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 sub-clavian 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.
Original language | English (US) |
---|---|
Pages (from-to) | 161-163 |
Number of pages | 3 |
Journal | Pediatric Neurosurgery |
Volume | 29 |
Issue number | 3 |
DOIs | |
State | Published - Jan 1 1998 |
Keywords
- Hydrocephalus
- Percutaneous placement
- Ventriculoatrial shunts
ASJC Scopus subject areas
- Pediatrics, Perinatology, and Child Health
- Clinical Neurology