Background: Ventriculogallbladder (VGB) shunts are currently placed as a salvage procedure in treatment of hydrocephalus when all other options are exhausted. Although VGB shunts work well when successfully implanted, they are still rarely used because of the technical challenges with the traditional surgical technique.
Objective: To implant VGB shunts using a minimally invasive technique that is safer and less technically challenging.
Methods: We discussed our utilization of a percutaneous transhepatic approach to placement of the distal catheter into the gallbladder as a new technique that offers a solution to the established but surgically demanding current approach. We presented a complex patient with multiple failed shunts who underwent placement of a VGB shunt.
Results: The shunt was successfully placed and did not incur any complications or require any revisions in 5 yr.
Conclusion: Given the safety and ease of this minimally invasive approach, we believe percutaneous transhepatic approach in VGB shunts should be considered as a reasonable option in patients with complex hydrocephalus.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1227/ONS.0000000000000053 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Ventriculo-gallbladder shunt: case series and literature review.
Childs Nerv Syst
May 2024
Department of Neurosurgery, Neurosurgery Clinic, Birta, Birgunj, 44300, Nepal.
Background: The ventriculoperitoneal shunt (VPS) is the gold-standard surgical technique to treat hypertensive hydrocephalus; however, it may fail in 20 to 70% of cases. The present study shows an alternative for patients with contraindications to VPS.
Methods: A case series of nine patients.
Ventriculogallbladder Shunt: Percutaneous Transhepatic Placement of the Distal Catheter.
Oper Neurosurg (Hagerstown)
February 2022
Department of Neurological Surgery, University of Massachusetts Medical School, Worcester, Massachusetts, USA.
Background: Ventriculogallbladder (VGB) shunts are currently placed as a salvage procedure in treatment of hydrocephalus when all other options are exhausted. Although VGB shunts work well when successfully implanted, they are still rarely used because of the technical challenges with the traditional surgical technique.
Objective: To implant VGB shunts using a minimally invasive technique that is safer and less technically challenging.
Utility of ventriculogallbladder shunts in complex cases of hydrocephalus related to extreme prematurity.
J Neurosurg Pediatr
May 2021
Departments of1Pediatrics.
Objective: The management of hydrocephalus resulting from intraventricular hemorrhage related to extreme prematurity remains demanding. Given the complexities of controlling hydrocephalus in this population, less commonly used procedures may be required. The authors examined the utility of ventriculogallbladder (VGB) shunts in a series of such children.
View Article and Find Full Text PDFPhysiological Response of W3110 and BL21 to the Aerobic Expression of .
J Microbiol Biotechnol
October 2020
Departamento de Procesos y Tecnología, Universidad Autónoma Metropolitana-Cuajimalpa, Vasco de Quiroga 4871, Santa Fe, CP 05348, Mexico City, Mexico.
The aerobic growth and metabolic performance of strains BL21 and W3110 were studied when the hemoglobin (VHb) was constitutively expressed in the chromosome. When VHb was expressed, acetate production decreased in both strains and was nearly eliminated in BL21. Transcriptional levels of the glyoxylate shunt genes decreased in both strains when VHb was expressed.
View Article and Find Full Text PDFThe ventriculo-gallbladder shunt in the treatment of refractory hydrocephalus: a review of the current literature.
Am Surg
August 2009
University of Virginia, Charlottesville, Virginia, USA.
The ventriculo-gallbladder (VGB) shunt has been reported on several occasions for the alleviation of ventriculo-peritoneal (VP) -shunt-refractory hydrocephalus. There is little data regarding VGB shunts and a need for delineating appropriate surgical therapy when cerebrospinal fluid drainage to the peritoneum becomes infeasible. We report our experience with VGB shunt placement in three patients with chronic hydrocephalus.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!