{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T01:14:51Z","timestamp":1785546891630,"version":"3.56.0"},"reference-count":15,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Childs Nerv Syst"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>Posthemorrhagic ventricular dilatation (PHVD) is a frequent complication of intraventricular hemorrhage (IVH) in preterm infants and is associated with increased neurodevelopmental morbidity. Following national Dutch guidelines, infants with PHVD are generally punctured for up to 28\u00a0days via a ventricular access device (VAD), before a ventriculoperitoneal shunt (VPS) is inserted. We aimed to investigate retrospectively whether performing VAD punctures for longer than 28\u00a0days decreased the final VPS insertion rate.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Retrospective single-center cohort study at the Erasmus MC-Sophia Children\u2019s hospital in Rotterdam, the Netherlands. Patients were included if they were born between 2010 and 2020 and treated for PHVD.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Out of 55 included patients, 23 were punctured in low frequency longer than 28\u00a0days via their VAD because of improved but persistent ventricular dilatation. Only 14 of them ultimately did require VPS insertion, resulting in a significant reduction of 15% in the final VPS insertion rate (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Puncturing infants with PHVD with a beneficial clinical course via a VAD for longer than 28\u00a0days decreases the ventriculoperitoneal shunt insertion rate. Further research on prolonging temporizing punctures and its impact is warranted.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00381-026-07408-4","type":"journal-article","created":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:52:47Z","timestamp":1785545567000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Prolonged puncturing decreases ventriculoperitoneal shunt insertion rate in neonates with posthemorrhagic ventricular dilatation"],"prefix":"10.1007","volume":"42","author":[{"given":"Dino","family":"Ga\u010devi\u0107","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gerbrich E.","family":"van den Bosch","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ronny","family":"Knol","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Liesbeth S.","family":"Smit","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1183-4775","authenticated-orcid":false,"given":"Jochem K. H.","family":"Spoor","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,8,1]]},"reference":[{"key":"7408_CR1","doi-asserted-by":"publisher","first-page":"637","DOI":"10.1016\/B978-0-323-42876-7.00024-7","volume-title":"Volpe's neurology of the newborn (sixth edition)","author":"TE Inder","year":"2018","unstructured":"Inder TE, Perlman JM, Volpe JJ et al (2018) Chapter 24 - Preterm intraventricular hemorrhage\/posthemorrhagic hydrocephalus. In: Volpe JJ, Inder TE, Darras BT, de Vries LS, du Plessis AJ (eds) Volpe\u2019s neurology of the newborn (sixth edition). Elsevier, pp 637-698.e21"},{"issue":"2","key":"7408_CR2","doi-asserted-by":"publisher","first-page":"212","DOI":"10.1111\/j.1651-2227.2002.tb01697.x","volume":"91","author":"LS de Vries","year":"2002","unstructured":"de Vries LS, Liem KD, van Dijk K, Smit BJ, Sie L et al (2002) Early versus late treatment of posthaemorrhagic ventricular dilatation: results of a retrospective study from five neonatal intensive care units in The Netherlands. Acta Paediatr 91(2):212\u2013217","journal-title":"Acta Paediatr"},{"key":"7408_CR3","doi-asserted-by":"crossref","unstructured":"Ahn SY, Shim S, Sung IK. Intraventricular hemorrhage and post hemorrhagic hydrocephalus among very-low-birth-weight infants in Korea. J Korean Med Sci 2015 -10;30 Suppl 1(Suppl 1):52.","DOI":"10.3346\/jkms.2015.30.S1.S52"},{"key":"7408_CR4","doi-asserted-by":"crossref","unstructured":"Christian EA, Jin DL, Attenello F, Wen T, Cen S, et al. Trends in hospitalization of preterm infants with intraventricular hemorrhage and hydrocephalus in the United States, 2000\u20132010. J Neurosurg Pediatr 2016 -03;17(3):260\u2013269.","DOI":"10.3171\/2015.7.PEDS15140"},{"key":"7408_CR5","doi-asserted-by":"crossref","unstructured":"Brouwer A, Groenendaal F, van Haastert I, Rademaker K, Hanlo P, et al. Neurodevelopmental outcome of preterm infants with severe intraventricular hemorrhage and therapy for post-hemorrhagic ventricular dilatation. J Pediatr 2008 -05;152(5):648\u2013654.","DOI":"10.1016\/j.jpeds.2007.10.005"},{"key":"7408_CR6","doi-asserted-by":"crossref","unstructured":"Rela A, Jary S, Williams C, Blair P, Hollingworth W, et al. Quality of life at a 10-year follow-up of children born preterm with post-hemorrhagic ventricular dilatation: a cohort study. Neonatology 2023 -12;120(6):690\u2013698.","DOI":"10.1159\/000533355"},{"issue":"4","key":"7408_CR7","doi-asserted-by":"publisher","first-page":"721","DOI":"10.3233\/NPM-221071","volume":"15","author":"J Afifi","year":"2022","unstructured":"Afifi J, Leijser LM, de Vries LS, Shah PS, Mitra S et al (2022) Variability in the diagnostic and management practices of post-hemorrhagic ventricular dilatation in very preterm infants across Canadian centers and comparison with European practices. J Neonatal Perinatal Med 15(4):721\u2013729","journal-title":"J Neonatal Perinatal Med"},{"key":"7408_CR8","doi-asserted-by":"crossref","unstructured":"Paff M, Alexandru-Abrams D, Muhonen M, Loudon W. Ventriculoperitoneal shunt complications: a review. 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