Creator | Title | Description | Subject | Date | ||
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1 |
![]() | Kestle, John R. W. | Change in ventricular size and effect of ventricular catheter placement in pediatric patients with shunted hydrocephalus | OBJECTIVE: The multicenter, randomized pediatric cerebrospinal fluid shunt valve design trial found no difference in the rate of shunt failure between a standard valve, a siphon-reducing valve (Delta; Medtronic PS Medical, Goleta, CA), and a flow-limiting valve (Orbis Sigma; Cordis, Miami, FL); ho... | Shunt failure; Valve design; Ventricular size; Ventricular catheter placement | 1999 |
2 |
![]() | Kestle, John R. W. | Lack of benefit of endoscopic ventriculoperitoneal shunt insertion: a multicenter randomized trial | Object. Endoscopically assisted ventricular catheter placement has been reported to reduce shunt failure in uncontrolled series. The authors investigated the efficacy of this procedure in a prospective multicenter randomized trial. Methods. Children younger than 18 years old who were scheduled for t... | Ventriculoperitoneal shunt; Shunt insertion; Shunt failure | 2003 |
3 |
![]() | Kestle, John R. W. | Predicting shunt failure on the basis of clinical symptoms and signs in children | Object. In evaluating pediatric patients for shunt malfunction, predictive values for symptoms and signs are important in deciding which patients should undergo an imaging study, whereas determining clinical findings that correlate with a low probability of shunt failure could simplify management. ... | Pediatric Shunt Design Trial; PSDT; Shunt failure; Shunt malfunction; Clinical signs | 2001 |
4 |
![]() | Kestle, John R. W. | Randomized trial of cerebrospinal fluid shunt valve design in pediatric hydrocephalus | OBJECTIVE: Forty percent of standard cerebrospinal fluid shunts implanted for the treatment of pediatric hydrocephalus fail within the first year. Two new shunt valves designed to limit excess flow, particularly in upright positions, were studied to compare treatment failure rates with those for st... | Shunt failure; Valve design; Orbis-Sigma valve; Delta valve | 1998 |