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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Bibliographic Details
Published in:Curēus (Palo Alto, CA) CA), 2020-07, Vol.12 (7), p.e8940-e8940
Main Authors: Falcone, Joseph, Ho, Cindy, Eskandari, Ramin, Vadivelu, Sudhakar, Madsen, Joseph R, Muhonen, Michael G
Format: Article
Language:English
Subjects:
Case reports
Catheters
Cerebrospinal fluid
Cost control
Failure
Healthcare Technology
Hemorrhage
Hydrocephalus
Neurosurgery
Patients
Pediatric Surgery
Pediatrics
Spina bifida
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Summary: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.
ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.8940