Comparison between Ventriculoatrial Shunt and Ventriculoperitoneal Shunt: Revision Rate and Complications
Keywords:
Ventriculoatrial shunt, ventriculoperitoneal shunt, revision rates, complicationsAbstract
Background and Objective: Hydrocephalus is a common problem in neurosurgical field. In current clinicalpractice guidelines, ventriculoatrial shunt and ventriculoperitoneal shunt are recommended treatment options. No
previous study reported differences between two procedures in term of complications and revision rates.
Methods: Chart review of all patients who underwent ventriculoatrial (VA) or ventriculoperitoneal (VP) shunts
at the Prasat Neurological Institute, Bangkok, Thailand during 1 May 2012 and 31 October 2013 was carried out.
Patients with previous VA or VP shunt operation were excluded. Complications and revision rate were recorded at the
postoperative interval of one week, one month, and three months.
Results: Thirty eight patients were divided by surgeon preferences. Twelve underwent VA shunt surgery and 26
underwent VP shunt surgery. The rates of complications were 16.7% and 38.5% in the VA shunt and VP shunt
respectively. Only 2 patients (7.7%) from VP shunt group required revision.
Conclusion: In this study, no difference in complications and revisions between VA and VP shunts was found.
Patients with VP shunt placement were more likely to experience complications and revisions than patients with VA
shunt placement.
References
1. H. Richard Winn, Youmans Neurological Surgery, 6th edition
2. Greenberg MS. Handbook of neurosurgery, 7th edition
3. Little JR, et al, Comparison of ventriculoperitoneal and
ventriculoatrial shunts for hydrocephalus in children, Mayo
Clin Proc 1972;47:396-401.
4. Ronald J, et al, Follow up analysis of ventriculoperitoneal and
ventriculoatrial shunts for hydrocephalus. J Neurosurgery 1975;
42:679-82.
5. Mazza C, et al, Results of treatment with ventriculoatrial and
ventriculoperitoneal shunt in infantile nontumoral
hydrocephalus. Childs Brain 1980;7:1-14.
6. Olsen L, et al, Complications in the treatment of hydrocephalus
in children. A comparison of ventriculoatrial and ventriculoperitoneal
shunts in a 20-year material. Acta Paediatr Scand
1983;72:385-90.
7. Fernell E, et al. Ventriculoatrial or ventriculoperitoneal shunts
in the treatment of hydrocephalus in children? Z Kinderchir
1985;40 Suppl 1:12-4.
8. Eichler I. Complications following implantation of ventriculoatrial
and ventriculoperitoneal shunts, Zentralbl Neurochir
1986;47(2):161-6.
9. Vernet O, et al. Long-term results after ventriculoatrial shunting
in children, Childs Nerv Syst 1993;9:253-5.
10. CH. Comparison between ventriculoatrial and ventriculoperitoneal
shunting in adult population. Br J Neurosurg
1997;11:43-8.
11. B.M.borgbjerg, A. A comparison between ventriculoperitoneal
and ventriculo-atrial cerebrospinal fluid shunts in
relation to rate of revision and durability. Acta Neurochir
(Wien) 1998;140:459-65.
12. Vernet O, Rilliet B. Late complications of ventriculoatrial or
ventriculo-peritoneal shunts. Lancet 2001;358:1569-70.
13. Chaw HY, Buxton N, Wong PS. Staphylococcal endocarditis
with a ventriculo-atrial shunt. J R Soc Med 2004;97:182-3.
14. Elhammady MS, Benglis DM, Bhatia S, Sandberg DI, Ragheb J.
Ventriculoatrial shunt catheter displacement in a child with
partial anomalous pulmonary venous return: Case report. J
Neurosurg Pediatr 2008;2:68-70.
15. Zhang J, Qu C, Wang Z, Wang C, Ding X, Pan S, et al. Improved
ventriculoatrial shunt for cerebrospinal fluid diversion after
multiple ventriculoperitoneal shunt failures. Surg Neurol 2009;
72: 29-33.
16. Nash DL, Schmidt K. Complications and management of
ventriculoatrial (VA) shunts, a case report. Cerebrospinal Fluid
Res 2010;7(Suppl 1):S42.
17. Aríbas A, Akíllí H. Development of pulmonary hypertension
after ventriculoatrial shunt implantation. Eur J Gen Med 2011;
8:345-7.
18. Natarajan A, Mazhar S. Right heart complications of
ventriculoatrial shunt. Eur Heart J 2011;32:2134.
2. Greenberg MS. Handbook of neurosurgery, 7th edition
3. Little JR, et al, Comparison of ventriculoperitoneal and
ventriculoatrial shunts for hydrocephalus in children, Mayo
Clin Proc 1972;47:396-401.
4. Ronald J, et al, Follow up analysis of ventriculoperitoneal and
ventriculoatrial shunts for hydrocephalus. J Neurosurgery 1975;
42:679-82.
5. Mazza C, et al, Results of treatment with ventriculoatrial and
ventriculoperitoneal shunt in infantile nontumoral
hydrocephalus. Childs Brain 1980;7:1-14.
6. Olsen L, et al, Complications in the treatment of hydrocephalus
in children. A comparison of ventriculoatrial and ventriculoperitoneal
shunts in a 20-year material. Acta Paediatr Scand
1983;72:385-90.
7. Fernell E, et al. Ventriculoatrial or ventriculoperitoneal shunts
in the treatment of hydrocephalus in children? Z Kinderchir
1985;40 Suppl 1:12-4.
8. Eichler I. Complications following implantation of ventriculoatrial
and ventriculoperitoneal shunts, Zentralbl Neurochir
1986;47(2):161-6.
9. Vernet O, et al. Long-term results after ventriculoatrial shunting
in children, Childs Nerv Syst 1993;9:253-5.
10. CH. Comparison between ventriculoatrial and ventriculoperitoneal
shunting in adult population. Br J Neurosurg
1997;11:43-8.
11. B.M.borgbjerg, A. A comparison between ventriculoperitoneal
and ventriculo-atrial cerebrospinal fluid shunts in
relation to rate of revision and durability. Acta Neurochir
(Wien) 1998;140:459-65.
12. Vernet O, Rilliet B. Late complications of ventriculoatrial or
ventriculo-peritoneal shunts. Lancet 2001;358:1569-70.
13. Chaw HY, Buxton N, Wong PS. Staphylococcal endocarditis
with a ventriculo-atrial shunt. J R Soc Med 2004;97:182-3.
14. Elhammady MS, Benglis DM, Bhatia S, Sandberg DI, Ragheb J.
Ventriculoatrial shunt catheter displacement in a child with
partial anomalous pulmonary venous return: Case report. J
Neurosurg Pediatr 2008;2:68-70.
15. Zhang J, Qu C, Wang Z, Wang C, Ding X, Pan S, et al. Improved
ventriculoatrial shunt for cerebrospinal fluid diversion after
multiple ventriculoperitoneal shunt failures. Surg Neurol 2009;
72: 29-33.
16. Nash DL, Schmidt K. Complications and management of
ventriculoatrial (VA) shunts, a case report. Cerebrospinal Fluid
Res 2010;7(Suppl 1):S42.
17. Aríbas A, Akíllí H. Development of pulmonary hypertension
after ventriculoatrial shunt implantation. Eur J Gen Med 2011;
8:345-7.
18. Natarajan A, Mazhar S. Right heart complications of
ventriculoatrial shunt. Eur Heart J 2011;32:2134.
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Published
2014-12-29
How to Cite
1.
Wangtanaphat K, Narischart P. Comparison between Ventriculoatrial Shunt and Ventriculoperitoneal Shunt: Revision Rate and Complications. Thai J Surg [Internet]. 2014 Dec. 29 [cited 2024 Apr. 29];35(4). Available from: https://he02.tci-thaijo.org/index.php/ThaiJSurg/article/view/226603
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