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 lengthning of the atrial catheter. The number of reoperations for adjusting the length of the atrial catheter or 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.
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Andersson H (1966) Craniosynostosis as a complication after operation for hydrocephalus. Acta Paediatr Scand 55: 192–196
Fokes EC (1970) Occult infections of ventriculoatrial shunts. J. Neurosurg 33: 517–523
Forrest DM, Cooper DGW (1968) Complications of ventriculo-atrial shunts. A review of 455 cases. J Neurosurg 29: 506–512
George R, Leibrock L, Epstein M (1979) Long-term analysis of cerebrospinal fluid shunt infections. A 25-year experience. J Neurosurg 51: 804–811
Hirsch JF, Hoppe-Hirsch E (1988) Shunts and shunt problems in childhood. In: Symon L, Brihaye J, Cohadon F, Guidetti B, Loew F, Miller JD, Nornes H, Pastor E, Pertuiset B, Yasargil MG (eds) Advances and technical standards in neurosurgery, vol 16. Springer, Wien New York, pp 117–211
Huber ZA (1981) Complications of shunt operations performed in 206 children because of communicating hydrocephalus. Zentralbl Neurochir 42: 165–170
Keucher TR, Mealey J (1979) Long-term results after ventriculoatrial and ventriculoperitoneal shunting for infantile hydrocephalus. J Neurosurg 50: 179–186
Klein DM (1990) Shunt infections In: Scott MR (ed) Hydrocephalus. (Concept in neurosurgery, vol. 3) Williams & Wilkins, Baltimore Hong Kong London, pp 87–97
Little JR, Rhoton AL, Mellinger JF (1972) Comparison of ventriculoperitoneal and ventriculoatrial shunts for hydrocephalus in children. Mayo Clin Proc 47: 396–401
Luthardt T (1970) Bacterial infections in ventriculo-auricular hunt systems. Dev Med Child Neurol Suppl 22: 105–109
Nugent GR, Lucas R, Judy M, Bloor BM, Warden H (1966) Thromboembolic complications of ventriculo-atrial shunts. Angiocardiographic and pathologic correlations. J Neurosurg 24: 34–42
Nulsen FE, Spitz EB (1952) Treatment of hydrocephalus by direct shunt from ventricle to jugular vein. Surg Forum 2: 399–403
Renier D, Lacombe J, Pierre-Kahn A, Sainte-Rose C, Hirsch JF (1984) Factors causing shunt infection. Computed analysis of 1174 operations. J Neurosurg 61: 1072–1078
Shapiro S, Boaz J, Kleiman M, Kalsbeck J, Mealey J (1988) Origin of organisms infecting ventricular shunts. Neurosurgery 22: 868–872
Shurtleff DB, Christie D, Foltz EL (1971) Ventriculoauriculostomy-associated infection. A 12-year study. J Neurosurg 35: 686–694
Stauffer UG (1970) “Shunt nephritis”: diffuse glomerulonephritis complicating ventriculo-atrial shunts. Dev Med Child Neurol Suppl 22: 161–164
Steinbok P, Thompson GB (1976) Complications of ventriculovascular shunts: computer analysis of etiological factors. Surg Neurol 5: 31–35
Wisoff JH, Epstein FJ (1990) Diagnosis and treatment of the slit ventricle syndrome. In: Scott MR (ed) Hydrocephalus. (Concept in neurosurgery, vol 3) Williams & Wilkins, Baltimore Hong Kong London, pp 79–85
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Vernet, O., Campiche, R. & de Tribolet, N. Long-term results after ventriculoatrial shunting in children. Child's Nerv Syst 9, 253–255 (1993). https://doi.org/10.1007/BF00306265
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DOI: https://doi.org/10.1007/BF00306265