Introducción. La derivación ventriculoatrial y la ventriculopleural (DVP) son métodos alternativos a la derivación ventriculoperitoneal para el drenaje del líquido. ¿Cuáles son las posibles complicaciones de un sistema de derivación? Aunque la hidrocefalia se conocía antiguamente como “agua en el cerebro”, el “ agua” un pequeño conducto entre el tercero y cuarto ventrículo en la mitad del cerebro. catéter se coloca normalmente dentro de la cavidad peritoneal ( abdominal). Derivação ventriculoperitoneal com válvula no tratamento da hidrocefalia infantil . O. — Derivación Ventriculo-atrial para el Tratamiento de la Hidrocefalia por.
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The death of one patient 36 months after surgery was unrelated to pleural drainage. In all three cases, as in the one that we report now, the system contained a spring-reinforced Raimondi catheter. Percutaneous placement of ventriculoatrial shunts in the pediatric population. Upward dislocation of peritoneal catheter into the ventricular cavity. Neurosurgery, 10pp.
Evaluation of the ventriculo-peritoneal shunt with valve in the treatment of hydrocephalus
Childs Nery Syst ; Migration of an entire shunt into the ventricle. J Neurosurg ; We briefly discuss the proposed mechanism for this complication venttriculo suggest that this occurrence must be taken into account at the time of evaluating a patient with shunt malfunction.
Neurosurg Rev ; The externally adjustable Sophy valve was used in six cases. The accurate placement of the distal end of the shunt into the right atrium without X-ray control. Disconnection and downward migration of the distal catheters within hidrocfalia peritoneal cavity used to be a frequent complication in the so-called 3-piece shunts, a problem that is now derivacioj completely unknown due to the construct of unitized valves or shunts with soldered components.
Introduction Ventriculoatrial and ventriculopleural shunts VPS are alternatives to ventriculoperitoneal shunts for draining cerebrospinal fluid from patients with hydrocephalus.
Report of three cases. We used differential pressure valves in eight procedures and a flow regulator valve in one. Arch Klin Chir,pp. Although rarely, all components of the shunt systems reservoir, valve and ventricular or distal catheters may be displaced from their original venttriculo and migrate to diverse parts of the body Retrograde migration of shunts.
Discussion Several unusual complications due to the dislocation of the shunts components have derivaclon reported. Mechanical complications, especially those related to shunt-parts disconnection and downward catheter migration have diminished with the growing use of shunts made up with soldered pieces.
Infección de la derivación ventrículo-peritoneal en recién nacidos con hidrocefalia
Services on Demand Journal. Ventriculopleural anastomosis in treatment of midline obstructional masses. Results After a follow-up period of 22 months all shunts were functioning well and the only patient with symptoms of hydrocephalus was the one who required valve replacement at six months.
Ventriculoatrial and ventriculopleural shunts VPS are alternatives to ventriculoperitoneal shunts for draining cerebrospinal fluid from patients with hydrocephalus. Mechanical complications of the reservoirs and shunting devices in ventricular shunt systems. The aim of this study was to analyze outcome after VPS in eight patients in whom we used the new valves for avoiding overdrainage of cerebrospinal fluid.
Surg Neurol ; 4: Hydrocephalus-clinical features and management. Migration and extrusion ventricullo distal catheters have been reported through several organs and body orifices or through the cervical or abdominal wounds.
Inwe reported three patients with symptoms of shunt malfunction that were found to have a retrograde migration of the peritoneal catheter to the subcutaneous tissues of the chest wall 8. Child’s Brain, 5pp. The aim of this study was to analyze outcome after VPS in eight patients in whom we used the new valves for avoiding overdrainage of cerebrospinal fluid. VPS has seldom been used because of the risk of peritonesl insufficiency due to pneumothorax or pleural effusion.
Ventriculopleural shunting in the management of hydrocephalus. After analysis of the surgical techniques as well as complications and results the following conclusions are stated: Others have also documented penetration of shunts within the cerebral ventricles 1,9,10,13, You can change the settings or obtain more information by clicking here.
Ventriculopleural shunting with vsntriculo technology valves. South Med J, 90pp.
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Are you a health professional able to prescribe or dispense drugs? Conclusions Valves newly designed to prevent overdrainage of cerebrospinal fluid give satisfactory results, such that VPS should be considered as an alternative to peritoneal drainage. We propose that the mechanism to explain the upward tube displacement is due to the abrupt release of the anchoring point formed by the abdominal scar around the catheter that is suddenly stretched, in this way the tube exits the abdominal cavity being unable to return to it 8.
Child’s Nerv Vventriculo, 16pp. Entre y se han realizado nueve DVP en 8 pacientes con hidrocefalia. The retrograde migration of peritoneal or venous catheters through the subcutaneous tract of the shunt tubing has been reported in several occasionsHospital Universitario Virgen de la Arrixaca.
No surgical morbidity or mortality was observed, and only one patient developed transitory signs of excessive cerebrospinal fluid drainage, which was corrected by regulating the magnetic valve gradient. Ventriculoperitoneal shunting used ventricluo a temporary diversion.
Glioblastoma with extracranial metastasis through ventriculopleural shunt: J Pediatr Surg, 27pp. Report of a case.