Management of XXXX with a programmable lumboperitoneal shunt: Early experience.

@entity1 @entity1545 @entity4358 @entity10 @entity551 @entity5576
OBJECTIVE: To evaluate the clinical outcomes and complications rate among @entity5576 ( @entity5576 ) @entity1 who underwent lumboperitoneal (LP) shunt insertion with a programmable Strata valve. METHODS: We retrospectively evaluated @entity1 who underwent LP shunt with a programmable Strata valve insertion at the University of Ottawa Civic Hospital from November 2012 to June 2013. The demographic data, clinical symptoms, opening pressure, pre-operative and post-operative visual fields, neuroimaging, visual acuity, disc status, and complications were recorded and analyzed. RESULTS: Seven female @entity1 with @entity5576 underwent insertion of an LP shunt with a programmable Strata valve. The mean opening pressure was 35.8cm @entity4358 . The initial valve setting was 1.5, and four @entity1 required post-operative valve pressure adjustment. All @entity1 showed significant improvement in objective visual testing at follow-up as well as less frequent @entity10 . None of the @entity1 developed intra- or post-operative complications. CONCLUSION: LP shunts with programmable Strata valve systems are a potential alternative to conventional LP and programmable ventriculoperitoneal shunt systems as well as optic nerve sheath fenestration, due to their potential in avoiding @entity1545 , lower failure and complication rates, lower @entity551 incidence, and flexibility in adjusting valve pressure settings post-operatively evading under- and overdrainage complications. They should be considered for the management of @entity5576 instead of early design LP systems and VP shunts. A randomized multi-center trial should be conducted to compare the efficacy of these surgical techniques.
