ArticleChild's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery2021
Ventriculoatrial and ventriculopleural shunts as second-line surgical treatment have equivalent revision, infection, and survival rates in paediatric hydrocephalus.
Article in Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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6 citing papers in PubMed, 12 citations in OpenAlex.
- Ventriculoatrial shunting for recurrent ventriculoperitoneal shunt failure in pediatric hydrocephalus: A viable alternative with improved outcomes.Neurosurgical review · 2026Article
- A novel technique for placement of the shunt catheter in the pleural space: The single incision thoracoscopic approach with complete visualization: A patient series and case illustration.Surgical neurology international · 2026Article
- Surgical Nuances in Ultrasound-Guided Percutaneous Distal Catheter Placement in Pediatric Ventriculoatrial Shunts.Cureus · 2025Article
- One year mortality after pediatric hydrocephalus treatment: a comparative analysis of endoscopic third ventriculostomy and ventriculoperitoneal shunt.Frontiers in surgery · 2025Article
- Analysis of non-ventriculoperitoneal shunts at Red Cross War Memorial Children's Hospital.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2024Article
- Thrombosis associated with ventriculoatrial shunts.Neurosurgical review · 2022Review
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6 authors at 1 institution in 1 country.
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Abstract
purposeVentriculoatrial (VA) and ventriculopleural (VPL) shunts are used as alternatives when CSF diversion to the peritoneal compartment with a ventriculoperitoneal (VP) shunt is not possible. The objective of this study is to compare directly the shunt survival and complications for both procedures in this setting in children.
methodsA retrospective analysis of 54 consecutive patients who underwent VA (36) or VPL (18) shunt insertion between January 2002 and December 2017 was conducted.
resultsThe overall mean follow-up was 4.1 (SD 4.3) years, 2.8 (SD 4.1) for VPL and 4.7 (SD 4.4) for VA shunts, respectively (p = 0.11). Twenty-four (66.7%) patients in the VA group and 9 (50.0%) in the VPL group underwent shunt revision (p = 0.236); mean number of revisions was 2.2 (SD 3.0) and 0.94 (SD 1.4) in the VA and VPL groups (p = 0.079). Median time to failure was 8.5 (IQr 78, range 0-176) months for VA and 5.50 (IQr 36, range 0-60) for VPL shunts (log rank (Mantel-Cox) 0.832). Shunt survival at 3, 6, 12 and 30 months was 60.6, 51.5, 36.4 and 27.3%, respectively, for VA and 56.3, 43.8, 37.5 and 37.5% for VPL shunts (log rank (Mantel-Cox) test value 0.727). The infection rate was 13.8% for VA and 5.6% for VPL shunts (p = 0.358). Four patients with VPL shunts (22.2%) developed pleural effusions. Fourteen deaths (25.9%) were recorded during follow-up, 8 (22.2%) in the VA and 6 (33.3%) in the VPL group (p = 0.380); two of the deaths in the VA group were shunt-related.
conclusionThis study demonstrates that the outcomes of VA and VPL shunts, when used as second-line surgical treatment in paediatric hydrocephalus, were similar, as were the revision, infection and survival rates. The shorter longevity of these shunts compared with the general shunted population may reflect the complex nature of these children.
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