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Related Experiment Videos

Experience with ventriculo-pleural shunts.

H J Hoffman, E B Hendrick, R P Humphreys

    Child'S Brain
    |January 1, 1983
    PubMed
    Summary
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    Ventriculo-pleural shunting is a safe CSF diversion for hydrocephalus when other methods fail. While pleural effusion risk exists, especially in infants, antisiphon devices may reduce it, making it a valuable alternative.

    Area of Science:

    • Neurosurgery
    • Pediatric Surgery
    • Critical Care Medicine

    Background:

    • Ventriculo-pleural shunting was introduced in 1954 but gained limited popularity due to reported pleural effusions.
    • Hydrocephalus management often requires shunt placement, with ventriculo-peritoneal shunts being common.

    Purpose of the Study:

    • To evaluate the safety and efficacy of ventriculo-pleural shunting in hydrocephalus management.
    • To assess the incidence of pleural effusion and shunt survival rates in patients receiving ventriculo-pleural shunts.

    Main Methods:

    • Retrospective review of 1,500 hydrocephalus patients treated between 1960-1981.
    • Analysis of 59 patients who received ventriculo-pleural shunts between 1971-1981, focusing on reasons for insertion and complications.

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    Main Results:

    • Pleural effusion occurred in 12 of 59 patients, with 6 cases in infants under 11 months.
    • Antisiphon devices appeared to reduce the incidence of pleural effusion.
    • 23 shunts remained functional, with 9 functioning for over 5 years.

    Conclusions:

    • Ventriculo-pleural shunting is a safe and simple CSF diversionary bypass for hydrocephalus.
    • The risk of pleural effusion is highest in infants but can occur at any age.
    • It serves as a valuable alternative when peritoneal or cardiac shunting is contraindicated.