Case Series of Ventriculoatrial Shunt placement in Hybrid Room: Reassessment of Ventriculoatrial Shunt

✓ A method for positioning the cardiac end of a ventriculoatrial shunt with the aid of echocardiography is described. This simple procedure has resulted in safe and accurate shunt placement in infants.

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Ventriculoatrial Shunt Placement After Wire-catheter—Recanalization of Central Venous Occlusion

Journal of Vascular and Interventional Radiology ◽

10.1016/j.jvir.2021.03.411 ◽

2021 ◽

Author(s):

Osman Ahmed ◽

Ethan Ungchusri ◽

Jingfei Li ◽

David Frim ◽

Jeffery Leef

Keyword(s):

Venous Occlusion ◽

Ventriculoatrial Shunt ◽

Central Venous ◽

Shunt Placement ◽

Central Venous Occlusion

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Ventriculoatrial shunt in adults. A case series, with emphasis on atrial catheter migration

Interdisciplinary Neurosurgery ◽

10.1016/j.inat.2019.04.008 ◽

2019 ◽

Vol 17 ◽

pp. 133-137

Author(s):

Paolo Missori ◽

Sergio Paolini ◽

Simone Peschillo ◽

Stefano Martini ◽

Valeria Palmarini ◽

...

Keyword(s):

Case Series ◽

Ventriculoatrial Shunt ◽

Catheter Migration ◽

Atrial Catheter

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Endoscopic Third Ventriculostomy for Hydrocephalus Secondary to Extraventricular Obstruction in Thalamic Hemorrhage: A Case Series

Operative Neurosurgery ◽

10.1093/ons/opaa094 ◽

2020 ◽

Vol 19 (4) ◽

pp. 384-392

Author(s):

Hussein A Zeineddine ◽

Antonio Dono ◽

Ryan Kitagawa ◽

Sean I Savitz ◽

Huimahn Alex Choi ◽

...

Keyword(s):

Intracranial Hemorrhage ◽

Endoscopic Third Ventriculostomy ◽

Case Series ◽

External Ventricular Drainage ◽

Tube Placement ◽

Third Ventriculostomy ◽

Shunt Placement ◽

Cerebrospinal Fluid Diversion ◽

Thalamic Hemorrhage ◽

Gastrostomy Tube Placement

Abstract BACKGROUND Intracranial hemorrhage carries significant morbidity and mortality, particularly if associated with hydrocephalus. Management of hydrocephalus includes temporary external ventricular drainage, with or without shunting. Thalamic location is an independent predictor of mortality and increases the likelihood of shunt dependence. OBJECTIVE To determine whether endoscopic third ventriculostomy (ETV) can avoid the need for shunt placement and expedite recovery. METHODS We prospectively identified thalamic intracranial hemorrhage patients who developed acute hydrocephalus requiring cerebrospinal fluid diversion by extraventricular drain placement from November 2017 to February 2019. Patients who failed an extraventricular drain clamping trial were then evaluated for eligibility for an ETV procedure. Patients who underwent ETV were then followed up for the development of hydrocephalus, need for shunting, and length of stay in the intensive care unit. RESULTS Eight patients (7 males, 1 female) were prospectively enrolled. All patients underwent an ETV successfully. None of the patients required shunting. ETV was performed despite the presence of other factors that would have prevented shunt placement, including fever, leukocytosis, and gastrostomy tube placement. Seven patients who underwent ETV were evaluated at 3-mo follow-up and did not require shunting. CONCLUSION ETV is a safe and effective technique for the management of hydrocephalus resulting from an extraventricular obstruction in thalamic hemorrhage. It can avoid the need for permanent shunting in this patient population. Larger studies should be conducted to validate and further analyze this intervention.

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Hydrothorax after ventriculoperitoneal shunt placement in a premature infant: an iatrogenic postoperative complication

Journal of Neurosurgery ◽

10.3171/jns.1998.88.3.0594 ◽

1998 ◽

Vol 88 (3) ◽

pp. 594-597 ◽

Cited By ~ 19

Author(s):

Walter J. Faillace ◽

R. Donald Garrison

Keyword(s):

Preferential Flow ◽

Pleural Cavity ◽

Absorption Capacity ◽

Communicating Hydrocephalus ◽

Ventriculoatrial Shunt ◽

Content Type ◽

Vp Shunt ◽

Shunt Placement ◽

Born Infant ◽

Rule Out

✓ The authors describe the case of a prematurely born infant who developed hydrothorax after ventriculoperitoneal (VP) shunt placement for treatment of posthemorrhagic communicating hydrocephalus. Prior to shunt placement a bout of necrotizing enterocolitis created intense abdominal and peritoneal scarring. The authors postulate that the scarring created poor peritoneal absorption capacity of cerebrospinal fluid (CSF), with preferential flow of CSF from the peritoneal to the pleural cavity. A 99mTc-diethylenetriamine pentaacetic acid radionucleotide study enabled the authors to rule out shunt malfunction, and preferential transdiaphragmatic flow of CSF from the abdomen to the thoracic cavity was demonstrated. The hydrothorax resolved after conversion of the VP shunt to a ventriculoatrial shunt. Respiratory distress after VP shunt placement should be considered an unusual but important sentinel symptom in the differential diagnosis of postoperative shunt complications.

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Ultrasound-guided percutaneous brachiocephalic vein cannulation for ventriculoatrial shunt placement in a child

Child s Nervous System ◽

10.1007/s00381-020-04875-1 ◽

2020 ◽

Vol 36 (12) ◽

pp. 3099-3102

Author(s):

Valentina Baro ◽

Nicola Zadra ◽

Luca Sartori ◽

Luca Denaro

Keyword(s):

Brachiocephalic Vein ◽

Ventriculoatrial Shunt ◽

Ultrasound Guided ◽

Shunt Placement ◽

Vein Cannulation

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INNV-20. ELEVATED INTRACRANIAL PRESSURE WITHOUT HYDROCEPHALUS IN PATIENTS WITH NEUROFIBROMATOSIS 2

Neuro-Oncology ◽

10.1093/neuonc/noaa215.503 ◽

2020 ◽

Vol 22 (Supplement_2) ◽

pp. ii120-ii120

Author(s):

Lindsay Robell ◽

Rebecca Harrison ◽

Kaylyn Sinicrope ◽

John Slopis ◽

Ian McCutcheon

Keyword(s):

Intracranial Pressure ◽

Obstructive Hydrocephalus ◽

Case Series ◽

Cancer Center ◽

Communicating Hydrocephalus ◽

Retrospective Case ◽

Neurofibromatosis 2 ◽

Vp Shunt ◽

Shunt Placement ◽

Visual Complaints

Abstract BACKGROUND Neurofibromatosis 2 is a tumor predisposition syndrome associated with multiple tumors of the central and peripheral nervous systems. Schwannomas and meningiomas are commonly observed. The occurrence of communicating hydrocephalus in this population has been observed clinically but not characterized in the literature. METHODS We present a retrospective case series of patients with NF2 and communicating hydrocephalus followed in the Neurofibromatosis clinic at MD Anderson Cancer Center. RESULTS We identified 11 patients in our Neurofibromatosis clinic with symptomatic elevation in intracranial pressure (ICP). All patients presented with worsening headaches, while six patients also presented with visual complaints leading to the diagnosis of elevated ICP. Dedicated venous imaging with either MRV or CTV was available for review in five patients. Occlusion or stenosis of the venous system (dural venous sinuses or internal jugular vein) was seen in nine patients. All patients had evidence of plaque-like meningiomas, and two patients had cervical schwannomas. Only one patient had radiographic evidence of obstructive hydrocephalus. All patients were treated for symptomatic elevated ICP with placement of a ventriculoperitoneal (VP) shunt. Three patients received acetazolamide prior to shunting, while one patient received acetazolamide after shunt placement. Seven (7/11) patients had documented improvement or resolution of headache after VP shunt placement. Two (2/6) patients had documented improvement or resolution of visual complaints. CONCLUSIONS We present 11 patients with NF2 who developed symptomatic elevation in ICP, ten patients without evidence of obstructive hydrocephalus and one with obstructive hydrocephalus. We hope to raise awareness of this clinical phenomena, previously uncharacterized in the literature. We propose a multifactorial mechanism involving plaque-like meningiomas, venous sinus stenosis, obstruction of cerebral venous outflow and cervical/jugular schwannomas in the development of symptomatic elevated ICP without evidence of obstructive hydrocephalus in patients with NF2.

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