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Updated: Aug 4, 2026

The Rabbit Blood-shunt Model for the Study of Acute and Late Sequelae of Subarachnoid Hemorrhage: Technical Aspects
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The Rabbit Blood-shunt Model for the Study of Acute and Late Sequelae of Subarachnoid Hemorrhage: Technical Aspects

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Lumboperitoneal shunt and ventriculoperitoneal shunt for chronic hydrocephalus after aneurysmal subarachnoid

Xiaolei Li1, Yuangang Wang1, Bin Xia1

  • 1Department of Neurosurgery, Xi'an Gaoxin Hospital, Xi'an, Shaanxi, China.

Frontiers in Surgery
|March 27, 2024
PubMed

Insights

Ventriculoperitoneal shunt (VPS) is more effective than lumboperitoneal shunt (LPS) for treating chronic hydrocephalus after aneurysmal subarachnoid hemorrhage (aSAH). VPS offers better outcomes and a higher success rate, making it the preferred choice.

Area of Science:

  • Neurosurgery
  • Neurology
  • Medical Devices

Background:

  • Chronic hydrocephalus is a common complication following aneurysmal subarachnoid hemorrhage (aSAH).
  • This condition leads to significant neurological and cognitive impairments.
  • Current treatment options, ventriculoperitoneal shunt (VPS) and lumboperitoneal shunt (LPS), have controversial optimal use.

Purpose of the Study:

  • To compare the efficacy and safety of VPS versus LPS for chronic hydrocephalus after aSAH.
  • To determine the preferred surgical approach for managing post-aSAH hydrocephalus.

Main Methods:

  • Retrospective analysis of 82 patients with chronic hydrocephalus post-aSAH.
  • Patients were categorized into VPS and LPS groups.
  • Efficacy assessed using Evans index score (EIS), Keifer's hydrocephalus score (KHS), Mini-Mental State Examination (MMSE), and Functional Independence Measure (FIM) over a three-month follow-up.

Main Results:

  • VPS demonstrated a significantly higher shunt success rate compared to LPS.
  • The rate of shunt obstruction was lower in the VPS group.
  • Both VPS and LPS showed significant improvements in EIS, KHS, MMSE, and FIM post-surgery, with VPS showing superior clinical outcomes.

Conclusions:

  • Ventriculoperitoneal shunt (VPS) is associated with greater therapeutic efficacy for chronic hydrocephalus after aSAH.
  • VPS offers improved radiological outcomes, shunt success rates, clinical results, and quality of life compared to LPS.
  • VPS should be considered the primary treatment, with LPS as a secondary alternative.
Abstract

Keywords:
aneurysmal subarachnoid hemorrhagechronic hydrocephalusefficacylumboperitoneal shuntventriculoperitoneal shunt

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