Reasons, procedures, and outcomes in ventriculoatrial shunts: A single-center experience

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dc.contributor.authorYavuz, Celal
dc.contributor.authorDemirtaş, Sinan
dc.contributor.authorÇalışkan, Ahmet
dc.contributor.authorKamaşak, Kaǧan
dc.contributor.authorKarahan, Oğuz
dc.contributor.authorGüçlü, Orkut
dc.contributor.authorYazıcı, Süleyman
dc.date.accessioned2024-04-24T17:58:19Z
dc.date.available2024-04-24T17:58:19Z
dc.date.issued2013
dc.departmentDicle Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Kalp ve Damar Cerrahisi Ana Bilim Dalıen_US
dc.description.abstractBackground: Ventricular shunts are used to drain cerebrospinal fluid into extra-cranial spaces. Ventriculoatrial (VA) shunts are provided to transfer cerebrospinal fluid from the cerebral ventricle into the right atrium of the heart. A single center experience of indications, procedure, and clinical outcomes in VA shunt was presented in current study. Methods: VA shunts were applied in 10 patients who had repeated previous shunt dysfunction or infection. The reasons, clinical findings, replacement methods, and postoperative clinical follow-ups and outcomes were recorded retrospectively. Results: There were seven female (70%) and three (30%) male patients; their ages ranged from 5 to 13 years (mean ± SD; 8.5 ± 2.6 years). Shunt re-placement reasons were as follows: Shunt occlusion in five patients, intraperitoneal infection in four patients and a distal catheter was kinked and knotted in one patient. Postoperative early complications were seen in one patient as early catheter thrombosis and catheter revision were applied. Late complications were seen in two patients as follows: Catheter infection and infective endocarditis occurred in one patient and pulmonary thrombus occurred in one other patient. There was not any catheter-related mortality observed at the one year follow-up period. Conclusion: VA shunts may be an option for cerebrospinal fluid drainage at necessary conditions. However, sterilization and general training on asepsy and antisepsy are the most important determinants affecting the clinical outcome due to the cardio systemic relationship.en_US
dc.identifier.citationYavuz, C., Demirtaş, S., Çalışkan, A., Kamaşak, K., Karahan, O., Güçlü, O. ve diğerleri. (2013). Reasons, procedures, and outcomes in ventriculoatrial shunts: A single-center experience. Surgical Neurology International, 4(1).
dc.identifier.doi10.4103/2152-7806.106284
dc.identifier.issn2152-7806
dc.identifier.issue1en_US
dc.identifier.scopus2-s2.0-84875183703
dc.identifier.scopusqualityQ3
dc.identifier.urihttps://doi.org/10.4103/2152-7806.106284
dc.identifier.urihttps://hdl.handle.net/11468/23837
dc.identifier.volume4en_US
dc.indekslendigikaynakScopus
dc.language.isoenen_US
dc.relation.ispartofSurgical Neurology International
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectInfectionen_US
dc.subjectOutcomeen_US
dc.subjectThrombosisen_US
dc.subjectVentriculoatrial shuntsen_US
dc.titleReasons, procedures, and outcomes in ventriculoatrial shunts: A single-center experienceen_US
dc.titleReasons, procedures, and outcomes in ventriculoatrial shunts: A single-center experience
dc.typeArticleen_US

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