Ventriculopleural Shunts for Hydrocephalus: A Useful Alternative

Prince of Wales Children's Hospital, Randwick, New South Wales, Australia.
Neurosurgery (Impact Factor: 3.03). 01/1989; 23(6):753-5. DOI: 10.1227/00006123-198812000-00012
Source: PubMed

ABSTRACT From 1969 to 1979, ventriculopleural shunts were inserted in 29 children with progressive hydrocephalus. A standard Pudenz pump with a Raimondi catheter was used for all but 1 child for whom a Holter valve was used. The shunt functioned adequately in 7, but in 18 it had to be changed as a result of symptomatic pleural effusion. From 1979 to 1982, a further series of 52 other patients received ventriculopleural shunts, and these cases have recently been reviewed. The apparatus used was a Portnoy ventricular catheter or a medium or high pressure Heyer Schulte pump with an antisiphon device and a Salmon distal catheter. Three patients developed a shunt infection. One died with a functioning shunt. Four catheters became blocked by adhesions, and in only 1 patient was a peritoneal shunt substituted as a result of symptomatic effusion.

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