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Ammar shunt: an option to overcome shunt complications in premature and term neonates

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Abstract

It has been hypothesized, and generally accepted, that the final outcome of the treatment of hydrocephalus is to a great extent related to the earliness of intervention and treatment. However, there is special concern regarding the higher risk of infection and shunt malfunctions in neonates as compared with older infants. Therefore, two new shunt systems have been designed specifically to tip the balance in favor of early shunting. The first shunt is made for premature neonates and the second for neonates in general. The general characteristics of these two shunts are: (1) the entire shunt is a low-pressure valve, with double distal slit valves; (2) the shunts are made of soft silicon material; (3) they are of very small configuration, without any compressing elements which may lead to skin necrosis over the shunt; (4) no metal has been used in them, so they are MRI compatible.

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References

  1. Ammar A, Ibrahim A, Nasser M, Rashid M (1991) CSF hydrocele — an unusual complication of V-P shunt. Neurosurg Rev 14:141–143

    Google Scholar 

  2. Benzel E, Reeves J, Kesterson L, Hadden T (1992) Slit ventricle syndrome in children: clinical presentation and treatment. Acta Neurochir (Wien) 117:7–14

    Google Scholar 

  3. Choux M, Genitori L, Lang Dorothy, Gabriel L (1992) Shunt implantation: reducing the incidence of shunt infection. J Neurosurg 77:875–880

    Google Scholar 

  4. Glick P, Harrison M, Halks-Miller M, Adzick S, Nakayama D, Anderson J, Nyland T, Villa R, Edwards M (1984) Correction of congenital hydrocephalus in utero. II. Efficacy of in utero shunting. J Pediatr Surg 19: 870–880

    Google Scholar 

  5. Hanigan W, Gibson J, Kleopoulos N, Cusack T, Zwicky G, Wright R (1986) Medical imaging of fetal ventriculomegaly. J Neurosurg 64:575–580

    Google Scholar 

  6. Hirsch J (1992) Surgery of hydrocephalus: past, present and future. Acta Neurochir (Wien) 116:155–160

    Google Scholar 

  7. Hlavin M, Mapstone T, Gauderer M (1990) Small bowel obstruction secondary to incomplete removal of a ventriculoperitoneal shunt: case report. Neurosurgery 26:526–528

    Google Scholar 

  8. Hornig G, Shillito J (1990) Intestinal perforation by shunt tubing: report of two cases. Surg Neurol 33:288–290

    Google Scholar 

  9. Lourie H, Bajwa S (1985) Transdiaphragmatic migration of a ventriculoperitoneal catheter. Neurosurgery 17:324–326

    Google Scholar 

  10. Marlin AE, Gaskill SJ (1990) The etiology and management of hydrocephalus in the preterm infant. In: Scott RM (ed) Concepts in neurosurgery: hydrocephalus. Williams & Wilkins, Baltimore, pp 67–78

    Google Scholar 

  11. McComb JG (1990) Techniques for CSF diversion. In: Scott RM (ed) Concepts in neurosurgery: hydrocephalus. Williams & Wilkins, Baltimore, pp 47–65

    Google Scholar 

  12. Metzemaekers J, Beks J, Popta J van (1987) Cerebrospinal fluid shunting for hydrocephalus: a retrospective analysis. Acta Neurochir (Wien) 88:75–78

    Google Scholar 

  13. Milhorat TH (1984) Hydrocephalus: historical notes, etiology and clinical diagnosis. In: McLaurin RL (ed) Pediatric neurosurgery. Grune & Stratton, New York, pp 197–210

    Google Scholar 

  14. Renier D, Lacombe J, Pierre-Kahn A, Sainte-Rose C, Hirsch J (1984) Factors causing acute shunt infection. Computer analysis of 1174 operations. J Neurosurg 61:1072–1078

    Google Scholar 

  15. Rosseau G, McCullough D, Joseph A (1992) Current prognosis in fetal ventriculomegaly. J Neurosurg 77:551–555

    Google Scholar 

  16. Shapiro S, Boaz J, Kleiman M, Kalsbeck J, Mealey J (1988) Origin of organisms infecting ventricular shunts. Neurosurgery 22:868–872

    Google Scholar 

  17. Sparrow O (1989) Laboratory performance of single-piece ventriculoperitoneal shunts with distal slit-valve control. J Neurosurg 70:946–953

    Google Scholar 

  18. Young HA, Robb PG, Hardy DG (1983) Complete migration of ventricular peritoneal shunt into the ventricle. Report of two cases. Neurosurgery 12:469–471

    Google Scholar 

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Ammar, A. Ammar shunt: an option to overcome shunt complications in premature and term neonates. Child's Nerv Syst 11, 421–423 (1995). https://doi.org/10.1007/BF00717410

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