Difficulties of Distal Catheter Insertion of Ventriculoatrial Shunting in Infants and Little Children

  • Yazar/lar ERDOĞAN, Hakan
    ALTUN, Adnan
    KURUOĞLU, Enis
    KAYA, Ahmet Hilmi
    DAĞÇINAR, Adnan
  • Yayın Türü Makale
  • Yayın Tarihi 2018
  • DOI Numarası 10.5137/1019-5149.JTN.21304-17.2
  • Yayıncı Turkish Neurosurgical Society
  • Tek Biçim Adres http://hdl.handle.net/20.500.12498/2917

AIM: Ventriculoatrial (VA) shunting is a well-described cerebrospinal fluid diversion method for the treatment of hydrocephalus. However, it may be very challenging in infants and little children because of atrial catheter placement difficulties. This study aimed to create an algorithm to solve problems faced during open surgical procedures based on the present authors' experience. MATERIAL and METHODS: We conducted a retrospective analysis on 18 infants and children who underwent VA shunt insertion at the Department of Neurosurgery, Ondokuz Mayis University School of Medicine Hospital between 2005 and 2012. Complications, clinical outcomes, revisions, and solutions for overcoming distal catheter placement difficulties were evaluated. RESULTS: Twenty-six VA shunt operations were performed in 18 patients. Six patients required eight VA shunt revisions. VA shunting was primarily performed from the internal jugular, facial, cephalic, and subclavian veins to the right atrium. In revision procedures, the internal jugular, cephalic, and subclavian veins were used. CONCLUSION: VA shunting in infants and little children requires careful surgical techniques. Neurosurgeons should necessarily have an appropriate strategy for VA shunting considering the complications and revisions. Our results suggest open surgical solutions to overcome distal catheter placement difficulties in this age group. © 2018 Turkish Neurosurgical Society.

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Eser Adı
(dc.title)
Difficulties of Distal Catheter Insertion of Ventriculoatrial Shunting in Infants and Little Children
Yayın Türü
(dc.type)
Makale
Yazar/lar
(dc.contributor.author)
ERDOĞAN, Hakan
Yazar/lar
(dc.contributor.author)
ALTUN, Adnan
Yazar/lar
(dc.contributor.author)
KURUOĞLU, Enis
Yazar/lar
(dc.contributor.author)
KAYA, Ahmet Hilmi
Yazar/lar
(dc.contributor.author)
DAĞÇINAR, Adnan
DOI Numarası
(dc.identifier.doi)
10.5137/1019-5149.JTN.21304-17.2
Atıf Dizini
(dc.source.database)
Scopus
Yayıncı
(dc.publisher)
Turkish Neurosurgical Society
Yayın Tarihi
(dc.date.issued)
2018
Kayıt Giriş Tarihi
(dc.date.accessioned)
2020-08-07T12:53:50Z
Açık Erişim tarihi
(dc.date.available)
2020-08-07T12:53:50Z
Kaynak
(dc.source)
Turkish Neurosurgery
ISSN
(dc.identifier.issn)
10195149 (ISSN)
Özet
(dc.description.abstract)
AIM: Ventriculoatrial (VA) shunting is a well-described cerebrospinal fluid diversion method for the treatment of hydrocephalus. However, it may be very challenging in infants and little children because of atrial catheter placement difficulties. This study aimed to create an algorithm to solve problems faced during open surgical procedures based on the present authors' experience. MATERIAL and METHODS: We conducted a retrospective analysis on 18 infants and children who underwent VA shunt insertion at the Department of Neurosurgery, Ondokuz Mayis University School of Medicine Hospital between 2005 and 2012. Complications, clinical outcomes, revisions, and solutions for overcoming distal catheter placement difficulties were evaluated. RESULTS: Twenty-six VA shunt operations were performed in 18 patients. Six patients required eight VA shunt revisions. VA shunting was primarily performed from the internal jugular, facial, cephalic, and subclavian veins to the right atrium. In revision procedures, the internal jugular, cephalic, and subclavian veins were used. CONCLUSION: VA shunting in infants and little children requires careful surgical techniques. Neurosurgeons should necessarily have an appropriate strategy for VA shunting considering the complications and revisions. Our results suggest open surgical solutions to overcome distal catheter placement difficulties in this age group. © 2018 Turkish Neurosurgical Society.
Yayın Dili
(dc.language.iso)
en
Tek Biçim Adres
(dc.identifier.uri)
http://hdl.handle.net/20.500.12498/2917
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6698 sayılı Kişisel Verilerin Korunması Kanunu kapsamında yükümlülüklerimiz ve cerez politikamız hakkında bilgi sahibi olmak için alttaki bağlantıyı kullanabilirsiniz.

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