{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,7]],"date-time":"2026-07-07T04:08:39Z","timestamp":1783397319276,"version":"3.54.6"},"reference-count":25,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["PED"],"published-print":{"date-parts":[[2013,11]]},"abstract":"<jats:sec>\n<jats:title>Object<\/jats:title>\n<jats:p>Cerebrospinal fluid diversion to the pleural space has employed various methods to insert the distal catheter into the pleural space. The authors report on a minimally invasive method of pleural catheter insertion that they have developed and have used safely in a small series of patients.<\/jats:p><\/jats:sec>\n<jats:sec>\n<jats:title>Methods<\/jats:title>\n<jats:p>Pleural shunt catheters were inserted using a split trochar into the pleural space (technique described in further detail in the article). All cases over the previous 10 years in which this technique was employed were reviewed from the existing electronic medical records. Patient age at insertion, sex, reason for hydrocephalus, early and late complications, valve type, and follow-up were recorded.<\/jats:p><\/jats:sec>\n<jats:sec>\n<jats:title>Results<\/jats:title>\n<jats:p>Fourteen shunt procedures performed in 10 patients were identified. Two small pneumothoraces were detected on routine postoperative imaging and required no intervention. There were 3 late mechanical complications, including migration of a catheter out of the pleural space, catheter fracture at the insertion point, and the need for a longer catheter due to the patient's growth.<\/jats:p><\/jats:sec>\n<jats:sec>\n<jats:title>Conclusions<\/jats:title>\n<jats:p>The authors describe a safe, minimally invasive method for insertion of pleural shunt catheters along with a series of patients who have undergone placement of a pleural shunt catheter using this method without complication directly attributable to the use of this technique.<\/jats:p><\/jats:sec>","DOI":"10.3171\/2013.8.peds12517","type":"journal-article","created":{"date-parts":[[2013,9,6]],"date-time":"2013-09-06T13:54:34Z","timestamp":1378475674000},"page":"501-504","source":"Crossref","is-referenced-by-count":19,"title":["Minimally invasive technique for insertion of ventriculopleural shunt catheters"],"prefix":"10.3171","volume":"12","author":[{"given":"Marlin Dustin","family":"Richardson","sequence":"first","affiliation":[{"name":"University of Colorado Department of Neurosurgery; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael H.","family":"Handler","sequence":"additional","affiliation":[{"name":"University of Colorado Department of Neurosurgery; and"},{"name":"Children's Hospital Colorado, Aurora, Colorado"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"key":"b1-peds12517","series-title":"Catheter Cardiovasc Interv","doi-asserted-by":"publisher","first-page":"722","DOI":"10.1002\/ccd.22745","article-title":"Valvuloplasty for tricuspid stenosis caused by a ventriculoatrial shunt","volume":"77","author":"Akram","year":"2011"},{"key":"b2-peds12517","series-title":"JAMA","doi-asserted-by":"publisher","first-page":"668","DOI":"10.1001\/jama.1967.03120090110029","article-title":"Thromboembolism and cor pulmonale complicating ventriculovenous shunt","volume":"199","author":"Favara","year":"1967"},{"issue":"4","key":"b3-peds12517","series-title":"Neurosurg Focus","first-page":"E12","article-title":"A rare, delayed complication of a ventriculogallbladder shunt. Case report and review of the literature","volume":"22","author":"Fountas","year":"2007"},{"key":"b4-peds12517","series-title":"J Neurosurg Pediatr","doi-asserted-by":"publisher","first-page":"282","DOI":"10.3171\/PED.2008.2.10.282","article-title":"Laparoscopic placement of distal ventriculoperitoneal shunt catheters. Clinical article","volume":"2","author":"Handler","year":"2008"},{"key":"b5-peds12517","series-title":"J Clin Anesth","doi-asserted-by":"publisher","first-page":"352","DOI":"10.1016\/j.jclinane.2008.08.026","article-title":"Acute-recurrent subcutaneous emphysema after ventriculopleural shunt placement","volume":"21","author":"Haret","year":"2009"},{"key":"b6-peds12517","series-title":"Arch Rlin","first-page":"501","article-title":"Zur chirugishen behandlung der hydrocephalus internus durch ableitung der cerebrospinalfussigkeit nach der bauchhohle und nach der pleurokuppe","volume":"105","author":"Heile","year":"1914"},{"key":"b7-peds12517","series-title":"J Thorac Cardiovasc Surg","doi-asserted-by":"publisher","first-page":"138","DOI":"10.1016\/S0022-5223(19)32904-6","article-title":"Free intracardiac foreign body: a complication of ventriculo-venous shunt for hydrocephalus","volume":"45","author":"Holder","year":"1963"},{"key":"b8-peds12517","series-title":"Neurosurgery","doi-asserted-by":"publisher","first-page":"753","DOI":"10.1227\/00006123-198812000-00012","article-title":"Ventriculopleural shunts for hydrocephalus: a useful alternative","volume":"23","author":"Jones","year":"1988"},{"key":"b9-peds12517","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"1279","DOI":"10.3171\/2010.6.JNS091541","article-title":"Pulmonary hypertension after ventriculoatrial shunt implantation. Clinical article","volume":"113","author":"Kluge","year":"2010"},{"key":"b10-peds12517","series-title":"Childs Nerv Syst","doi-asserted-by":"publisher","first-page":"52","DOI":"10.1007\/s00381-004-0995-2","article-title":"CSF shunts in children: endoscopically-assisted placement of the distal catheter","volume":"21","author":"Kurschel","year":"2005"},{"key":"b11-peds12517","series-title":"Surg Endosc","doi-asserted-by":"publisher","first-page":"1850","DOI":"10.1007\/s00464-003-4225-x","article-title":"Ventriculopleural shunt: thoracoscopic placement of the distal catheter","volume":"17","author":"Kurschel","year":"2003"},{"key":"b12-peds12517","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"992","DOI":"10.3171\/jns.2002.97.4.0992","article-title":"Ventriculoperitoneal shunt failure as a secondary complication of ovarian hyperstimulation syndrome. Case report","volume":"97","author":"Lee","year":"2002"},{"key":"b13-peds12517","series-title":"Childs Nerv Syst","doi-asserted-by":"publisher","first-page":"867","DOI":"10.1007\/PL00007282","article-title":"Ventriculopleural shunting with new technology valves","volume":"16","author":"Mart\u00ednez-Lage","year":"2000"},{"key":"b14-peds12517","series-title":"Br J Neurosurg","doi-asserted-by":"publisher","first-page":"503","DOI":"10.3109\/02688698809029605","article-title":"Ventriculo-pleural shunting for adult hydrocephalus","volume":"2","author":"Megison","year":"1988"},{"key":"b15-peds12517","series-title":"Hydrocephalus and The Cerebrospinal Fluid","first-page":"208","author":"Milhorat","year":"1972"},{"key":"b16-peds12517","series-title":"Surg Neurol","doi-asserted-by":"publisher","first-page":"227","DOI":"10.1016\/0090-3019(94)90267-4","article-title":"Cerebrospinal fluid galactorrhea after ventriculopleural shunting: case report","volume":"42","author":"Mor\u00f3n","year":"1994"},{"key":"b17-peds12517","series-title":"Med Arh","doi-asserted-by":"publisher","first-page":"363","DOI":"10.5455\/medarh.2011.65.363-364","article-title":"Calcified right atrial and pulmonary artery mass after ventriculoatrial shunt insertion","volume":"65","author":"Mujanovic","year":"2011"},{"key":"b18-peds12517","series-title":"Arch Gynecol Obstet","doi-asserted-by":"publisher","first-page":"339","DOI":"10.1007\/s00404-010-1379-3","article-title":"Management of maternal hydrocephalus requires replacement of ventriculoperitoneal shunt with ventriculoatrial shunt: a case report","volume":"282","author":"Murakami","year":"2010"},{"key":"b19-peds12517","series-title":"Eur Heart J","doi-asserted-by":"publisher","first-page":"2134","DOI":"10.1093\/eurheartj\/ehr164","article-title":"Right heart complications of ventriculoatrial shunt","volume":"32","author":"Natarajan","year":"2011"},{"issue":"5 Suppl","key":"b20-peds12517","series-title":"J Neurosurg","first-page":"410","article-title":"An unusual complication of a ventriculopleural shunt. Case illustration","volume":"106","author":"Pearson","year":"2007"},{"key":"b21-peds12517","series-title":"Pediatr Neurosurg","doi-asserted-by":"publisher","first-page":"66","DOI":"10.1159\/000120817","article-title":"How effective are ventriculopleural shunts?","volume":"21","author":"Piatt","year":"1994"},{"key":"b22-peds12517","series-title":"Pediatr Radiol","doi-asserted-by":"publisher","first-page":"274","DOI":"10.1007\/s002470050739","article-title":"Beware of the ventriculogallbladder shunt","volume":"30","author":"Rajaraman","year":"2000"},{"key":"b23-peds12517","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"295","DOI":"10.3171\/jns.1954.11.3.0295","article-title":"Ventriculo-pleural anastomosis in treatment of midline obstructional neoplasms","volume":"11","author":"Ransohoff","year":"1954"},{"key":"b24-peds12517","series-title":"Childs Brain","first-page":"45","article-title":"Ventriculopleural shunting in the management of hydrocephalus","volume":"5","author":"Venes","year":"1979"},{"key":"b25-peds12517","series-title":"J Trauma","doi-asserted-by":"publisher","first-page":"941","DOI":"10.1097\/00005373-199905000-00028","article-title":"Use of endoscopic trocar-cannula for chest drain insertion in trauma patients and others","volume":"46","author":"Waksman","year":"1999"}],"container-title":["Journal of Neurosurgery: Pediatrics"],"original-title":[],"link":[{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg-pediatr\/12\/5\/article-p501.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg-pediatr\/12\/5\/article-p501.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg-pediatr\/12\/5\/article-p501.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,4,15]],"date-time":"2023-04-15T12:48:15Z","timestamp":1681562895000},"score":1,"resource":{"primary":{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg-pediatr\/12\/5\/article-p501.xml"}},"subtitle":["Technical note"],"short-title":[],"issued":{"date-parts":[[2013,11]]},"references-count":25,"journal-issue":{"issue":"5"},"URL":"https:\/\/doi.org\/10.3171\/2013.8.peds12517","relation":{},"ISSN":["1933-0707","1933-0715"],"issn-type":[{"value":"1933-0707","type":"print"},{"value":"1933-0715","type":"electronic"}],"subject":[],"published":{"date-parts":[[2013,11]]}}}