Native Ureter Ventriculo-Ureteral Shunt Placement for Management of Refractory Hydrocephalus in a Child With a History of Renal Transplant: Case Report and Technical Note

Szuflita, Nicholas S.; Kirkham, Adia; Gerald, Thomas; Delaney, John J.; Miller, Charles A.; Curry, Brian P; Cartwright, Lisa; Hawksworth, Jason; Davidson, Laurence

doi:10.1016/j.urology.2020.07.033

Cited by 4 publications

(3 citation statements)

References 8 publications

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“…[9] Other side effects have been reported, including ureter spasm, encrustation, ureter wall erosion, ascending infection (UTI associated or non), biofilm formation, retrograde urine reflux, catheter migration, failure of urinary diversion, and tube disconnection/migration. [9][10][11][12][13] Furthermore, most neurosurgery training programs do not include training in genitourinary surgery, so assistance from a urologist may be indicated. [11] Despite these issues, however, the VU shunt was an accepted shunting method before the development of the one-way valve because of the ureter's hydrodynamic resistance.…”

Section: Narrative Reviewmentioning

confidence: 99%

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Ventriculoureteral shunt: Narrative review of contemporary cases and its historical role in the development of renal transplantation

Waack

Hoyt

Schroeder

2023

JNRP

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Ventriculo-ureteral (VU) shunting is a little-known method of managing hydrocephalus. This paper reviews contemporary uses of this shunting technique and describes its historical significance to the field of organ transplantation. The ureter may serve as a possible backup, or alternative, distal drainage site compared to the more common peritoneum, atrium, and pleural space. Sporadic contemporary uses of the VU shunt have been reported in unique situations, demonstrating a possible utility in modern neurosurgery. Interestingly, the VU shunt played an important role in the development of kidney transplantation. In the late 1940s and early 1950s, David Hume, a general surgery resident, and colleagues at the PBBH undertook a series of human kidney transplantations. Concurrently, Donald Matson, a pediatric neurosurgeon at Peter Bent Brigham, was utilizing the VU shunt in hydrocephalic patients. Dr. Matson’s VU shunt technique involved total nephrectomy, and some of the kidneys harvested from Dr. Matson’s were used by his general surgery colleagues in their transplantation trials. Although none of the transplanted kidneys from this series were successful, the transplant team in Boston, minus David Hume, went on to perform the world’s first kidney transplant a few years later. This relatively unfamiliar procedure may be applicable to specific situations, and it is of historical importance to the field of transplantation.

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Section: Narrative Reviewmentioning

confidence: 99%

“…1 year following surgery no complications were reported. [ 13 ] A VU shunt with ureter implantation into a psoas bladder without nephrectomy presented with no side effects 3 months after shunt placement. [ 17 ] Finally, two cases were reported to have no side effects at 4 weeks and 1.5 years following VU placement.…”

Section: Narrative Reviewmentioning

confidence: 99%

Ventriculoureteral shunt: Narrative review of contemporary cases and its historical role in the development of renal transplantation

Waack

Hoyt

Schroeder

2023

JNRP

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“…The global incidence of hydrocephalus is estimated to be 84 per 100,000 cases with the incidence of congenital hydrocephalus estimated to range from 68 to 316 cases per 100,000 [ 1 , 2 ]. Hydrocephalus accounts for 2.2 billion dollars of healthcare spending in the US with 1.1 billion dollars associated with readmissions alone [ 3 ].…”

Section: Introductionmentioning

confidence: 99%

Open Retroperitoneal Inferior Vena Cava Cannulation for Distal Ventriculoatrial Shunt Catheter Placement

Mustroph¹,

Saberian²,

Burch³

et al. 2022

Cureus

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Multiple alternative sites for distal ventriculoperitoneal shunts have been described including pleural, atrial, ureteral, fallopian, and gallbladder placement. In medically complex patients the sites for cerebrospinal fluid (CSF) diversion can be exhausted. We present a case where open retroperitoneal inferior vena cava cannulation was used for successful atrial catheter placement in a 17-month-old female. The patient had a complex abdominal, pulmonary, and vascular history precluding placement of the distal catheter in other sites or atrial placement through more peripheral venous cannulation. The patient underwent uncomplicated open retroperitoneal exposure of her inferior vena cava (IVC) with cannulation and placement of atrial catheter under fluoroscopic guidance. At the follow-up one year after surgery, the patient did not require revision with appropriate placement of the distal atrial catheter.

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Ventriculorenal shunts in the treatment of pediatric and adult hydrocephalus—historical perspective and analysis of current practice

et al. 2022

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Native Ureter Ventriculo-Ureteral Shunt Placement for Management of Refractory Hydrocephalus in a Child With a History of Renal Transplant: Case Report and Technical Note

Cited by 4 publications

References 8 publications

Ventriculoureteral shunt: Narrative review of contemporary cases and its historical role in the development of renal transplantation

Ventriculoureteral shunt: Narrative review of contemporary cases and its historical role in the development of renal transplantation

Open Retroperitoneal Inferior Vena Cava Cannulation for Distal Ventriculoatrial Shunt Catheter Placement

Ventriculorenal shunts in the treatment of pediatric and adult hydrocephalus—historical perspective and analysis of current practice

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