CSF shunts in children: endoscopically-assisted placement of the distal catheter

Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery
S KurschelJ Schleef

Abstract

Ventriculoperitoneal shunting is the most common treatment for hydrocephalus. Repeated shunt revisions and other previous surgical procedures can complicate the placement of the distal catheter. Occasionally, when conventional sites like the abdominal cavity and the right atrium are used up or unavailable, a ventriculopleural shunt can be inserted. Between April 2001 and August 2002, 7 children ranging in age from 5 months to 17 years underwent ten endoscopically-assisted cerebrospinal fluid shunt insertions. All patients had had previous multiple shunt revisions and other abdominal operations. In addition 4 children had suffered from severe peritonitis, 1 of them with a subsequent adhesion ileus. In 9 cases the terminal portion of the shunt was inserted with laparoscopic assistance and in 1 case with thoracoscopic assistance. The latter had previously undergone two conventional intercostal thoracotomies for shunt insertions. Placement of the shunt was performed in a suitable area under direct laparoscopic or thoracoscopic vision by a peel-off needle into the peritoneal or pleural cavity. In 2 children repeated endoscopic approaches were necessary for shunt replacement due to infections. We used this procedure successfully in e...Continue Reading

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Citations

Sep 10, 2013·Journal of Neurosurgery. Pediatrics·Marlin Dustin Richardson, Michael H Handler
Jun 15, 2007·Journal of Neurosurgery·Andrew JeaJames M Drake
Oct 4, 2008·Journal of Neurosurgery. Pediatrics·Michael H Handler, Brian Callahan
Mar 3, 2007·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·R Rick BhasinDavid W Pincus
Feb 10, 2018·Journal of Surgical Case Reports·Ruiping ZhangChunquan Cai
Sep 18, 2014·World Journal of Gastrointestinal Endoscopy·Fernando Campos Gomes Pinto, Matheus Fernandes de Oliveira
Jan 4, 2020·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Valentina BaroLuca Denaro

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