Initial Experience with the Hakim Valve for Ventriculovenous Shunt

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In 1964, Hakim described 7 years' experience with a new valve he had developed for ventriculovenous shunting in patients with hydrocephalus.8,10 He reported the following advantages of this valve: 1) it could be sterilized by autoclaving immediately before use; 2) the incidence of obstruction of the valve mechanisms was greatly reduced; 3) the operating characteristics of the valve were immune to the effects of use, heat, and age; and 4) the differential between opening and closing pressures of the valve was small.

The purpose of this report is to summarize the initial experiences of the

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    Schematic drawing of valve mechanism.

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    Components of shunt system which includes “shepherd's crook” ventricular catheter, metal connector, reservoir and valve.

References

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2.

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HakimS.ZuluagaA. and CabreraO. Derivacion ventriculo-atrial para el tratamiento de la hidrocefalia, por medio de lo valvula de Hakim. Tesis de grado. Facultad de Medicina, Universidad Javeriana. Bogota, Colombia, S. A.Septiembre1964.Hakim S. Zuluaga A. and Cabrera O. Derivacion ventriculo-atrial para el tratamiento de la hidrocefalia por medio de lo valvula de Hakim. Tesis de grado. Facultad de Medicina Universidad Javeriana. Bogota Colombia S. A. Septiembre 1964.

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NoonanJ. A. and EhmkeD. A. Complications of ventriculovenous shunts for control of hydrocephalus. Report of three cases with thromboemboli to the lungs. New Engl. J. Med.1963269:7074.Noonan J. A. and Ehmke D. A. Complications of ventriculovenous shunts for control of hydrocephalus. Report of three cases with thromboemboli to the lungs. New Engl. J. Med. 1963 269:70–74.

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15.

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NulsenF. E. and BeckerD. P. The control of progressive hydrocephalus in infancy by valveregulated venous shunt. In: Workshop in hydrocephalusShulmanK. Ed. Philadelphia: University of Pennsylvania1966. (See pp. 115150.)Nulsen F. E. and Becker D. P. The control of progressive hydrocephalus in infancy by valveregulated venous shunt. In: Workshop in hydrocephalus Shulman K. Ed. Philadelphia: University of Pennsylvania 1966. (See pp. 115–150.)

17.

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18.

OvertonM. C. and SnodgrassS. R. Ventriculo-venous shunts for infantile hydrocephalus. A review of five years experience with this method. J. Neurosurg.196523:517521.Overton M. C. and Snodgrass S. R. Ventriculo-venous shunts for infantile hydrocephalus. A review of five years experience with this method. J. Neurosurg. 1965 23:517–521.

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PudenzR. H. Experimental and clinical observations on the shunting of cerebrospinal fluid into the circulatory system. Clin. Neurosurg.19585:98115.Pudenz R. H. Experimental and clinical observations on the shunting of cerebrospinal fluid into the circulatory system. Clin. Neurosurg. 1958 5:98–115.

20.

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21.

PudenzR. H.RussellF. E.HurdA. H. and SheldenC. H. Ventriculo-auriculostomy. A technique for shunting cerebrospinal fluid into the right auricle. Preliminary report. J. Neurosurg.195714:171179.Pudenz R. H. Russell F. E. Hurd A. H. and Shelden C. H. Ventriculo-auriculostomy. A technique for shunting cerebrospinal fluid into the right auricle. Preliminary report. J. Neurosurg. 1957 14:171–179.

22.

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23.

SayersM. P. in discussion on NulsenF. E. and BeckerD. P. The control of progressive hydrocephalus in infancy by valve-regulated venous shunt. In: Workshop in hydrocephalusShulmanK. Ed. Pennsylvania: University of Pennsylvania1966. (See pp. 144145.)Sayers M. P. in discussion on Nulsen F. E. and Becker D. P. The control of progressive hydrocephalus in infancy by valve-regulated venous shunt. In: Workshop in hydrocephalus Shulman K. Ed. Pennsylvania: University of Pennsylvania 1966. (See pp. 144–145.)

24.

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25.

SchimkeR. T.BlackP. H.MarkV. H. and SwartzM. N. Indolent staphylococcus albus or aureus bacteremia after ventriculoatriostomy. Role of foreign body in its initiation and perpetuation. New Engl. J. Med.1961264:264270.Schimke R. T. Black P. H. Mark V. H. and Swartz M. N. Indolent staphylococcus albus or aureus bacteremia after ventriculoatriostomy. Role of foreign body in its initiation and perpetuation. New Engl. J. Med. 1961 264:264–270.

26.

StrengerL. Complications of ventriculovenous shunts. J. Neurosurg.196320:219224.Strenger L. Complications of ventriculovenous shunts. J. Neurosurg. 1963 20:219–224.

27.

TalnerN. S.LiuH. Y.ObermanH. A. and SchmidtR. W. Thromboembolism complicating Holter valve shunt. A clinico-pathologic study of four patients treated with this procedure for hydrocephalus. Am. J. Dis. Child.1961101:602609.Talner N. S. Liu H. Y. Oberman H. A. and Schmidt R. W. Thromboembolism complicating Holter valve shunt. A clinico-pathologic study of four patients treated with this procedure for hydrocephalus. Am. J. Dis. Child. 1961 101:602–609.

28.

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