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J Korean Neurosurg Soc. 2018 Sep;61(5):640-644. English. Clinical Trial. https://doi.org/10.3340/jkns.2018.0098
Byun YH , Gwak HS , Kwon JW , Kim KG , Shin SH , Lee SH , Yoo H .
Department of Neurosurgery, Seoul National University College of Medicine, Seoul, Korea.
Neuro-Oncology Clinic, Center for Specific Organs Center, National Cancer Center, Goyang, Korea. heonyoo@ncc.re.kr
Department of Biomedical Engineering, Gachon University College of Medicine, Incheon, Korea.
Department of Neurosurgery, Eulji Medical Center, Eulji University, Daejeon, Korea.
Abstract

Objective

The purpose of this pilot study was to examine the safety and function of the newly developed cerebrospinal fluid (CSF) reservoir called the V-Port.

Methods

The newly developed V-Port consists of a non-collapsible reservoir outlined with a titanium cage and a connector for the ventricular catheter to be assembled. It is designed to be better palpated and more durable to multiple punctures than the Ommaya reservoir. A total of nine patients diagnosed with leptomeningeal carcinomatosis were selected for V-Port insertion. Each patient was followed up for evaluation for a month after the operation.

Results

The average operation time for V-Port insertion was 42 minutes and the average incision size was 6.6 cm. The surgical technique of V-Port insertion was found to be intuitive by all neurosurgeons who participated in the pilot study. There was no obstruction or leakage of the V-Port during intrathecal chemotherapy or CSF drainage. Also, there were no complications including post-operative intracerebral hemorrhage, infection and skin problems related to the V-Port.

Conclusion

V-Port is a safe and an easy to use implantable CSF reservoir that addresses problems of other implantable CSF reservoirs. Further multicenter clinical trial is needed to prove the safety and the function of the V-Port.

Copyright © 2019. Korean Association of Medical Journal Editors.