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- Title
Percutaneous Placement of Ventriculoatrial Shunts in the Pediatric Population.
- Authors
Britz, Gavin W.; Avellino, Anthony M.; Schaller, Robert; Loeser, John D.
- Abstract
The percutaneous placement of ventriculoatrial (VA) shunts has been previously described, usually in adults. We report a series of 7 pediatric cases ranging from 6 to 17 years. Five patients were female and 2 were male. All patients had prior ventriculoperitoneal (VP) shunts for hydrocephalus, of which 1 had been subsequently converted to a ventriculopleural shunt. Indications for conversion to a VA shunt were intra-abdominal infection in 6 cases and chronic pleuritic chest pain in 1 patient. The venous entry was the subclavian vein in all cases. All patients have remained asymptomatic since the operation. There were no complications associated with the procedures, with follow-up ranging from 2 to 12 months. This technique is a viable alternative to the open cervical approach for venous entry to the right atrium in the pediatric population.
- Subjects
CEREBROSPINAL fluid shunts; HYDROCEPHALUS in children; PEDIATRIC neurology; BRAIN diseases; BRAIN surgery
- Publication
Pediatric Neurosurgery, 1998, Vol 29, Issue 3, p161
- ISSN
1016-2291
- Publication type
Article
- DOI
10.1159/000028713