A Noninvasive Retrograde Flushing System for Shunted Hydrocephalus: Initial Case Series of 25 Patients

Hydrocephalus is a common neurosurgical pathology associated with high patient morbidity and systemwide healthcare costs. A significant portion of these costs are related to the failure of ventricular shunting systems. Despite decades of research and technological development, the rate of shunt fail...

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Autores principales: Falcone, Joseph, Ho, Cindy, Eskandari, Ramin, Vadivelu, Sudhakar, Madsen, Joseph R, Muhonen, Michael G
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2020
Materias:
Pediatric Surgery
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7401447/
https://www.ncbi.nlm.nih.gov/pubmed/32765986
http://dx.doi.org/10.7759/cureus.8940
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author Falcone, Joseph
Ho, Cindy
Eskandari, Ramin
Vadivelu, Sudhakar
Madsen, Joseph R
Muhonen, Michael G
author_facet Falcone, Joseph
Ho, Cindy
Eskandari, Ramin
Vadivelu, Sudhakar
Madsen, Joseph R
Muhonen, Michael G
author_sort Falcone, Joseph
collection PubMed
description Hydrocephalus is a common neurosurgical pathology associated with high patient morbidity and systemwide healthcare costs. A significant portion of these costs are related to the failure of ventricular shunting systems. Despite decades of research and technological development, the rate of shunt failure and revision has not significantly improved. The Reflow™ Ventricular System (Anuncia, Inc., Lowell, MA) is a recent technological development with the potential to prolong the shunt lifespan. This system introduces a noninvasive means of flushing a shunt proximally with a controlled, repeatable pulse of cerebral spinal fluid (CSF) and of creating a new ventricular opening for occluded shunts. In this multicenter case series, we present the early clinical experiences with this device and discuss its potential.
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spelling pubmed-74014472020-08-05 A Noninvasive Retrograde Flushing System for Shunted Hydrocephalus: Initial Case Series of 25 Patients Falcone, Joseph Ho, Cindy Eskandari, Ramin Vadivelu, Sudhakar Madsen, Joseph R Muhonen, Michael G Cureus Pediatric Surgery Hydrocephalus is a common neurosurgical pathology associated with high patient morbidity and systemwide healthcare costs. A significant portion of these costs are related to the failure of ventricular shunting systems. Despite decades of research and technological development, the rate of shunt failure and revision has not significantly improved. The Reflow™ Ventricular System (Anuncia, Inc., Lowell, MA) is a recent technological development with the potential to prolong the shunt lifespan. This system introduces a noninvasive means of flushing a shunt proximally with a controlled, repeatable pulse of cerebral spinal fluid (CSF) and of creating a new ventricular opening for occluded shunts. In this multicenter case series, we present the early clinical experiences with this device and discuss its potential. Cureus 2020-07-01 /pmc/articles/PMC7401447/ /pubmed/32765986 http://dx.doi.org/10.7759/cureus.8940 Text en Copyright © 2020, Falcone et al. http://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Pediatric Surgery
Falcone, Joseph
Ho, Cindy
Eskandari, Ramin
Vadivelu, Sudhakar
Madsen, Joseph R
Muhonen, Michael G
A Noninvasive Retrograde Flushing System for Shunted Hydrocephalus: Initial Case Series of 25 Patients
title A Noninvasive Retrograde Flushing System for Shunted Hydrocephalus: Initial Case Series of 25 Patients
title_full A Noninvasive Retrograde Flushing System for Shunted Hydrocephalus: Initial Case Series of 25 Patients
title_fullStr A Noninvasive Retrograde Flushing System for Shunted Hydrocephalus: Initial Case Series of 25 Patients
title_full_unstemmed A Noninvasive Retrograde Flushing System for Shunted Hydrocephalus: Initial Case Series of 25 Patients
title_short A Noninvasive Retrograde Flushing System for Shunted Hydrocephalus: Initial Case Series of 25 Patients
title_sort noninvasive retrograde flushing system for shunted hydrocephalus: initial case series of 25 patients
topic Pediatric Surgery
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7401447/
https://www.ncbi.nlm.nih.gov/pubmed/32765986
http://dx.doi.org/10.7759/cureus.8940
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