VA shunt in Bir Hospital: Our Experience of 20 Years

Vaidya, Bivek; Jha, Rajiv; Khadka, Nilam; Adhikari, Dhruva; Sharma, Gopal R.; Bista, Prakash; Kumar, Pawan
January 2014
Nepal Journal of Neuroscience;2014, Vol. 11 Issue 1, p22
Academic Journal
We are sharing our experience of ventriculoatrial shunt over 20 years. Ventriculoperitoneal shunt is a neurosurgical challenge and a neurosurgical emergency. We review outcome of 9 patients who had VP shunt converted to VA shunt after previous multiple VP shunt failures. We conducted a retrospective study of 9 patients with multiple VP shunt failures converted to VA shunt at Bir Hospital. In this study indications of VA shunt, outcome and complication were studied. Clinically all the patients presented to us with features of raised ICP and underwent VP shunt. After multiple VP shunt failures because of shunt infection/failure, VA shunt was done. The diagnosis of VP shunt failure/infection was confirmed by clinical presentation and CT findings. This study is a small sized study. The result of VA shunt was good as shown by clinical improvement and reduction of ventricular size and functioning shunt in regular follow up. No serious complications occurred at immediate post operative and during the follow up. When VP shunt fails with various reasons like shunt block, infection, recurrent peritonitis, pseudocyst etc VA shunt is the another choice.


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