The Experts below are selected from a list of 219 Experts worldwide ranked by ideXlab platform
Matthew A. Adamo - One of the best experts on this subject based on the ideXlab platform.
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Vegetation of Ventriculoatrial Shunt Managed via Multidisciplinary Surgical Approach.
World neurosurgery, 2020Co-Authors: Pouya Entezami, Neil Devejian, Sebastian Rubino, Nathan E. Smith, Patrick Savery, Anica Crnkovic, Matthew A. AdamoAbstract:ABSTRACT Introduction The popularity of the Ventriculoatrial Shunt as a means for cerebrospinal fluid diversion was temporally limited, overcome by the success of the peritoneum as a site for distal drainage. Nevertheless, it remains an important tool for patients for whom ventriculoperitoneal Shunting is not an option. Clinical Presentation We present the case of a 9-year-old girl with a Ventriculoatrial Shunt, who had undergone multiple revisions. Ultimately, she suffered a wound dehiscence, resulting in infectious seeding of the bloodstream and formation of a thrombus, presumed granuloma, at the tip of the distal catheter in the right atrium. She underwent successful removal of the lesion via an open approach by our cardiothoracic colleagues. Discussion Previous authors have noted a high number of mortalities as a result of these lesions. A collaborative approach resulted in a successful outcome for our patient. While limited in utility today, the Ventriculoatrial Shunt remains a common procedure for Neurosurgeons today. Conclusion Recognizing the potential for atrial thrombus formation and utilizing a team approach can help avoid a poor outcome.
Leslie Acakpo-satchivi - One of the best experts on this subject based on the ideXlab platform.
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Transfemoral vein placement of a Ventriculoatrial Shunt. Technical note.
Journal of neurosurgery, 2007Co-Authors: R Shane Tubbs, Douglas Barnhart, Leslie Acakpo-satchiviAbstract:Acceptable cavities for the distal portion of a cerebrospinal fluid diversion Shunt include the peritoneal, pleural, and atrial cavities. The authors report on a patient in whom placement into the peritoneal cavity failed, the pleural cavity was not an option, and access to the right atrium was not technically possible via standard cannulation techniques into the veins of the neck and shoulder regions. A right Ventriculoatrial Shunt was thus placed into the right atrium via the ipsilateral femoral vein. Eight months postoperatively, the patient's condition was at baseline and there were no signs of Shunt malfunction. This technique may prove useful when other measures have failed.
T Vandekerckhove - One of the best experts on this subject based on the ideXlab platform.
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Transesophageal echocardiography: a simple method for monitoring the patency of Ventriculoatrial Shunts. Technical note.
Journal of neurosurgery, 1991Co-Authors: Luc Calliauw, Johan Vandenbogaerde, Okito Kalala, Jacques Caemaert, F Martens, T VandekerckhoveAbstract:A new method for evaluating the patency of a Ventriculoatrial Shunt is described, and early experience with it is reported. Transesophageal echocardiography can demonstrate a cerebrospinal fluid leak in the right atrium through the atrial tip of a Shunting device. This capability was an incidental discovery, and since then the accuracy of the technique in evaluating the patency of a Ventriculoatrial Shunt has been prospectively studied in 20 observations of 16 patients. The method proved to be accurate in 90% to 100% of cases. It is concluded that transesophageal echocardiography offers a rapid and accurate assessment of Ventriculoatrial Shunt function, is well tolerated, and is easy to perform.
Jean-yves Neveux - One of the best experts on this subject based on the ideXlab platform.
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Valved conduit bypass for extensively calcified tricuspid valve stenosis
The Annals of Thoracic Surgery, 1995Co-Authors: Patrice Dervanian, Loïc Macé, Sante Bucari, Thierry Folliguet, Jean-michel Grinda, Jean-yves NeveuxAbstract:A case of calcified tricuspid valve stenosis resulting from a complication of Ventriculoatrial Shunt implantation is presented. Tricuspid valve repair or replacement was not possible because of the prohibitive risk of damaging the right atrioventricular junction and conductive pathways. This rare lesion was treated successfully by insertion of an external right atrial-right ventricular valved conduit. The role of echocardiography in the detection of such a lesion is emphasized and the etiologic and therapeutic aspects are discussed.
Anil Kumar Peethambaran - One of the best experts on this subject based on the ideXlab platform.
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Rare sequelae following Ventriculoatrial Shunt: Case report and review of literature.
Asian journal of neurosurgery, 2016Co-Authors: Vinu V. Gopal, Anil Kumar PeethambaranAbstract:Ventriculoatrial Shunt (VA) is one of the oldest solutions for hydrocephalus. However over subsequent years various complication of VA Shunt such as obstructions, malposition, Shunt infections, cardiac complications such as endocarditis, traumatic perforation, heart failure, tricuspid regurgitation, intraatrial thrombus, and pulmonary hypertension are reported. Hence, VA Shunt procedure has fallen into disrepute. Still VA Shunt may be a good option in selected patients with hostile peritoneum. Newer placement strategies and monitoring methods have been put forward to reduce complication following VA Shunt. In this case report, we share a rare case of endocarditis with tricuspid regurgitation following a migrated retained calcified Shunt tube in the right ventricle of heart 30 years after of VA Shunt that was successfully managed.
