Percutaneous placement of ventriculoatrial shunts in the pediatric population

Gavin W. Britz, Anthony M. Avellino, Robert Schaller, John D. Loeser

Research output: Contribution to journalArticlepeer-review

19 Scopus citations


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 languageEnglish (US)
Pages (from-to)161-163
Number of pages3
JournalPediatric Neurosurgery
Issue number3
StatePublished - Jan 1 1998


  • Hydrocephalus
  • Percutaneous placement
  • Ventriculoatrial shunts

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Clinical Neurology


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