A Brief Review of Ventriculoatrial and Ventriculopleural Shunts.

Autor: Yerragunta T; Department of Neurosurgery, Nizam's Institute of Medical Sciences, Hyderabad, Telangana and Department of Neurosurgery, King George Medical College, Maharani Peta, Visakhapatnam, Andhra Pradesh, India., Manda VS; Department of Neurosurgery, Maharani Peta, Visakhapatnam, Andhra Pradesh, India., Yerramneni VK; Department of Neurosurgery, Nizam's Institute of Medical Sciences, Hyderabad, Telangana and Department of Neurosurgery, King George Medical College, Maharani Peta, Visakhapatnam, Andhra Pradesh, India., Reddy Kanala RN; Department of Neurosurgery, Nizam's Institute of Medical Sciences, Hyderabad, Telangana and Department of Neurosurgery, King George Medical College, Maharani Peta, Visakhapatnam, Andhra Pradesh, India.
Jazyk: angličtina
Zdroj: Neurology India [Neurol India] 2021 Nov-Dec; Vol. 69 (Supplement), pp. S476-S480.
DOI: 10.4103/0028-3886.332248
Abstrakt: Introduction: Alternate approaches such as ventriculoatrial (VA) or ventriculopleural (VPL) procedures still have a place in the surgical armamentarium for patients with recurrent ventriculoperitoneal (VP) shunt failures related to defective absorption, infections, or frequent malfunctions.
Methods: We reviewed the literature and our experience with these techniques, and offered suggestions for safely performing these operations. Historical perspectives were also included to facilitate an improved understanding of the technical developments.
Results: Our findings and the available medical literature suggest VA and VPL options are safe and effective alternatives for managing the complex patient with hydrocephalus. Potential issues and complications were discussed along the technical advances for a safer operation.
Conclusion: The VA and VPL options should be considered for patients with recurrent VP shunt issues. They are safe and effective options for managing complex hydrocephalus patients.
Competing Interests: None
Databáze: MEDLINE
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