ArticleChild's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery2023
Percutaneously inserted ventriculo-ureteral shunt as a salvage treatment in paediatric hydrocephalus: a technical note.
Article in Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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- Ventriculo-Pyelo-"Allium" shunt as last resort procedure for complex pediatric hydrocephalus - first case described.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2026Article
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5 authors at 3 institutions in 2 countries.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundHydrocephalus is a challenge for paediatric neurosurgeons. When the abdominal cavity and heart fail as diversion sites for cerebrospinal fluid (CSF), many of the otherwise used alternative diversion sites are not feasible due to the smaller physical body size of children and infants. Using the urinary system as a site of diversion has been described in adults primarily.
objectiveTo describe a minimally invasive procedure to percutaneously access the ureter for placement of a distal catheter in the treatment of paediatric hydrocephalus.
methodsA percutaneous ultrasound-assisted technique was used to access the renal pelvis for catheter placement into the distal ureter.
resultsFifteen months after the surgery, the child has a stable neurological condition and adequately managed hydrocephalus.
conclusionThe urinary tract should be considered a viable option for CSF diversion in complex paediatric hydrocephalus. A multidisciplinary approach consisting of interventional radiologists, urologists and neurosurgeons should be involved in the evaluation of potential candidates.
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