PURPOSE: The aim of the article is to present the new hybrid technique for ventriculoatrial shunt implantation. METHODS: Two-and-a-half-year-old boy needed ventriculoatrial shunt implantation due to communicating hydrocephalus and impaired absorptive ability of the peritoneum. Because of a complete occlusion of the right internal jugular vein and critical stenosis of a distal part of the left internal jugular vein, the procedure was performed under fluoroscopy guidance in the catheterisation laboratory equipped with a 3-dimensional single plane angiography machine (Philips Allura--The Netherlands). At the level of critical stenosis of the left jugular vein, it was decided to perform a percutaneous venous balloon angioplasty. This procedure allowed inserting the ventriculoatrial shunt into the right atrium. RESULTS: The whole postoperative period was uneventful. Now, the child is free from symptoms of increased intracranial pressure. The boy has been followed for 9 months. In the control MRI examination, the ventricular system did not change as compared with the previous study. CONCLUSION: The disadvantage of the hemodynamic technique is a higher dose of X-ray irradiation in comparison to other techniques. The hybrid technique should be reserved only to very complicated cases.
PURPOSE: The aim of the article is to present the new hybrid technique for ventriculoatrial shunt implantation. METHODS: Two-and-a-half-year-old boy needed ventriculoatrial shunt implantation due to communicating hydrocephalus and impaired absorptive ability of the peritoneum. Because of a complete occlusion of the right internal jugular vein and critical stenosis of a distal part of the left internal jugular vein, the procedure was performed under fluoroscopy guidance in the catheterisation laboratory equipped with a 3-dimensional single plane angiography machine (Philips Allura--The Netherlands). At the level of critical stenosis of the left jugular vein, it was decided to perform a percutaneous venous balloon angioplasty. This procedure allowed inserting the ventriculoatrial shunt into the right atrium. RESULTS: The whole postoperative period was uneventful. Now, the child is free from symptoms of increased intracranial pressure. The boy has been followed for 9 months. In the control MRI examination, the ventricular system did not change as compared with the previous study. CONCLUSION: The disadvantage of the hemodynamic technique is a higher dose of X-ray irradiation in comparison to other techniques. The hybrid technique should be reserved only to very complicated cases.
Authors: Mohammad Ayaz Hossain; Adam Enver Frampton; Melissa Choo; Mohamed Morsy; Henry Thomas Marsh; Andrew James Martin; Eric Solomon Chemla Journal: J Vasc Access Date: 2010 Apr-Jun Impact factor: 2.283
Authors: Young Ha Kim; Sang Weon Lee; Dong Hyun Kim; Chi Hyung Lee; Chang Hyeun Kim; Soon Ki Sung; Dong Wuk Son; Geun Sung Song Journal: Korean J Neurotrauma Date: 2020-10-28
Authors: Andrés Segura-Hernández; Fernando Hakim; Juan F Ramón; Enrique Jiménez-Hakim; Juan A Mejía-Cordovez; Diego Quintero-Rueda; Yessid Araque-Puello; Camila Pedraza-Ciro; Juan P Leal-Isaza; Juliana Mendoza-Mantilla; Vanesa Robles; Martina Gonzalez; Daniel Jaramillo-Velásquez; Diego F Gómez Journal: Surg Neurol Int Date: 2021-10-19