Abdominal Complications of Ventriculoperitoneal Shunt in Pediatric Patients: Experiences of a Pediatric Surgery Clinic

Beğer, Burhan; Serdar, Kizilyildiz Baran; Abakay, Abdurrahman; Edip, Akyol Mehmet; Düz, Ebüzer

doi:10.1016/j.wneu.2018.06.140

Cited by 16 publications

(18 citation statements)

References 18 publications

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“… 1) Some well-known peritoneal complications after VPS are shunt infection, pseudo-cyst, adhesion, malposition (scrotum, bladder, small bowel), and hernia. 2) After distal catheter externalization due to these problems, it is difficult to reselect the peritoneal cavity for placing the distal catheter for CSF diversion. Although pleural placement can be considered, it may also have complications such as hydrothorax, pneumonia, and pleural effusion.…”

Section: Discussionmentioning

confidence: 99%

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

Kim

Lee

Kim

et al. 2020

Korean J Neurotrauma

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Objective Ventriculoatrial shunt (VAS) remains an alternate option for treatment of hydrocephalus in patients with ventriculoperitoneal shunt (VPS) failure. Unfamiliar anatomy for a neurosurgeon has resulted in the VAS falling out of favor as a treatment option. However, there are unsatisfactory reports on the long-term result of VPS, and VAS has been recently re-evaluated. We are to report the simple way to do the VAS using a peel-away sheath in a hybrid operation room. Methods A jugular vein path was drawn by ultrasound, a small incision was made above the clavicle, and a shunt catheter was tunneled into it. The jugular vein was punctured beside the tunneled catheter with a Seldinger needle under ultrasound guidance. A flexible guide wire was introduced into the vein and 6-Fr peel-away sheath was advanced into the vein along the wire. Under fluoroscopic guidance, the catheter was cut to position approximately mid-level in the atrium. After the guide wire was removed, the distal shunt catheter was passed down. After confirming proper position of the distal catheter under the fluoroscope, the catheter-guiding sheath was pulled out as a peeling-away manner. We performed this surgical procedures in 5 cases. Results All the procedures of the VAS using a peel-away sheath were performed in a hybrid operation room Of 5 patients, 3 patients had the distal catheter failures in the peritoneal cavity and 2 patients had shunt A distal catheter was successfully indwelling in all the cases without any difficulties. After the surgery, neither shunt infection nor thromboembolic event happened. Conclusion VAS using fluoroscopy and a peel-away sheath is a good alternative option for hydrocephalus patients with shunt failure related to peritoneal cavity complications.

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Section: Discussionmentioning

confidence: 99%

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

Kim

Lee

Kim

et al. 2020

Korean J Neurotrauma

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“…Cases of migration of distal catheters have been reported with great variability, from perforation of hollow viscus to exteriorization to a natural body opening such as the mouth, urethra, and anus; or to perforation of the abdominal wall ( Figure 5) [20,22,25].…”

Section: Migration Of Distal Cathetermentioning

confidence: 99%

“…This complication had a high mortality rate of 15% [22]. Despite the rare incidence of bowel perforation by peritoneal catheters, with one study reporting it in 0.07% of cases, the mortality rate was 15% [25].…”

Section: Figure 5: Migration Of Distal Vps Cathetermentioning

confidence: 99%

“…Primarily, abdominal complications related to VPS can be associated with infection or mechanical problems with the shunt. In some instances, technical inaccuracy also plays a role [23][24][25]. The most common types of abdominal complications are abdominal pseudocysts (APC), and shunt migrations, in which the distal shunt catheter could dislodge from the peritoneum cavity to other places and could perforating the abdominal wall or hollow viscus [26].…”

Section: Introductionmentioning

confidence: 99%

“…Some types of migrations, such as extrusion from the anus and perioral area, are exceedingly rare [20]. Intestinal obstruction by volvulus was reported, and the rate of inguinal hernia could increase due to increased abdominal pressure [17,25]. Complications related to fractures and disconnections accounted for 5%-16% of cases and are linked to deterioration of the biomaterials in combination with patient growth [7,14,27,28].…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Abdominal Complications Related to Ventriculoperitoneal Shunt Placement: A Comprehensive Review of Literature

Furtado¹,

Filho²,

Faleiro³

et al. 2021

Cureus

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Ever since the shunt device became the gold standard treatment for hydrocephalus, complications due to infections and mechanical problems have increased while lives have been saved. In addition, abdominal complications have become an important issue as the peritoneum is now the main place to insert the distal catheter. The most common complications were abdominal pseudocyst, distal catheter migration, inguinal hernia, catheter disconnection, and intestinal obstruction. The pediatric population is more prone to develop most of these complications due to their rapidly growing body, weaker abdominal musculature, and increased intraabdominal pressure. The goal of this review was to study the main aspects associated with abdominal complications after ventriculoperitoneal shunt (VPS) insertion, including the pathophysiology, epidemiological aspects, as well as the rationale for management and prevention according to the current "state-of-the-art." It is paramount to recognize the risk factors associated with various types of complications to manage them properly.

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Case report of mesenteric strangulation secondary to longstanding ventriculoperitoneal shunt catheter

et al. 2021

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Abdominal Complications of Ventriculoperitoneal Shunt in Pediatric Patients: Experiences of a Pediatric Surgery Clinic

Cited by 16 publications

References 18 publications

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

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

Abdominal Complications Related to Ventriculoperitoneal Shunt Placement: A Comprehensive Review of Literature

Case report of mesenteric strangulation secondary to longstanding ventriculoperitoneal shunt catheter

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