{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,4]],"date-time":"2026-03-04T09:59:15Z","timestamp":1772618355692,"version":"3.50.1"},"reference-count":18,"publisher":"Georg Thieme Verlag KG","issue":"01","license":[{"start":{"date-parts":[[2025,10,28]],"date-time":"2025-10-28T00:00:00Z","timestamp":1761609600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Asian J Neurosurg"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Programmable pressure valves with antisiphon\/gravity devices are recommended for ventriculoperitoneal shunts. However, cerebrospinal fluid (CSF) overdrainage and underdrainage still frequently occur because of the lack of effective pressure regulation methods. Therefore, this study aimed to provide a method to guide valve pressure selection after ventriculoperitoneal shunt placement.<\/jats:p>\n                  <jats:p>A total of 31 patients whose valve pressure was lowered for the last time after ventriculoperitoneal shunt placement were enrolled in this study. Glucose solution was injected into the reservoir before and after adjustment, and the residual glucose concentration was measured 20\u2009minutes later. Residual glucose concentrations were then compared between before and after adjustment. In vitro experiments were also conducted to simulate the flow of CSF through the shunt valve and detect the relationship between flow rate and residual glucose concentration.<\/jats:p>\n                  <jats:p>The glucose concentration in the CSF was significantly decreased after adjusting (mean\u2009\u00b1\u2009standard deviation, 15\u2009\u00b1\u20096.6 vs. 5.6\u2009\u00b1\u20093.1\u2009mmol\/L, respectively; p\u2009&lt;\u20090.01).<\/jats:p>\n                  <jats:p>When the residual glucose concentration is higher than 10\u2009mmol\/L, an underdrainage shunt should be considered, and when it is lower than 10\u2009mmol\/L, an appropriate pressure should be considered, which provides a reference for lowering the shunt valve pressure.<\/jats:p>","DOI":"10.1055\/s-0045-1812327","type":"journal-article","created":{"date-parts":[[2025,10,29]],"date-time":"2025-10-29T00:24:32Z","timestamp":1761697472000},"page":"109-116","source":"Crossref","is-referenced-by-count":0,"title":["A Method to Guide Pressure Selection for Programmable Pressure Valves after Ventriculoperitoneal Shunt Surgery"],"prefix":"10.1055","volume":"21","author":[{"given":"Hongri","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, The First Affiliated Hospital, and College of Clinical Medicine of Henan University of Science and Technology, Luoyang, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8481-9301","authenticated-orcid":false,"given":"Chen","family":"Fan","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, The First Affiliated Hospital, and College of Clinical Medicine of Henan University of Science and Technology, Luoyang, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Haojie","family":"Bi","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, The First Affiliated Hospital, and College of Clinical Medicine of Henan University of Science and Technology, Luoyang, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xiaowei","family":"Hao","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, The First Affiliated Hospital, and College of Clinical Medicine of Henan University of Science and Technology, Luoyang, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jinghua","family":"Peng","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation Medicine, The First Affiliated Hospital, and College of Clinical Medicine of Henan University of Science and Technology, Luoyang, China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2025,10,28]]},"reference":[{"issue":"04","key":"ref1","doi-asserted-by":"crossref","first-page":"774","DOI":"10.1227\/NEU.0b013e31821ffa9e","article-title":"Management of adult hydrocephalus with ventriculoperitoneal shunts: long-term 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hydrocephalus","volume":"9","author":"M Ishikawa","year":"2012","journal-title":"Fluids Barriers CNS"},{"issue":"12","key":"ref11","doi-asserted-by":"crossref","first-page":"2262","DOI":"10.3174\/ajnr.A4440","article-title":"Optimal diagnostic indices for idiopathic normal pressure hydrocephalus based on the 3D quantitative volumetric analysis for the cerebral ventricle and subarachnoid space","volume":"36","author":"S Yamada","year":"2015","journal-title":"AJNR Am J Neuroradiol"},{"key":"ref12","doi-asserted-by":"crossref","first-page":"798488","DOI":"10.3389\/fneur.2021.798488","article-title":"Reconsidering ventriculoperitoneal shunt surgery and postoperative shunt valve pressure adjustment: our approaches learned from past challenges and failures","volume":"12","author":"S Yamada","year":"2022","journal-title":"Front Neurol"},{"issue":"08","key":"ref13","doi-asserted-by":"crossref","first-page":"793","DOI":"10.1212\/WNL.0000000000002432","article-title":"Practice guideline: 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