Therapy of shunt insufficiency

Over the recent years several methods to manage shunt insufficiency were published. Some of the are effective and explained here.

Advantages and disadvantages of the various treatment options for shunt insufficiency

	Spacer treatment	Injection technique filler / growth factor	Suture techniques	Custom-fit prosthesis	Surgical shunt closure
For a dilated atropic shunt	no	yes	yes	yes	yes
For an infected necrotic shunt	yes	no	no	yes	no
Risks	aspiration	allergies to fillers, infection of fillers, granulomas etc.	infection	low	risks of surgery
Success rate	moderate	short-term – high, long-term – low	moderate	high	high
In-patient / out-patient	in-patient	out-patient	out-patient	out-patient	in-patient
Patient comfort	low	high	moderate	high	low
Costs	very high	high	low, under general anesthesia high	high	very high