Abstract | BACKGROUND: METHODS: From January 2004 to December 2018, 164 of 1128 patients suffering from SAH underwent subsequent VPS placement after ventriculostomy in the authors' institution. Patients were divided into two groups according to the position of the ventriculostomy and the site of the proximal VPS catheter ("same site" group versus "contralateral site" group). VPS-related infectious and bleeding complications following VPS placement were assessed and analyzed. RESULTS: Overall, VPS-related infections occurred in 11 of the 164 patients (7%). Furthermore, five of the 164 patients (3%) suffered from VPS-related hemorrhage. However, VPS infection rate was lower 5% (6/115) in the same site compared to 10% (5/49) in the contralateral site group, although without reaching statistical significance (OR = 0.48 (0.14, 1.67) 95% confidence interval, p = 0.3). VPS-related hemorrhage rate did not differ significantly between patients in the same site group (3.5%, 4/115) and the contralateral site group (2.0%, 1/49; OR = 1.73 (0.18, 15.9), p = 1.0). CONCLUSIONS:
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Authors | Inja Ilic, Patrick Schuss, Valeri Borger, Alexis Hadjiathanasiou, Hartmut Vatter, Rolf Fimmers, Erdem Güresir |
Journal | Acta neurochirurgica
(Acta Neurochir (Wien))
Vol. 162
Issue 8
Pg. 1831-1836
(08 2020)
ISSN: 0942-0940 [Electronic] Austria |
PMID | 32415487
(Publication Type: Journal Article)
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Topics |
- Adult
- Female
- Humans
- Hydrocephalus
(surgery)
- Male
- Middle Aged
- Postoperative Complications
(etiology)
- Prostheses and Implants
(adverse effects)
- Subarachnoid Hemorrhage
(surgery)
- Ventriculoperitoneal Shunt
(adverse effects, instrumentation)
- Ventriculostomy
(adverse effects, instrumentation)
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