The Strata programmable valve for shunt-dependent hydrocephalus

The pediatric experience at a single institution

Edward S. Ahn, Markus Bookland, Benjamin Solomon, Jon David Weingart, George Jallo

Research output: Contribution to journalArticle

Abstract

Background and objective: The Medtronic PS Medical Strata valve has pressure flow characteristics that are noninvasively adjusted with a magnetic tool. The objective of this study was to examine its efficacy during our initial experience with it in shunt-dependent children. Materials and methods: A retrospective review of 53 children with a median age of 2.0 years who had 61 Strata valves implanted. Conclusion: The Strata valve is efficacious in the treatment of shunt-dependant hydrocephalus in children. The 1-year shunt survival rate of 67.2% is comparable to that previously reported from a multicenter trial. Of the 30 therapeutically aimed adjustments during the study period, 16 (53.3%) resulted in improvement in abnormal signs or symptoms. Our data indicate that adjustments can be used to treat signs or symptoms of cerebrospinal fluid overdrainage or underdrainage, which may obviate the need for additional surgery.

Original languageEnglish (US)
Pages (from-to)297-303
Number of pages7
JournalChild's Nervous System
Volume23
Issue number3
DOIs
StatePublished - Mar 2007

Fingerprint

Hydrocephalus
Pediatrics
Signs and Symptoms
Multicenter Studies
Cerebrospinal Fluid
Research Design
Pressure
Therapeutics

Keywords

  • Hydrocephalus
  • Pediatric neurosurgery
  • Programmable
  • Shunt
  • Valve
  • Ventriculoperitoneal shunt

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Clinical Neurology

Cite this

The Strata programmable valve for shunt-dependent hydrocephalus : The pediatric experience at a single institution. / Ahn, Edward S.; Bookland, Markus; Solomon, Benjamin; Weingart, Jon David; Jallo, George.

In: Child's Nervous System, Vol. 23, No. 3, 03.2007, p. 297-303.

Research output: Contribution to journalArticle

@article{671081538ed8492a950ac4747c75117f,
title = "The Strata programmable valve for shunt-dependent hydrocephalus: The pediatric experience at a single institution",
abstract = "Background and objective: The Medtronic PS Medical Strata valve has pressure flow characteristics that are noninvasively adjusted with a magnetic tool. The objective of this study was to examine its efficacy during our initial experience with it in shunt-dependent children. Materials and methods: A retrospective review of 53 children with a median age of 2.0 years who had 61 Strata valves implanted. Conclusion: The Strata valve is efficacious in the treatment of shunt-dependant hydrocephalus in children. The 1-year shunt survival rate of 67.2{\%} is comparable to that previously reported from a multicenter trial. Of the 30 therapeutically aimed adjustments during the study period, 16 (53.3{\%}) resulted in improvement in abnormal signs or symptoms. Our data indicate that adjustments can be used to treat signs or symptoms of cerebrospinal fluid overdrainage or underdrainage, which may obviate the need for additional surgery.",
keywords = "Hydrocephalus, Pediatric neurosurgery, Programmable, Shunt, Valve, Ventriculoperitoneal shunt",
author = "Ahn, {Edward S.} and Markus Bookland and Benjamin Solomon and Weingart, {Jon David} and George Jallo",
year = "2007",
month = "3",
doi = "10.1007/s00381-006-0236-y",
language = "English (US)",
volume = "23",
pages = "297--303",
journal = "Child's Nervous System",
issn = "0256-7040",
publisher = "Springer Verlag",
number = "3",

}

TY - JOUR

T1 - The Strata programmable valve for shunt-dependent hydrocephalus

T2 - The pediatric experience at a single institution

AU - Ahn, Edward S.

AU - Bookland, Markus

AU - Solomon, Benjamin

AU - Weingart, Jon David

AU - Jallo, George

PY - 2007/3

Y1 - 2007/3

N2 - Background and objective: The Medtronic PS Medical Strata valve has pressure flow characteristics that are noninvasively adjusted with a magnetic tool. The objective of this study was to examine its efficacy during our initial experience with it in shunt-dependent children. Materials and methods: A retrospective review of 53 children with a median age of 2.0 years who had 61 Strata valves implanted. Conclusion: The Strata valve is efficacious in the treatment of shunt-dependant hydrocephalus in children. The 1-year shunt survival rate of 67.2% is comparable to that previously reported from a multicenter trial. Of the 30 therapeutically aimed adjustments during the study period, 16 (53.3%) resulted in improvement in abnormal signs or symptoms. Our data indicate that adjustments can be used to treat signs or symptoms of cerebrospinal fluid overdrainage or underdrainage, which may obviate the need for additional surgery.

AB - Background and objective: The Medtronic PS Medical Strata valve has pressure flow characteristics that are noninvasively adjusted with a magnetic tool. The objective of this study was to examine its efficacy during our initial experience with it in shunt-dependent children. Materials and methods: A retrospective review of 53 children with a median age of 2.0 years who had 61 Strata valves implanted. Conclusion: The Strata valve is efficacious in the treatment of shunt-dependant hydrocephalus in children. The 1-year shunt survival rate of 67.2% is comparable to that previously reported from a multicenter trial. Of the 30 therapeutically aimed adjustments during the study period, 16 (53.3%) resulted in improvement in abnormal signs or symptoms. Our data indicate that adjustments can be used to treat signs or symptoms of cerebrospinal fluid overdrainage or underdrainage, which may obviate the need for additional surgery.

KW - Hydrocephalus

KW - Pediatric neurosurgery

KW - Programmable

KW - Shunt

KW - Valve

KW - Ventriculoperitoneal shunt

UR - http://www.scopus.com/inward/record.url?scp=33846705898&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=33846705898&partnerID=8YFLogxK

U2 - 10.1007/s00381-006-0236-y

DO - 10.1007/s00381-006-0236-y

M3 - Article

VL - 23

SP - 297

EP - 303

JO - Child's Nervous System

JF - Child's Nervous System

SN - 0256-7040

IS - 3

ER -