Minimally invasive ventriculo-atrial shunt for hydrocephalus.
OBJECTIVE
To study the therapeutic effect of mini-traumatic ventriculo-atrial shunt on hydrocephalus.


METHODS
Seventeen patients were treated with right internal jugular venepuncture intubation to finish minimally invasive ventriculo-atrial shunt for hydrocephalus. The patients were evaluated by CT/MRI. The catheters were deployed at the proper position in the right atrium under X-ray fluoroscopy.


RESULTS
The hydrocephalus in all the 17 patients eliminated with this surgical procedure with a 100% success rate technically. The operational duration ranged from 0.75 to 1.5 h (average: 1 h). Mistaken puncture into the internal carotid artery as a complication occurred on 1 case.


CONCLUSIONS
The mini-traumatic ventriculo-atrial shunt, as a novel minimal invasion technique, has the advantages of small trauma, no influence on local blood circulation, short time and simplicity at operation, rapid healing, and good short-term effect. Moreover, it is suitable for those patients with organic dysfunction.
Li
Jiang-shan
JS
Department of Neurosurgery, Huangjiang Hospital, Dongguan 523750, Guandong, China. lis-home2003@yahoo.com.cn
Jiang
Yong-hao
YH
Cheng
Cheng
C
Zhang
Shi-kai
SK
D000293:Adolescent; D000328:Adult; D002557:Cerebrospinal Fluid Shunts / Q000295:instrumentation*; D005260:Female; D006325:Heart Atria; D006801:Humans; D006849:Hydrocephalus / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures; D016896:Treatment Outcome