Related Experiment Video

Updated: May 13, 2026

Neuronavigation and Laparoscopy Guided Ventriculoperitoneal Shunt Insertion for the Treatment of Hydrocephalus
14:59

Neuronavigation and Laparoscopy Guided Ventriculoperitoneal Shunt Insertion for the Treatment of Hydrocephalus

Published on: October 14, 2022

7.2K

Percutaneous Ventriculoatrial Shunting as a Salvage Method in the Pediatric Hydrocephalus Patients with Peritoneal

Kadir Oktay1, Sinan Sozutok, Umur Anil Pehlivan

  • 1Cukurova University School of Medicine, Department of Neurosurgery, Adana, Türkiye.

Turkish Neurosurgery
|April 23, 2024
PubMed

Insights

Percutaneous ventriculoatrial shunting offers a safe and effective alternative for pediatric hydrocephalus patients experiencing abdominal shunt complications. This salvage method successfully resolved issues in most patients, demonstrating its efficacy in complex cases.

Area of Science:

  • Neurosurgery
  • Pediatric Surgery
  • Medical Devices

Background:

  • Ventriculoperitoneal (VP) shunts are standard for pediatric hydrocephalus.
  • Abdominal complications frequently lead to VP shunt failure, necessitating revisions.
  • Salvage strategies are crucial for managing complex shunt dysfunction.

Purpose of the Study:

  • To assess the efficacy of percutaneous ventriculoatrial (VA) shunting as a salvage treatment.
  • To evaluate VA shunting in pediatric patients with refractory abdominal shunt complications.

Main Methods:

  • Retrospective analysis of 9 pediatric patients undergoing percutaneous VA shunting for VP shunt failure.
  • Operations guided by intraoperative fluoroscopy and ultrasound.
  • Data collected between January 2019 and September 2021.

Main Results:

  • Patients had a mean of 7.5 VP shunt revisions prior to VA shunting.
  • Common VP shunt failures included peritoneal adhesions (44.5%), pseudocysts (33.3%), and peritonitis (22.2%).
  • Seven of nine patients experienced successful outcomes with VA shunting; one required ventricular catheter revision after 26 months.

Conclusions:

  • Percutaneous VA shunting is a safe and effective salvage option for pediatric hydrocephalus with abdominal complications.
  • Intraoperative imaging guidance enhances the safety and success of the procedure.
  • This technique provides a viable alternative for patients with multiple prior surgeries.
Abstract

More Related Videos

Insertion, Maintenance, and Removal of the Percutaneous Dual Lumen Cannula Right Ventricular Assist Device07:41

Insertion, Maintenance, and Removal of the Percutaneous Dual Lumen Cannula Right Ventricular Assist Device

Published on: July 20, 2022

1.9K
Hemodynamic Precision in the Neonatal Intensive Care Unit using Targeted Neonatal Echocardiography09:31

Hemodynamic Precision in the Neonatal Intensive Care Unit using Targeted Neonatal Echocardiography

Published on: January 27, 2023

926

Related Concept Videos

Transcellular Transport of Solutes01:23

Transcellular Transport of Solutes

Transcellular transport of solutes is the movement of substances like monosaccharides and amino acids through polarized cells. This transport mechanism is primarily seen in epithelial and endothelial cells aided by membrane transport proteins such as channels and transporters. The tight junctions between these cells confine the membrane proteins to the two sides of the cell. The epithelial cells have distinct apical and basolateral domains. In contrast, the endothelial cells show the luminal...
Methods of reducing fever01:22

Methods of reducing fever

The signs and symptoms of fever include hot and dry skin, flushed face, thirst, muscle aches, anorexia, headache, tachycardia, tachypnea, and fatigue. Elevated body temperature is reduced using two methods: pharmacological and nonpharmacological. Proper identification and treatment of the root cause of a fever is of utmost importance.
Pharmacological Methods of Reducing Fever:
Prevention of Further Absorption of Poison01:14

Prevention of Further Absorption of Poison

In cases of acute poisoning, the primary objective is to prevent further absorption of the toxic substance into the body. Immediate interventions using various decontamination techniques targeting the gastrointestinal (GI) tract can achieve this. Decontamination is crucial to prevent poison from entering the systemic circulation, which involves washing affected areas with water and mild soap and removing contaminated clothing. Once external decontamination is done, attention must be turned to...
Mitral Regurgitation IV: Nursing Management01:28

Mitral Regurgitation IV: Nursing Management

Mitral regurgitation (MR) is a condition where the mitral valve does not close properly, leading to the backward flow of blood from the left ventricle into the left atrium during systole. This condition can arise from various causes, including rheumatic fever, infective endocarditis, or degenerative valve disease. Effective nursing management is crucial to optimizing patient outcomes and involves comprehensive assessment and targeted interventions.Comprehensive Patient AssessmentA detailed...
Cardiomyopathy V: Interprofessional Care01:29

Cardiomyopathy V: Interprofessional Care

Managing cardiomyopathy involves addressing underlying or precipitating causes, treating heart failure with medications, and implementing dietary changes and a balanced exercise and rest regimen.Lifestyle ModificationsCardiomyopathy patients should adopt a low-sodium diet to reduce fluid retention and manage heart failure. A personalized exercise and rest plan helps maintain physical fitness without overstraining the heart. Avoiding alcohol and tobacco is essential to prevent further damage to...