catéter proximal en la disfunción de derivaciones ventricular en adultos de dos instituciones de salud de Bogotá |
| title_sort |
Efecto de la localización del catéter proximal en la disfunción de derivaciones ventricular en adultos de dos instituciones de salud de Bogotá |
| dc.creator.fl_str_mv |
Fonseca Mazeau, Pierre Yves |
| dc.contributor.advisor.none.fl_str_mv |
Juan Fernando Ramon Cuellar, Juan Fernando |
| dc.contributor.author.none.fl_str_mv |
Fonseca Mazeau, Pierre Yves |
| dc.contributor.orcid.none.fl_str_mv |
0000-0001-5024-1038 |
| dc.subject.none.fl_str_mv |
Hidrocefalia Líquido Cefalorraquídeo Derivación ventricular |
| topic |
Hidrocefalia Líquido Cefalorraquídeo Derivación ventricular Hydrocephalus Cerebrospinal Fluid Shunts WL 368 |
| dc.subject.keywords.none.fl_str_mv |
Hydrocephalus Cerebrospinal Fluid Shunts |
| dc.subject.nlm.none.fl_str_mv |
WL 368 |
| description |
La hidrocefalia es una patología caracterizada por la acumulación anormal de líquido cefalorraquídeo (LCR) en el sistema ventricular cerebral, cuyo manejo requiere sistemas de derivación como la ventriculoperitoneal o ventriculoatrial. Este estudio retrospectivo y multicéntrico evaluó el efecto de la localización del catéter proximal en la disfunción de estos sistemas en 161 pacientes adultos atendidos en dos instituciones de referencia en Bogotá entre 2012 y 2022. Se analizaron imágenes postoperatorias para clasificar la posición del catéter (ventricular/extraventricular) y se realizó un seguimiento mínimo de un año para identificar tasas de disfunción. Las variables fueron analizadas mediante pruebas de chi-cuadrado y regresión logística ajustada. La muestra incluyó un 55.3% de hombres, con una edad promedio de 65.1 años, y un 80.1% con hidrocefalia comunicante. El 11.8% presentó disfunción, siendo el 68.4% atribuible al catéter proximal. No se hallaron asociaciones estadísticamente significativas entre la posición del catéter y la disfunción del sistema (p>0.05), aunque se observó una tendencia a menor disfunción en catéteres ubicados en el ventrículo contralateral. El uso de ecografía intraoperatoria mostró diferencias significativas en la reducción de fallas. Los resultados subrayan la importancia de optimizar el posicionamiento del catéter mediante tecnologías avanzadas para minimizar complicaciones. Se recomienda definir criterios estandarizados para la colocación del catéter y priorizar enfoques quirúrgicos precisos que mejoren la supervivencia del sistema y los desenlaces clínicos. |
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2024 |
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2024-12-01 |
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2025-02-14T19:25:19Z |
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2025-02-14T19:25:19Z |
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Albright AL, Haines SJ, Taylor FH. Function of parietal and frontal shunts in childhood hydrocephalus. J Neurosurg [Internet]. 1988 [cited 2024 Nov 21];69(6):883–6. Available from: https://pubmed.ncbi.nlm.nih.gov/3193193/ Aghayev K, Iqbal SMA, Asghar W, Shahmurzada B, Vrionis FD. Advances in CSF shunt devices and their assessment for the treatment of hydrocephalus. Expert Rev Med Devices [Internet]. 2021 Sep 2 [cited 2024 Nov 21];18(9):865–73. Available from: https://www.tandfonline.com/doi/abs/10.1080/17434440.2021.1962289 Baregzai Y, Al-Salihi MM, Al Hajali A, Hammadi F, Ayyad A. Ventriculoperitoneal shunt entry points in patients undergoing shunt placement: A single-center study. World Neurosurg X. 2024 Jul 1;23. Coll G, Abed Rabbo F, de Schlichting E, Coste A, Chazal J, Garcier JM, et al. Mechanical complications of cerebrospinal fluid shunt. Differences between adult and pediatric populations: myths or reality? Child’s Nervous System [Internet]. 2021 Jul 1 [cited 2024 Nov 21];37(7):2215–21. Available from: https://link.springer.com/article/10.1007/s00381-021-05125-8 Janson CG, Romanova LG, Rudser KD, Haines SJ. Improvement in clinical outcomes following optimal targeting of brain ventricular catheters with intraoperative imaging. J Neurosurg [Internet]. 2014 [cited 2024 Nov 21];120(3):684–96. Available from: https://pubmed.ncbi.nlm.nih.gov/24116721/ Dobran M, Nasi D, Mancini F, Gladi M, Polonara G, Marini A, et al. Relationship between the location of the ventricular catheter tip and the ventriculoperitoneal shunt malfunction. Clin Neurol Neurosurg. 2018 Dec 1;175:50–3. Li Ching Ng A, Kohan S. Accurate placement of parieto-occipital shunt ventricular catheter: use of craniometrics and technical note. Child’s Nervous System [Internet]. 2021 Oct 1 [cited 2024 Nov 21];37(10):3209–17. Available from: https://link.springer.com/article/10.1007/s00381-021-05332-3 Hayhurst C, Beems T, Jenkinson MD, Byrne P, Clark S, Kandasamy J, et al. Effect of electromagnetic-navigated shunt placement on failure rates: a prospective multicenter study. J Neurosurg [Internet]. 2010 Dec [cited 2024 Nov 21];113(6):1273–8. Available from: https://pubmed.ncbi.nlm.nih.gov/20397892/ McGovern RA, Kelly KM, Chan AK, Morrissey NJ, Mckhann GM. Should ventriculoatrial shunting be the procedure of choice for normal-pressure hydrocephalus? J Neurosurg [Internet]. 2014 [cited 2024 Nov 21];120(6):1458–64. Available from: https://pubmed.ncbi.nlm.nih.gov/24605842/ Wilson TJ, Stetler WR, Al-Holou WN, Sullivan SE. Comparison of the accuracy of ventricular catheter placement using freehand placement, ultrasonic guidance, and stereotactic neuronavigation. J Neurosurg [Internet]. 2013 [cited 2024 Nov 21];119(1):66–70. Available from: https://pubmed.ncbi.nlm.nih.gov/23330995/ Missori P, Paolini S, Peschillo S, Martini S, Palmarini V, Gregori F, et al. Ventriculoatrial shunt in adults. A case series, with emphasis on atrial catheter migration. Interdiscip Neurosurg [Internet]. 2019 Sep 1 [cited 2024 Nov 21];17:133–7. Available from:https://www.researchgate.net/publication/332597020_Ventriculoatrial_shunt_in_adults_A_case_series_with_emphasis_on_atrial_catheter_migration. Hung AL, Vivas-Buitrago T, Adam A, Lu J, Robison J, Elder BD, et al. Ventriculoatrial versus ventriculoperitoneal shunt complications in idiopathic normal pressure hydrocephalus. Clin Neurol Neurosurg. 2017 Jun 1;157:1–6. Yamada SM, Kitagawa R, Teramoto A. Relationship of the location of the ventricular catheter tip and function of the ventriculoperitoneal shunt. Journal of Clinical Neuroscience. 2013 Jan;20(1):99–101. Leu S, Halbeisen F, Mariani L, Soleman J. Intraoperative ultrasound-guided compared to stereotactic navigated ventriculoperitoneal shunt placement: study protocol for a randomised controlled study. Trials [Internet]. 2021 Dec 1 [cited 2024 Nov 21];22(1):1–12. Available from: https://trialsjournal.biomedcentral.com/articles/10.1186/s13063-021-05306-5 Zhang L, Mu Z, Shen G, Yang M. The accuracy and safety of intraoperative ultrasound-guided external ventricular drainage in intraventricular hemorrhage. Scientific Reports 2023 13:1 [Internet]. 2023 Jul 17 [cited 2024 Nov 21];13(1):1–8. Available from: https://www.nature.com/articles/s41598- 023-38567-y Niu H, Wu H, Luo W, Wang K, Zhao L, Wang Y. Ventriculoatrial shunt as a feasible regimen for certain patients of hydrocephalus: clinical features and surgical management. Acta Neurol Belg [Internet]. 2021 Apr 1 [cited 2024 Nov 21];121(2):403–8. Available from: https://pubmed.ncbi.nlm.nih.gov/31273606/ Sabanci PA, Unal TC, Ozturk O, Dolen D, Dolas I, Peker B, et al. Effect of Intraoperative Computed Tomography on Ventriculoperitoneal Shunt Survival. World Neurosurg [Internet]. 2021 Sep 1 [cited 2024 Nov 21];153:e373–9. Available from: https://pubmed.ncbi.nlm.nih.gov/34217860/ Kemp J, Flannery AM, Tamber MS, Duhaime AC. Pediatric hydrocephalus: Systematic literature review and evidence-based guidelines. Part 9: Effect of ventricular catheter entry point and position. Vol. 14, Journal of Neurosurgery: Pediatrics. American Association of Neurological Surgeons; 2014. p. 72–6. Mirkhaef SA, Harbaugh L, Nagra G. Hydrocephalus: A Review of Etiology-Driven Treatment Strategies. Cureus [Internet]. 2024 Sep 3 [cited 2024 Nov 21];16(9):e68516. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC11448269/ Shahbandi A, Jahangiri P, Meybodi KT, Nejat F, Habibi Z. Implementation of an adapted perioperative ventriculoperitoneal shunting protocol in a tertiary center located in a low-to-middle-income country. Child’s Nervous System [Internet]. 2024 Jun 1 [cited 2024 Nov 21];40(6):1839–47. Available from: https://link.springer.com/article/10.1007/s00381-024-06374-z |
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Juan Fernando Ramon Cuellar, Juan FernandoFonseca Mazeau, Pierre Yves0000-0001-5024-10382025-02-14T19:25:19Z2025-02-14T19:25:19Z2024-12-01https://hdl.handle.net/20.500.12495/13963instname:Universidad El Bosquereponame:Repositorio Institucional Universidad El Bosquerepourl:https://repositorio.unbosque.edu.coLa hidrocefalia es una patología caracterizada por la acumulación anormal de líquido cefalorraquídeo (LCR) en el sistema ventricular cerebral, cuyo manejo requiere sistemas de derivación como la ventriculoperitoneal o ventriculoatrial. Este estudio retrospectivo y multicéntrico evaluó el efecto de la localización del catéter proximal en la disfunción de estos sistemas en 161 pacientes adultos atendidos en dos instituciones de referencia en Bogotá entre 2012 y 2022. Se analizaron imágenes postoperatorias para clasificar la posición del catéter (ventricular/extraventricular) y se realizó un seguimiento mínimo de un año para identificar tasas de disfunción. Las variables fueron analizadas mediante pruebas de chi-cuadrado y regresión logística ajustada. La muestra incluyó un 55.3% de hombres, con una edad promedio de 65.1 años, y un 80.1% con hidrocefalia comunicante. El 11.8% presentó disfunción, siendo el 68.4% atribuible al catéter proximal. No se hallaron asociaciones estadísticamente significativas entre la posición del catéter y la disfunción del sistema (p>0.05), aunque se observó una tendencia a menor disfunción en catéteres ubicados en el ventrículo contralateral. El uso de ecografía intraoperatoria mostró diferencias significativas en la reducción de fallas. Los resultados subrayan la importancia de optimizar el posicionamiento del catéter mediante tecnologías avanzadas para minimizar complicaciones. Se recomienda definir criterios estandarizados para la colocación del catéter y priorizar enfoques quirúrgicos precisos que mejoren la supervivencia del sistema y los desenlaces clínicos.Fundacion Santa Fe de BogotaFundacion Clinica ShaioEspecialista en NeurocirugíaEspecializaciónHydrocephalus is a condition characterized by the abnormal accumulation of cerebrospinal fluid (CSF) in the brain’s ventricular system, managed using shunt systems like ventriculoperitoneal or ventriculoatrial. This retrospective, multicenter study evaluated the effect of proximal catheter positioning on shunt dysfunction in 161 adult patients treated at two referral institutions in Bogotá between 2012 and 2022. Postoperative imaging was analyzed to classify catheter position (ventricular/extraventricular), with a minimum one-year follow-up to identify dysfunction rates. Variables were analyzed using chi-square tests and adjusted logistic regression models. The sample included 55.3% male patients, with a mean age of 65.1 years, and 80.1% with communicating hydrocephalus. Shunt dysfunction occurred in 11.8% of cases, with 68.4% attributed to the proximal catheter. No statistically significant associations were found between catheter position and shunt dysfunction (p>0.05), although a trend toward lower dysfunction rates was observed in catheters located in the contralateral ventricle. The use of intraoperative ultrasound showed significant differences in reducing failure rates. The findings highlight the importance of optimizing catheter placement using advanced technologies to minimize complications. Standardized criteria for catheter positioning and precise surgical approaches are recommended to improve shunt survival and clinical outcomes.application/pdfAttribution-NonCommercial-NoDerivatives 4.0 Internationalhttp://creativecommons.org/licenses/by-nc-nd/4.0/Acceso abiertohttps://purl.org/coar/access_right/c_abf2http://purl.org/coar/access_right/c_abf2HidrocefaliaLíquido CefalorraquídeoDerivación ventricularHydrocephalusCerebrospinal Fluid ShuntsWL 368Efecto de la localización del catéter proximal en la disfunción de derivaciones ventricular en adultos de dos instituciones de salud de BogotáEffect of proximal catheter location on ventricular shunt dysfunction in adults from two health institutions in BogotáEspecialización en NeurocirugíaUniversidad El BosqueFacultad de MedicinaTesis/Trabajo de grado - Monografía - Especializaciónhttps://purl.org/coar/resource_type/c_7a1fhttp://purl.org/coar/resource_type/c_7a1finfo:eu-repo/semantics/bachelorThesishttps://purl.org/coar/version/c_ab4af688f83e57aaAlbright AL, Haines SJ, Taylor FH. Function of parietal and frontal shunts in childhood hydrocephalus. J Neurosurg [Internet]. 1988 [cited 2024 Nov 21];69(6):883–6. Available from: https://pubmed.ncbi.nlm.nih.gov/3193193/Aghayev K, Iqbal SMA, Asghar W, Shahmurzada B, Vrionis FD. Advances in CSF shunt devices and their assessment for the treatment of hydrocephalus. Expert Rev Med Devices [Internet]. 2021 Sep 2 [cited 2024 Nov 21];18(9):865–73. Available from: https://www.tandfonline.com/doi/abs/10.1080/17434440.2021.1962289Baregzai Y, Al-Salihi MM, Al Hajali A, Hammadi F, Ayyad A. Ventriculoperitoneal shunt entry points in patients undergoing shunt placement: A single-center study. World Neurosurg X. 2024 Jul 1;23.Coll G, Abed Rabbo F, de Schlichting E, Coste A, Chazal J, Garcier JM, et al. Mechanical complications of cerebrospinal fluid shunt. Differences between adult and pediatric populations: myths or reality? Child’s Nervous System [Internet]. 2021 Jul 1 [cited 2024 Nov 21];37(7):2215–21. Available from: https://link.springer.com/article/10.1007/s00381-021-05125-8Janson CG, Romanova LG, Rudser KD, Haines SJ. Improvement in clinical outcomes following optimal targeting of brain ventricular catheters with intraoperative imaging. J Neurosurg [Internet]. 2014 [cited 2024 Nov 21];120(3):684–96. Available from: https://pubmed.ncbi.nlm.nih.gov/24116721/Dobran M, Nasi D, Mancini F, Gladi M, Polonara G, Marini A, et al. Relationship between the location of the ventricular catheter tip and the ventriculoperitoneal shunt malfunction. Clin Neurol Neurosurg. 2018 Dec 1;175:50–3.Li Ching Ng A, Kohan S. Accurate placement of parieto-occipital shunt ventricular catheter: use of craniometrics and technical note. Child’s Nervous System [Internet]. 2021 Oct 1 [cited 2024 Nov 21];37(10):3209–17. Available from: https://link.springer.com/article/10.1007/s00381-021-05332-3Hayhurst C, Beems T, Jenkinson MD, Byrne P, Clark S, Kandasamy J, et al. Effect of electromagnetic-navigated shunt placement on failure rates: a prospective multicenter study. J Neurosurg [Internet]. 2010 Dec [cited 2024 Nov 21];113(6):1273–8. Available from: https://pubmed.ncbi.nlm.nih.gov/20397892/McGovern RA, Kelly KM, Chan AK, Morrissey NJ, Mckhann GM. Should ventriculoatrial shunting be the procedure of choice for normal-pressure hydrocephalus? J Neurosurg [Internet]. 2014 [cited 2024 Nov 21];120(6):1458–64. Available from: https://pubmed.ncbi.nlm.nih.gov/24605842/Wilson TJ, Stetler WR, Al-Holou WN, Sullivan SE. Comparison of the accuracy of ventricular catheter placement using freehand placement, ultrasonic guidance, and stereotactic neuronavigation. J Neurosurg [Internet]. 2013 [cited 2024 Nov 21];119(1):66–70. Available from: https://pubmed.ncbi.nlm.nih.gov/23330995/Missori P, Paolini S, Peschillo S, Martini S, Palmarini V, Gregori F, et al. Ventriculoatrial shunt in adults. A case series, with emphasis on atrial catheter migration. Interdiscip Neurosurg [Internet]. 2019 Sep 1 [cited 2024 Nov 21];17:133–7. Available from:https://www.researchgate.net/publication/332597020_Ventriculoatrial_shunt_in_adults_A_case_series_with_emphasis_on_atrial_catheter_migration.Hung AL, Vivas-Buitrago T, Adam A, Lu J, Robison J, Elder BD, et al. Ventriculoatrial versus ventriculoperitoneal shunt complications in idiopathic normal pressure hydrocephalus. Clin Neurol Neurosurg. 2017 Jun 1;157:1–6.Yamada SM, Kitagawa R, Teramoto A. Relationship of the location of the ventricular catheter tip and function of the ventriculoperitoneal shunt. Journal of Clinical Neuroscience. 2013 Jan;20(1):99–101.Leu S, Halbeisen F, Mariani L, Soleman J. Intraoperative ultrasound-guided compared to stereotactic navigated ventriculoperitoneal shunt placement: study protocol for a randomised controlled study. Trials [Internet]. 2021 Dec 1 [cited 2024 Nov 21];22(1):1–12. Available from: https://trialsjournal.biomedcentral.com/articles/10.1186/s13063-021-05306-5Zhang L, Mu Z, Shen G, Yang M. The accuracy and safety of intraoperative ultrasound-guided external ventricular drainage in intraventricular hemorrhage. Scientific Reports 2023 13:1 [Internet]. 2023 Jul 17 [cited 2024 Nov 21];13(1):1–8. Available from: https://www.nature.com/articles/s41598- 023-38567-yNiu H, Wu H, Luo W, Wang K, Zhao L, Wang Y. Ventriculoatrial shunt as a feasible regimen for certain patients of hydrocephalus: clinical features and surgical management. Acta Neurol Belg [Internet]. 2021 Apr 1 [cited 2024 Nov 21];121(2):403–8. Available from: https://pubmed.ncbi.nlm.nih.gov/31273606/Sabanci PA, Unal TC, Ozturk O, Dolen D, Dolas I, Peker B, et al. Effect of Intraoperative Computed Tomography on Ventriculoperitoneal Shunt Survival. World Neurosurg [Internet]. 2021 Sep 1 [cited 2024 Nov 21];153:e373–9. Available from: https://pubmed.ncbi.nlm.nih.gov/34217860/Kemp J, Flannery AM, Tamber MS, Duhaime AC. Pediatric hydrocephalus: Systematic literature review and evidence-based guidelines. Part 9: Effect of ventricular catheter entry point and position. Vol. 14, Journal of Neurosurgery: Pediatrics. American Association of Neurological Surgeons; 2014. p. 72–6.Mirkhaef SA, Harbaugh L, Nagra G. Hydrocephalus: A Review of Etiology-Driven Treatment Strategies. Cureus [Internet]. 2024 Sep 3 [cited 2024 Nov 21];16(9):e68516. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC11448269/Shahbandi A, Jahangiri P, Meybodi KT, Nejat F, Habibi Z. Implementation of an adapted perioperative ventriculoperitoneal shunting protocol in a tertiary center located in a low-to-middle-income country. Child’s Nervous System [Internet]. 2024 Jun 1 [cited 2024 Nov 21];40(6):1839–47. 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