Ventriculo-pleural shunt --- A second line option in the management of complex hydrocephalus.

IF 2.3 4区医学 Q2 SURGERY

Surgeon-Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland Pub Date : 2025-02-25 DOI:10.1016/j.surge.2025.02.006

Hanqiao Li, John Caird

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引用次数: 0

Abstract

Background: Ventriculo-pleural(V-Pl) shunt is considered as an alternative management of hydrocephalus when previous management options of hydrocephalus, including ventriculoperitoneal (VP) shunt, ventriculo-atrial (VA) shunt and endoscopic third ventriculostomy (ETV), may be contraindicated or have failed.

Aim: The aim is to identify the indications of V-Pl shunt after the failure of first-line managements of hydrocephalus, to evaluate the efficacy of V-Pl shunt with regarding to other shunt options and to discuss the potential complications.

Methods: 15 patients who underwent V-Pl shunt (or V-Pl shunt related surgeries) from 2021 to 2024, are recorded retrospectively. The data was collected via patients' medical charts and national image archiving system (Republic of Ireland). Related literature and case reports were searched via keyword selections on research databases, including Pubmed and Google Scholar.

Results: The indications for shunt treatment were spina bifida, tumour related hydrocephalus, congenital hydrocephalus, arachnoid cysts and idiopathic intracranial hypertension. Indications for favouring V-Pl shunt over VP/VA shunt or ETV are multiple shunt failures, persistent shunt-related symptoms, severe kyphoscoliosis, abdominal ascites/pseudocyst, jugular vein thrombosis. Complications of V-Pl shunt include shunt failure, over-drainage, pleuritic chest pain, pneumothorax and rarely slit-ventricle syndrome.

Conclusion: V-Pl shunt can be considered as a second line management for hydrocephalus when VP/VA shunt and ETV options have been exhausted.

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来源期刊

Surgeon-Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland 医学-外科

CiteScore

4.40

自引率

0.00%

发文量

158

审稿时长

6-12 weeks

期刊介绍： Since its establishment in 2003, The Surgeon has established itself as one of the leading multidisciplinary surgical titles, both in print and online. The Surgeon is published for the worldwide surgical and dental communities. The goal of the Journal is to achieve wider national and international recognition, through a commitment to excellence in original research. In addition, both Colleges see the Journal as an important educational service, and consequently there is a particular focus on post-graduate development. Much of our educational role will continue to be achieved through publishing expanded review articles by leaders in their field. Articles in related areas to surgery and dentistry, such as healthcare management and education, are also welcomed. We aim to educate, entertain, give insight into new surgical techniques and technology, and provide a forum for debate and discussion.