Ultrasound-guided ventriculoatrial shunt in treatment of hydrocephalus: An observation of outcome / 第二军医大学学报

ABSTRACT

Objective To investigate the clinical efficacy of ultrasound-guided ventriculoatrial shunt in the treatment of hydrocephalus. Methods The clinical data of 13 hydrocephalus patients were analyzed retrospectively; all of them underwent ultrasound-guided ventriculoatrial shunt. Salmon score was used to assess the clinical outcome after operation. The patients were followed up after operation by means of outpatient service and telephone. The diagnosis and treatment of complications of patients were recorded and the reasons were analyzed. Results The successful rate of first puncturing attempt was 100%, with the mean operative time being (1.5±0.31) h. The size of cerebral ventricles decreased to different degrees and the symptoms were greatly improved in 12 of the 13 patients. According to the efficacy standard of shunt therapy of Salmon, it was effective in 12 cases one month after operation, with an effective rate of 92.3%. Six months follow-up found no complications such as endocarditis, arrhythmia or thrombosis in the patients. Conclusion Ultrasound-guided ventriculoatrial shunt combined with ultrasound-guided central venous catheter placement has the advantage of mini-invasion, shorter operating time, and accurate location, making it worth popularizing in clinic.