Evidence map›Paper›PMID 39825137›Full record

ArticleChild's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery2025

Comparison of failure rates between full-barium and striped barium distal shunt catheters: a matched case-control study.

Sage P Rahm, Nicholas M B Laskay, Samuel G McClugage, Joshua D Jackson, Anastasia Arynchyna-Smith, Curtis J Rozzelle, Brandon G Rocque

Abstract readComparative Study
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Article in Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Sage P RahmDepartment of Neurosurgery, Division of Pediatric Neurosurgery, University of Alabama at Birmingham, Children's of Alabama, 1600 7th Avenue South, Lowder 400, Birmingham, AL, 35233, USA. sprahm@uabmc.edu.
Nicholas M B LaskayDepartment of Neurosurgery, Division of Pediatric Neurosurgery, University of Alabama at Birmingham, Children's of Alabama, 1600 7th Avenue South, Lowder 400, Birmingham, AL, 35233, USA.
Samuel G McClugageDepartment of Neurosurgery, Texas Children's Hospital, Houston, TX, USA.
Joshua D JacksonDepartment of Neurosurgery, Duke University School of Medicine, Durham, NC, USA.
Anastasia Arynchyna-SmithDepartment of Neurosurgery, Division of Pediatric Neurosurgery, University of Alabama at Birmingham, Children's of Alabama, 1600 7th Avenue South, Lowder 400, Birmingham, AL, 35233, USA.
Curtis J RozzelleDepartment of Neurosurgery, Division of Pediatric Neurosurgery, University of Alabama at Birmingham, Children's of Alabama, 1600 7th Avenue South, Lowder 400, Birmingham, AL, 35233, USA.
Brandon G RocqueDepartment of Neurosurgery, Division of Pediatric Neurosurgery, University of Alabama at Birmingham, Children's of Alabama, 1600 7th Avenue South, Lowder 400, Birmingham, AL, 35233, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeWe hypothesize that distal shunt catheters fully impregnated with barium are more prone to failure compared to distal catheters with only a barium stripe. We sought to evaluate this distinction using a matched case-control study.

methodsPatient records over an 8-year period were queried for distal shunt revisions for fracture or disconnection (cases). A control group of patients with confirmed functioning distal catheters was queried from the same period and matched based on patient age at exploration/revision. Data were collected via chart review, including demographics, hydrocephalus etiology, distal catheter type, and patient age at revision. Independent T-test, chi-squared, and binomial logistic regression analyses were performed.

resultsThere were 194 patients included in the study: 97 patients with distal shunt revision and 97 controls with a functional distal shunt system. The mean patient age at distal catheter revision was 12.87 ± 4.59 years, and the mean patient age of the control group was 12.81 ± 4.59 years. The most common etiology was premature intraventricular hemorrhage (32%). Of the distal failures, 41.2% had fully impregnated barium catheters, while 58.8% had striped barium catheters. Of the control group, 76/97 (78%) patients had barium-striped distal shunt catheters and 21/97 (22%) had fully impregnated catheters. Logistic regression analysis showed that fully impregnated catheters were more likely than striped barium to fail, p = 0.004 (OR = 2.54, 95% CI 1.35-4.77).

conclusionIn a matched case-control format, odds of failure of fully impregnated distal catheters were 2.54 greater than striped barium catheters.

Indexed as

BariumCathetersCerebrospinal Fluid ShuntsEquipment FailureHydrocephalusAdolescentCase-Control StudiesChildChild, PreschoolFemaleHumansInfantMaleReoperationRetrospective StudiesBariumBarium cathetersDistal shunt failureStriped cathetersVentriculoperitoneal shunt

Identifiers

PMID39825137
PMCPMC11742287

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