Ventriculopleural shunting is an alternative option for the diversion of CSF and relief of hydrocephalus. In this technique, the distal catheter is placed in the pleural space. It is an alternative to a ventriculoperitoneal shunt (often considered a next most used alternative).
- symptomatic pleural effusion
- erosion of a ventriculopleural shunt into the chest wall resulting in subcutaneous edema and shunt malfunction 1
History and etymology
It was initially reported by Heile in 1914 but thought have been introduced in a practical setting by Ransdorf in 1954 4.
- 1. Wallace AN, McConathy J, Menias CO et-al. Imaging evaluation of CSF shunts. AJR Am J Roentgenol. 2014;202 (1): 38-53. doi:10.2214/AJR.12.10270 - Pubmed citation
- 2. Küpeli E, Yilmaz C, Akçay S. Pleural effusion following ventriculopleural shunt: Case reports and review of the literature. Ann Thorac Med. 2010;5 (3): 166-70. doi:10.4103/1817-1737.65048 - Free text at pubmed - Pubmed citation
- 3. Megison DP, Benzel EC. Ventriculo-pleural shunting for adult hydrocephalus. Br J Neurosurg. 1989;2 (4): 503-5. Pubmed citation
- 4. Hoffman HJ, Hendrick EB, Humphreys RP. Experience with ventriculo-pleural shunts. Childs Brain. 1984;10 (6): 404-13. Pubmed citation