ArticleChild's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery2013
Analysis of factors affecting ventriculoperitoneal shunt survival in pediatric patients.
Article in Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.
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23 citing papers in PubMed, 76 citations in OpenAlex.
- A modified surgical technique for ventriculoperitoneal shunt placement using a non-burr hole valve in a pediatric population.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2026Article
- Distinct Clinical Phenotypes of Infection and Mechanical Dysfunction in Ventriculoperitoneal Shunt Complications.Cureus · 2026Article
- Changing Landscape of Hydrocephalus Treatment in Pakistan: A Brief History and Bibliometric Analysis.Asian journal of neurosurgery · 2025Article
- Postoperative complications of ventriculoperitoneal shunt in children: experience from a middle-income referral hospital in Lima, Peru.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2025Article
- Systematic follow-ups were not associated with reduced acute ventriculoperitoneal shunt dysfunction in infancy.Acta paediatrica (Oslo, Norway : 1992) · 2025Article
- Survival status and determinant factors of mortality among pediatric patients who underwent ventriculoperitoneal shunting surgery for hydrocephalus in Ethiopia.BMC surgery · 2025Article
- Article
- Re-endoscopic third ventriculostomy versus ventriculoperitoneal shunting in failed endoscopic third ventriculostomy in pediatric patients with hydrocephalus: A systematic review.Surgical neurology international · 2025Review
- Ventriculoperitoneal shunt failures at Red Cross War Memorial Children's Hospital.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2024Article
- Right Transcephalic Ventriculo-Subclavian Shunt in the Surgical Treatment of Hydrocephalus-An Original Procedure for Drainage of Cerebrospinal Fluid into the Venous System.Journal of clinical medicine · 2023Article
- Predictors and Outcome of Ventriculoperitoneal Shunt Infection: A Retrospective Single-Center Study.Cureus · 2022Article
- Delayed peritoneal shunt catheter migration into the pulmonary artery with indolent thrombosis: A case report and narrative review.Surgical neurology international · 2022Review
- The stability of multifocal ventriculoperitoneal shunts with Y-connections.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2021Article
- "Shunt pumping test": detecting its efficacy through an experimental model.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2021Article
- Ventriculoperitoneal shunt knotting causing bowel obstruction and necrosis in an adult patient.BMJ case reports · 2021Article
- Caregivers' evaluation of an educational material targeted to children with hydrocephalus.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2021Article
- Ventriculoperitoneal shunt induced neck mass mimicking sternocleidomastoid tumour: a previously unreported complication.BMJ case reports · 2020Article
- A perspective in the management of myelomeningocoele in the KwaZulu-Natal Province of South Africa.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2020Observational
- Analysis of Codman microcerebrospinal fluid shunt.Brain and behavior · 2018Article
- Endoscopy in the treatment of slit ventricle syndrome.Experimental and therapeutic medicine · 2017Article
Corrections and comments
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Authors and funding
4 authors at 2 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeManagement of hydrocephalus with insertion of ventriculoperitoneal (VP) shunt is associated with significant complications in both adult and pediatric patients. These may be more common in developing countries due to poor economic conditions and a dearth of available resources. We report a 6 years' experience with VP shunt insertion in pediatric patients from a developing country, focusing particularly on factors affecting shunt failure.
methodsPatients aged below 15 years, who had undergone insertion of VP shunts for hydrocephalus during the years 2006 to 2011, were included. A retrospective analysis of shunt survival was performed using Kaplan-Meier curves and Logrank (Cox-Mantel) test.
resultsAmong the total 113 patients, the most common etiologies of hydrocephalus were congenital hydrocephalus (19.5 %), brain tumors (14.2 %), and postcranial surgery (13.3 %). Overall shunt failure at a mean follow-up of 11 months was 23 % with the median time to first shunt failure being 68 days. Shunt survival was worse in patients with meningitis (p = 0.024), aqueductal stenosis (p = 0.008), postcranial surgery hydrocephalus (p = 0.006), Caesarean mode of delivery (p = 0.036), congenital abnormalities (p = 0.031), and a past history of surgical excision of mass lesion (p = 0.044).Frequency of shunt failure was also significantly affected by the location of brain tumor (p = 0.015) and prematurity (p = 0.015).
conclusionPremature infants still have a higher rate of shunt failure. Patients with meningitis, aqueductal stenosis, postcranial surgery hydrocephalus, congenital abnormalities, and a past history of surgical excision of mass lesion may have early shunt failure. However, the frequency of shunt failure that we observed (23 %) was much lower than that quoted earlier in the literature and this may be a consequence of rigorous periodic evaluation of patients with VP shunt in situ.
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