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dc.contributorVall d'Hebron Barcelona Hospital Campus
dc.contributor.authorSahuquillo Barris, Joan
dc.contributor.authorRosas Soto, Katiuska
dc.contributor.authorCalvo Rubio Jimenez, Helena
dc.contributor.authorAlcina Albors, Aloma
dc.contributor.authorGándara Sabatini, Dario Fabian
dc.contributor.authorLopez-Bermeo, Diego
dc.contributor.authorPoca Pastor, Ma Antonia
dc.date.accessioned2022-03-30T08:53:55Z
dc.date.available2022-03-30T08:53:55Z
dc.date.issued2021-03
dc.identifier.citationSahuquillo J, Rosas K, Calvo H, Alcina A, Gándara D, López-Bermeo D, et al. How to Choose a Shunt for Patients with Normal Pressure Hydrocephalus: A Short Guide to Selecting the Best Shunt Assembly. J Clin Med. 2021 Mar;10(6):1210.
dc.identifier.issn2077-0383
dc.identifier.urihttp://hdl.handle.net/11351/7271
dc.descriptionDifferential-pressure valves; Fluid mechanics; Hydrocephalus
dc.description.abstractMost patients with hydrocephalus are still managed with the implantation of a cerebrospinal fluid (CSF) shunt in which the CSF flow is regulated by a differential-pressure valve (DPV). Our aim in this review is to discuss some basic concepts in fluid mechanics that are frequently ignored but that should be understood by neurosurgeons to enable them to choose the most adequate shunt for each patient. We will present data, some of which is not provided by manufacturers, which may help neurosurgeons in selecting the most appropriate shunt. To do so, we focused on the management of patients with idiopathic “normal-pressure hydrocephalus” (iNPH), as one of the most challenging scenarios, in which the combination of optimal technology, patient characteristics, and knowledge of fluid mechanics can significantly modify the surgical results. For a better understanding of the available hardware and its evolution over time, we will have a second look at the design of the first DPV and the reasons why additional devices were incorporated to control for shunt overdrainage and its related complications. We try to persuade the reader that a clear understanding of the physical concepts of the CSF and shunt dynamics is key to understand the pathophysiology of iNPH and to improve its treatment.
dc.language.isoeng
dc.publisherMDPI
dc.relation.ispartofseriesJournal of Clinical Medicine;10(6)
dc.rightsAttribution 4.0 International
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.sourceScientia
dc.subjectHidrocefàlia - Cirurgia
dc.subjectLíquid cefaloraquidi
dc.subjectEquips de recerca - Disseny
dc.subject.meshHydrocephalus, Normal Pressure
dc.subject.meshCerebrospinal Fluid Shunts
dc.subject.meshEquipment Design
dc.titleHow to Choose a Shunt for Patients with Normal Pressure Hydrocephalus: A Short Guide to Selecting the Best Shunt Assembly
dc.typeinfo:eu-repo/semantics/article
dc.identifier.doi10.3390/jcm10061210
dc.subject.decshidrocefalia normotensa
dc.subject.decsderivaciones del líquido cefalorraquídeo
dc.subject.decsdiseño de equipos
dc.relation.publishversionhttps://doi.org/10.3390/jcm10061210
dc.type.versioninfo:eu-repo/semantics/publishedVersion
dc.audienceProfessionals
dc.contributor.organismesInstitut Català de la Salut
dc.contributor.authoraffiliation[Sahuquillo J, Poca MA] Servei de Neurocirurgia, Vall d’Hebron Hospital Universitari, Barcelona, Spain. Unitat de Recerca en Neurotraumatologia i Neurocirurgia, Vall d’Hebron Institut de Recerca (VHIR), Barcelona, Spain. Vall d’Hebron Hospital Universitari, Barcelona, Spain. Departament de Cirurgia, Universitat Autònoma de Barcelona, Bellaterra, Spain. [Rosas K, Gándara D] Servei de Neurocirurgia, Vall d’Hebron Hospital Universitari, Barcelona, Spain. Unitat de Recerca en Neurotraumatologia i Neurocirurgia, Vall d’Hebron Institut de Recerca (VHIR), Barcelona, Spain. Vall d’Hebron Hospital Universitari, Barcelona, Spain. [Calvo H, Alcina A, López-Bermeo D] Servei de Neurocirurgia, Vall d’Hebron Hospital Universitari, Barcelona, Spain
dc.identifier.pmid33803977
dc.identifier.wos000651938200001
dc.relation.projectidinfo:eu-repo/grantAgreement/EC/H2020/675332
dc.relation.projectidinfo:eu-repo/grantAgreement/ES/PE2013-2016/PI18%2F00468
dc.rights.accessrightsinfo:eu-repo/semantics/openAccess


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