{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T23:11:34Z","timestamp":1777936294484,"version":"3.51.4"},"reference-count":17,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2025,2,12]],"date-time":"2025-02-12T00:00:00Z","timestamp":1739318400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,2,12]],"date-time":"2025-02-12T00:00:00Z","timestamp":1739318400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Vasc Access"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background and aims:<\/jats:title>\n                    <jats:p>Ventriculoatrial (VA) shunts are frequently used for hydrocephalus (HS) management when peritoneal catheter placement is inappropriate. Historically, open surgical cut-down (OSC) on the internal jugular vein has been the standard method for distal catheter insertion. In contrast, percutaneous Seldinger-type ultrasound-guided (USG) venipuncture offers advantages such as reduced operating times and lower postoperative pain. However, its use in pediatric patients is limited.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>This study reviewed patients diagnosed with HS who underwent VA shunt procedures (OSC vs USG) at Bambino Ges\u00f9 Children\u2019s Hospital from January 1, 2014, to February 29, 2024. The analysis focused on surgical times for VA shunt placements and associated neurosurgical operations, as well as catheter replacement rates.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Thirteen patients (6 males, 7 females; median age 12\u2009years, range 0.5\u201314.2) were enrolled, with a total of 23 procedures performed. The mean surgical time for distal VA placement using the USG technique was significantly shorter than for the OSC method (13.36\u2009min vs 30.22\u2009min,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.00001). Conversely, neurosurgical operations performed using OSC had a 15-min reduction in average operative time compared to USG, though this difference was not statistically significant. Catheter replacement was required in 35.7% of the USG group compared to 55.5% in the OSC group (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u2009ns).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>USG VA shunt placement demonstrates reduced operating times and lower perioperative complication rates compared to OSC. Our findings indicate that percutaneous VA shunts are technically simpler and do not necessitate specialized pediatric vascular surgery skills, enhancing their applicability in pediatric hydrocephalus management.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/11297298251317568","type":"journal-article","created":{"date-parts":[[2025,2,12]],"date-time":"2025-02-12T04:04:36Z","timestamp":1739333076000},"page":"114-119","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Evaluation of ultrasound-guided distal catheter placement in pediatric ventriculoatrial shunts for patients with hydrocephalus: Effectiveness and consequences"],"prefix":"10.1177","volume":"27","author":[{"given":"Giovanni","family":"Rollo","sequence":"first","affiliation":[{"name":"Surgical Oncology Unit, Bambino Ges\u00f9 Pediatric Hospital IRCCS, Rome, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Francesca Maria","family":"Silvestri","sequence":"additional","affiliation":[{"name":"Surgical Oncology Unit, Bambino Ges\u00f9 Pediatric Hospital IRCCS, Rome, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Giorgio","family":"Persano","sequence":"additional","affiliation":[{"name":"Surgical Oncology Unit, Bambino Ges\u00f9 Pediatric Hospital IRCCS, Rome, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Angela","family":"Mastronuzzi","sequence":"additional","affiliation":[{"name":"Pediatric Haematology and Oncology, and Cell and Gene Therapy Unit, Bambino Ges\u00f9 Children\u2019s Hospital, IRCCS, Rome, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrea","family":"Carai","sequence":"additional","affiliation":[{"name":"Neurosurgery Unit, Bambino Ges\u00f9 Children\u2019s Hospital, IRCCS, Rome, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carlo Efisio","family":"Marras","sequence":"additional","affiliation":[{"name":"Neurosurgery Unit, Bambino Ges\u00f9 Children\u2019s Hospital, IRCCS, Rome, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Antonella","family":"Cacchione","sequence":"additional","affiliation":[{"name":"Pediatric Haematology and Oncology, and Cell and Gene Therapy Unit, Bambino Ges\u00f9 Children\u2019s Hospital, IRCCS, Rome, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Silvia","family":"Madafferi","sequence":"additional","affiliation":[{"name":"Surgical Oncology Unit, Bambino Ges\u00f9 Pediatric Hospital IRCCS, Rome, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0037-4534","authenticated-orcid":false,"given":"Cristina","family":"Martucci","sequence":"additional","affiliation":[{"name":"Surgical Oncology Unit, Bambino Ges\u00f9 Pediatric Hospital IRCCS, Rome, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Simone","family":"Reali","sequence":"additional","affiliation":[{"name":"Anesthesia and Critical Care Unit, Bambino Ges\u00f9 Children\u2019s Hospital, IRCCS, Rome, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chiara","family":"Grimaldi","sequence":"additional","affiliation":[{"name":"Surgical Oncology Unit, Bambino Ges\u00f9 Pediatric Hospital IRCCS, Rome, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gian Luigi","family":"Natali","sequence":"additional","affiliation":[{"name":"Diagnostic and Interventional Radiology Unit, Bambino Ges\u00f9 Children\u2019s Hospital, IRCCS, Rome, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniella Araiza","family":"Kelly","sequence":"additional","affiliation":[{"name":"Surgical Oncology Unit, Bambino Ges\u00f9 Pediatric Hospital IRCCS, Rome, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2157-4233","authenticated-orcid":false,"given":"Alessandro","family":"Crocoli","sequence":"additional","affiliation":[{"name":"Surgical Oncology Unit, Bambino Ges\u00f9 Pediatric Hospital IRCCS, Rome, 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Current trends in the treatment of pediatric hydrocephalus: a narrative review centered on the indications, safety, efficacy, and long-term outcomes of available treatment modalities. 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