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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Ventriculopleural shunting with new technology valves.

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CSF pouring through the shunt, that peritoenal functioning, further eases the tube upward movement. 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. 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.

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Evaluation of the ventriculo-peritoneal shunt with valve in the treatment of hydrocephalus

Pseudocysts of the abdomen associated with ventriculoperitoneal shunts: Sub-galeal coiling of the proximal and distal components of a ventriculo-peritoneal shunt.

The externally adjustable Sophy valve was used in six cases.

Nine VPS procedures were performed in eight hydrocephalic patients between and University of Pennsylvania Press, Philadelphia, The death of one patient 36 months after surgery was unrelated to pleural drainage. Most instances of this occurrence have been related with the use of unishunts and valveless systems 1,12, Ventriculopleural shunting in the management of hydrocephalus.


Are you a health professional able to prescribe or dispense drugs? Plain radiographs of the CSF draining system disclosed that the swelling consisted of the shunt peritoneal catheter that appeared coiled, being the distal part of the tubing missing from its expected course Figure.

This statement is made comparing two groups of hydrocephalic infants submitted to surgery at the same Service and in the same conditions, with the same follow-up period; 4 the cases presented permit to state that at present time the ventriculoperitoneal shunt with valve is the most suitable surgical procedure for hydrocephalus. Pediatr Neurosurg, 28pp. Symptomatic pleural collection of cerebrospinal fluid caused by a ventriculoperitoneal shunt. Ventriculopleural anastomosis in treatment of midline obstructional masses.

We briefly discuss the proposed mechanism for this complication and suggest that this occurrence must be taken into account at the time of evaluating a patient with shunt malfunction. Case report A year-old man was seen at the Outpatient Clinic for routine review of myelomeningocele hydrocephalus after having moved to our city.

VPS has seldom been used because of the risk of respiratory insufficiency due to pneumothorax or pleural effusion. J Neurosurg, 11pp. Br J Neurosurg ; 6: The retrograde migration of peritoneal or venous catheters through the subcutaneous tract of the shunt tubing has been reported in several occasionsChild’s Brain, 5pp. Childs Nery Syst ; We used differential pressure valves in eight procedures and a flow regulator valve in one. Even the valve itself or the reservoir has been found to penetrate within the skull 7.

Delayed complication of a ventriculopleural shunt. He was warned about this possibility arising in the future. Continuing navigation will be considered as acceptance of this use. Acta Neurochir Wien, pp.


Valves newly designed to prevent overdrainage of cerebrospinal fluid pfritoneal satisfactory results, such that VPS should be considered as an alternative to peritoneal drainage. Tension hydrothorax due to ventriculopleural shunting. 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.

South Peritobeal J, hidroccefaliapp. Although rarely, all components of the shunt systems reservoir, valve and ventricular or distal catheters may be displaced from their original position and migrate to diverse parts of the body All the contents of this journal, except where otherwise noted, is licensed under a Creative Commons Attribution License. Introduction Ventriculoatrial and ventriculopleural shunts VPS are alternatives to ventriculoperitoneal shunts for draining cerebrospinal fluid from patients with hydrocephalus.

Arch Klin Chir,pp. Upward dislocation of peritoneal catheter into the ventricular cavity. Child’s Brain, 3pp. Complete migration of ventriculo-peritoneal shunt into the ventricle: Use of acetazolamide to decrease cerebrospinal fluid production in chronically ventilated patients with ventriculopleural shunts.

You can change the settings or obtain more information by clicking here. Ventriculoperitoneal shunting used as a temporary diversion. J Pediatr Surg, 27pp.

Hidrofefalia of an entire shunt into the ventricle. Report of three cases. However, valves are currently vntriculo with antisiphon devices for use with standard shunting systems to prevent the development of pleural effusion.

Chest, 99pp. Proximal migration and subcutaneous coiling of a peritoneal catheter: