Long-term results after ventriculoatrial shunting in children

Details

Serval ID
serval:BIB_636935B650E4
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Long-term results after ventriculoatrial shunting in children
Journal
Child's Nervous System
Author(s)
Vernet  O., Campiche  R., de Tribolet  N.
ISSN
0256-7040 (Print)
Publication state
Published
Issued date
08/1993
Volume
9
Number
5
Pages
253-5
Notes
Journal Article --- Old month value: Aug
Abstract
A consecutive series of 120 patients with infantile hydrocephalus who were subjected to ventriculoatrial shunting was studied. The average length of follow-up was 11 years. Operative mortality was zero. Seven patients died during the follow-up period; in all cases but one of these the cause of death was not a consequence of a shunt-related procedure. The incidences of infection and slit ventricle syndrome were 4.2% and 1.8% respectively. Two hundred and fifty-three shunt revisions were performed, yielding a revision rate of 2.2 per patient. Of these 253 revisions 167 (66%) were elective lengthening of the atrial catheter. The number of reoperations for adjusting the length of the atrial catheter of for revision of the distal end of the shunting system is a major disadvantage of ventriculoatrial shunting which actually speaks in favor of ventriculoperitoneal shunting as the primary procedure for the treatment of pediatric hydrocephalus.
Keywords
Adolescent Adult *Cerebrospinal Fluid Shunts Child Child, Preschool Equipment Failure Female Follow-Up Studies Heart Atria Humans Hydrocephalus/etiology/mortality/*surgery Infant Infant, Newborn Male Postoperative Complications/etiology/mortality/*surgery Reoperation Surgical Wound Infection/etiology/mortality/surgery Survival Rate
Pubmed
Web of science
Create date
25/01/2008 13:13
Last modification date
20/08/2019 14:20
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