Hemorragia intraventricular del prematuro e hidrocefalia post-hemorrágica: Propuesta de un protocolo de manejo basado en la derivación ventrículo-peritoneal precoz

Ros-López, B.; Jaramillo-Dallimonti, A.M.; Miguel-Pueyo, Luis Segundo de; Rodríguez-Barceló, S.; Domínguez-Páez, M.; Ibáñez-Botella, G.; Márquez-Márquez, B.; Arráez-Sánchez, M.A.

doi:10.4321/s1130-14732009000100002

Cited by 1 publication

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References 13 publications

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“…[ 23 ] Preterm infants with severe IVH, initially treated with shunting procedures, frequently require several reinterventions within the following years. [ 20 ] A frequent option in such children has been a subcutaneous reservoir implantation. This is also a suitable and safe treatment for posthemorrhagic hydrocephalus in premature infants.…”

Section: Discussionmentioning

confidence: 99%

Neuronavigation-assisted single transseptal catheter implantation and shunt in patients with posthemorrhagic hydrocephalus and accentuated lateral ventricles dilatation

Nievas

2011

Surg Neurol Int

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Background:To assess the treatment of posthemorrhagic hydrocephalus with accentuated lateral ventricles dilatation by employing a single biventricular neuronavigation-assisted transseptal-implanted catheter with programmable valve and distal peritoneal derivation.Methods:A neuronavigation-assisted single transseptal biventricular catheter implantation with distal peritoneal shunt system was performed in 11 patients with posthemorrhagic hydrocephalus and accentuated lateral ventricles dilatations between 2001 and 2010. Patients with concomitant third ventricle dilatation were excluded. Several sequential frustrated attempts of temporary drainage occlusion on both sides confirmed the isolation of the lateral ventricles. Neuronavigation was employed to accurately establish the catheter surgical corridor (trajectory) across the lateral ventricles and throughout the septum pellucidum. The neurological and radiological outcomes were assessed at least 6 months after the procedure.Results:Catheter implantation was successfully performed in all patients. Only one catheter was found to be monoventricular on delayed computer tomography controls. Procedure-related complications (bleeding of infections) were not observed. No additional neurological deficits were found after shunt surgery. Six months after procedure, none required additional ventricular catheter implantations or shunt revisions. Radiological and clinical controls confirmed the shunt function and the improved neurological status of all patients.Conclusion:Single neuronavigation-assisted transseptal-implanted biventricular catheter is a valid option for the treatment of posthemorrhagic hydrocephalus with accentuated lateral ventricles dilatation. This technique reduces the number of catheters and minimizes the complexity and timing of the surgical procedure as well as potential infection's risks associated with the use of multiple shunting systems.

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Section: Discussionmentioning

confidence: 99%

Neuronavigation-assisted single transseptal catheter implantation and shunt in patients with posthemorrhagic hydrocephalus and accentuated lateral ventricles dilatation

Nievas

2011

Surg Neurol Int

View full text Add to dashboard Cite

show abstract

Hemorragia intraventricular del prematuro e hidrocefalia post-hemorrágica: Propuesta de un protocolo de manejo basado en la derivación ventrículo-peritoneal precoz

Cited by 1 publication

References 13 publications

Neuronavigation-assisted single transseptal catheter implantation and shunt in patients with posthemorrhagic hydrocephalus and accentuated lateral ventricles dilatation

Neuronavigation-assisted single transseptal catheter implantation and shunt in patients with posthemorrhagic hydrocephalus and accentuated lateral ventricles dilatation

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