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How to Perform a Ventriculopleural Shunt

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Textbook of Pediatric Neurosurgery

Abstract

The initial recognition and enthusiasm of effectiveness of ventriculoatrial shunts, after the introduction of Holter Valve in 1952, for treating children with hydrocephalus, waned gradually by the perception of a wide range of severe and even life-threatening complications (Arze et al. 1983; Pascual and Prakash 1993). Later, the introduction of ventriculoperitoneal shunts, demonstrating similar long-term results of the ventriculoatrial shunts, but, with a lower rate of revision, less morbidity of complications, and ease of reviewing, justified adopting the ventriculoperitoneal shunting as the treatment of choice for most of the hydrocephalus (Little et al. 1972). Ventriculopleural and Ventriculogallbladder shunts are exceptional shunt procedures, usually indicated as a third procedure after several failures of ventriculoperitoneal and ventriculoatrial shunts. Other alternatives are try shunting to lesser bursa omentalis, femoral vein, dural venous sinus, bladder, ureter, stomach, or fallopian tube. Because of the specific morbidities of such procedures, there is no universal consensus on what is the best alternative to ventriculoperitoneal shunt.

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Author information

Authors and Affiliations

  1. Division of Pediatric Neurosurgery of Departament of Neurosurgery, São Paulo University, São Paulo, Brazil

    S. Matsushita

Authors
  1. S. Matsushita
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Corresponding author

Correspondence to S. Matsushita .

Editor information

Editors and Affiliations

  1. International Neuroscience Institute, Hannover, Germany

    Concezio Di Rocco

  2. Oakland Medical Center, Oakland, California, USA

    Dachling Pang

  3. University of Toronto Hospital for Sick Children, Toronto, Ontario, Canada

    James T. Rutka

Section Editor information

  1. Director of Pediatric Neurosurgery, International Neuroscience Institute, Hannover, Germany

    Concezio Di Rocco

  2. Pediatric Neurosurgery, Institute of Neurosurgery, Catholic University Medical School, Rome, Italy

    Gianpiero Tamburrini

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Matsushita, S. (2017). How to Perform a Ventriculopleural Shunt. In: Di Rocco, C., Pang, D., Rutka, J. (eds) Textbook of Pediatric Neurosurgery. Springer, Cham. https://doi.org/10.1007/978-3-319-31512-6_30-1

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  • DOI: https://doi.org/10.1007/978-3-319-31512-6_30-1

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-31512-6

  • Online ISBN: 978-3-319-31512-6

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