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How effective are ventriculopleural shunts?

J H Piatt1

  • 1Department of Surgery (Neurosurgery), Oregon Health Sciences University, Portland 97201-3098.

Pediatric Neurosurgery
|January 1, 1994
PubMed
Summary
This summary is machine-generated.

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Ventriculopleural shunts offer a safe alternative for cerebrospinal fluid diversion when peritoneal shunts are contraindicated. Survival rates are comparable to ventriculoperitoneal shunts, with minimal complications.

Area of Science:

  • Neurosurgery
  • Pediatric Surgery
  • Critical Care Medicine

Background:

  • Ventriculopleural shunts are utilized for cerebrospinal fluid (CSF) diversion.
  • Indications often include abdominal infection, posing contraindications for peritoneal shunts.

Purpose of the Study:

  • To evaluate the safety and efficacy of ventriculopleural shunts.
  • To compare their survival rates with ventriculoperitoneal shunts.

Main Methods:

  • Retrospective review of 38 ventriculopleural shunt procedures in 22 patients.
  • Comparison with a matched historical control group of ventriculoperitoneal shunts.

Main Results:

  • The most common indication was recent abdominal infection.

Related Experiment Videos

  • Minor pneumothoraces occurred frequently but were asymptomatic.
  • Only 2 patients required shunt discontinuation due to pleural effusions.
  • Median survival for ventriculopleural shunts was 10 months.
  • Survival was not significantly different from matched ventriculoperitoneal shunts (p=0.68).

    • Conclusions:

    • Ventriculopleural shunts are a safe and effective option for CSF diversion.
    • They are particularly useful when peritoneal diversion is not feasible.
    • Outcomes are comparable to ventriculoperitoneal shunts in specific patient populations.