ArticleChild's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery2016
Surgical outcome of the shunt: 15-year experience in a single institution.
Article in Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.
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Who cites it
13 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Open versus laparoscopic ventriculoperitoneal shunt placement in children: a systematic review and meta-analysis.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2023Pooled it
- A retrospective longitudinal analysis of risk factors, treatment outcomes and imaging parameters of ventricular collapse in idiopathic intracranial hypertension.Fluids and barriers of the CNS · 2025Article
- Factors affecting infection risk and revision rates in shunted pediatric hydrocephalus: 10 years of data from a single academic center.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2025Article
- Ventriculosagittal sinus shunt for treating hydrocephalus with elevated cerebrospinal fluid protein.Fluids and barriers of the CNS · 2025Article
- Current Trends in the Treatment of Pediatric Hydrocephalus: A Narrative Review Centered on the Indications, Safety, Efficacy, and Long-Term Outcomes of Available Treatment Modalities.Children (Basel, Switzerland) · 2024Review
- Ventriculo-atrial shunt with occlusion of the internal jugular vein: operative experience and surgical technique.Chinese neurosurgical journal · 2024Article
- Shunt Overdrainage: Reappraisal of the Syndrome and Proposal for an Integrative Model.Journal of clinical medicine · 2021Review
- Quality of life in school-age children with shunt implantation due to neonatal posthemorrhagic hydrocephalus.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2021Article
- Peritoneal insertion of shunts in children: comparison between trocar and laparoscopically guided insertion.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2021Article
- Shunt independence in paediatric hydrocephalus: our 16-year experience and review.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2019Article
- Shunt overdrainage syndrome: review of the literature.Neurosurgical review · 2018Review
- Delayed Manifestation of Shunt Nephritis: A Case Report and Review of the Literature.Case reports in nephrology · 2017Article
- The Conundrum of Ventricular Dilatations Following Decompressive Craniectomy: Is Ventriculoperitoneal Shunt, The Only Panacea?Journal of neurosciences in rural practiceArticle
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeSurgical outcome after shunt insertion in pediatric hydrocephalus can vary greatly. Although first shunt survival rates and complications have been studied by several teams, much less is known about survival and complications of subsequent systems. The goals of this study were to evaluate the surgical outcome in a series of pediatric patients followed for a long time and establish the differences between first and subsequent extracranial shunt survival and complications.
methodsWe undertook a retrospective study in pediatric patients treated with ventriculoperitoneal shunts between 2000 and 2015 at our institution. Surgical outcome was assessed, and different shunt survival curves were studied with Kaplan-Meier. Complications related to each shunt failure were examined and compared.
resultsA total of 166 patients underwent 425 procedures, with a mean follow-up period of 93 months. The median number of shunt revision surgeries was 2. Shunt survival rates were better with the first shunt compared to those with the subsequent shunts. The main complication necessitating system revision surgery was overdrainage, the frequency of proximal and distal dysfunctions was similar in all the shunt failures, and isolated ventricle and infection were more frequent in younger patients. Shunt-related infections accounted for 7 % of the procedures, and the shunt independence rate was 10 %.
conclusionsThe frequency of complications related to shunt failure in pediatric patients changes during follow-up. A strict protocol of overdrainage detection and active treatment could explain the need for repeat surgeries and the progressively shorter shunt survival time in our series.
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