BACKGROUND/AIM Ventriculoperitoneal shunt infections remain an important problem and result mainlyfrom perioperative colonization of shunt components by skin flora. Antibiotic-impregnated shunts have been designed to prevent such colonization. T'his study evaluates the incidence of shunt infection after the insertion of antibiotic-impregnated shunts in a population of children with hydrocephalu...

A 15-month-old girl with hydrocephalus from an intraventricular hemorrhage presented to the emergency department with irritability, lethargy and vomiting. Our neurosurgery team had inserted a ventriculoperitoneal shunt 10 months earlier. Computed tomography of the patient’s brain showed enlarged ventricles relative to postoperative imaging from when she had been asymptomatic. The child was brou...

OBJECTIVE To determine whether the proximal isovelocity surface area (PISA) method could be applied to estimate the magnitude of ventricular septal defect (VSD) shunt flow. DESIGN Prospective analysis of clinical, echocardiographic, and angiographic data. SETTING University hospital. PATIENTS 14 children with VSD. METHODS Colour Doppler images of VSD shunt flow were obtained in paraster...

The EX-PRESS shunt (Alcon Laboratory) is a stainless steel implant designed to shunt aqueous from the anterior chamber to the subconjunctival space.Thedevice isplacedundera scleral flap,with the lumenideallypositionedparallel to the iris. A properly positioned EX-PRESS shunt creates acontrolledcommunicationbetween the anterior chamber and the bleb.1 Several shunt-specific complications havebeen...

Cerebrospinal fluid (CSF) shunt failure is commonly associated with infection or mechanical obstruction of the shunt system. A 4-year-old male child who had undergone multiple shunt revisions at another hospital for congenital hydrocephalus and later for shunt obstruction, presented with exposed shunt at the supraclavicular region. Shunt revision was performed. The CSF culture showed no growth;...

background: we sought to assess right ventricular (rv) systolic and diastolic functions via tissue doppler imaging (tdi) in order to discriminate right-to-left (bidirectional) from left-to-right intracardiac shunts. methods: a tissue doppler velocity study via doppler echocardiography was performed in 20 patients with left-to-right shunt (without evidence of significant pulmonary hypertension) ...

OBJECTIVE To measure the predictive value of plain radiographs (shunt series) and computed tomography (CT) scans in a group of children undergoing evaluation for suspected shunt obstruction in a tertiary care pediatric emergency department (ED). METHODS Radiology reports were reviewed for all ED patients who underwent a shunt series over an 18-month period. Two investigators categorized all r...

AIM To study the clinical outcome of shunt surgeries in children suffering from hydrocephalus. METHODS A prospective study of 50 children with hydrocephalus who underwent a ventriculo-peritoneal shunt insertion over a period of two years. These patients were then followed up for shunt related complications, shunt revisions and outcome. RESULTS Twenty six of the 50 patients (52%) suffered fr...

Functional positive-contrast shuntography includes a patency check of both limbs of the shunt and the shunt valve by fluoroscopy following the injection of an iodinated contrast agent (anatomic shuntogram) and an assessment of the adequacy of ventricular fluid drainage under physiologic conditions by using serial CT scans to assess the rate of iodine dissipation from the ventricular system (phy...