The Impact of Programmable Valves on the Risk and Severity of Subdural Collections in Patients With Normal Pressure Hydrocephalus

In this large single-center cohort study, programmable valves, specifically the Certas and Strata, were associated with an increased rate and severity of subdural collections compared with the Low Flow OSV. The use of low-flow designs may mitigate complications for the NPH population, and the use of lower programmable valve settings should be carefully considered.

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Publication Details

Journal
Neurosurgery
Published
2026-03-26
DOI
https://doi.org/10.1227/neu.0000000000004010
Primary Topic
Neurosurgical Procedures and Complications
Type
article
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article

The Impact of Programmable Valves on the Risk and Severity of Subdural Collections in Patients With Normal Pressure Hydrocephalus

Alexander Eremiev, Lee Tessler, Adhith Palla, Jeffrey H. Wisoff et al.
Neurosurgery
Neurosurgical Procedures and Complications
article

The Impact of Programmable Valves on the Risk and Severity of Subdural Collections in Patients With Normal Pressure Hydrocephalus

Alexander Eremiev, Lee Tessler, Adhith Palla, Jeffrey H. Wisoff, E. Teresa Hidalgo, Daniel N. de Souza, David Harter, Hammad A. Khan, Eric A. Grin, Benjamin Hammond, Carter M. Suryadevara, Spencer Frome, Caroline Kremer, Antonio Malaspina, Yosef Dastagirzda, Amogh Iyanna
article en

Abstract

In this large single-center cohort study, programmable valves, specifically the Certas and Strata, were associated with an increased rate and severity of subdural collections compared with the Low Flow OSV. The use of low-flow designs may mitigate complications for the NPH population, and the use of lower programmable valve settings should be carefully considered.

Neurosurgery
University of Florida (US), NYU Langone Health (US), New York University (US)
Openalex Percentile: Top 14%
Neurosurgical Procedures and Complications
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