Abdominal Complications of Peritoneal Shunts

  • Matthieu Vinchon
  • Patrick Dhellemmes


The prognosis of hydrocephalus changed dramatically when shunts were introduced during the second half of the last century. Following the experience with atrial shunts, the peritoneum has become the most popular site for distal catheter implantation. Comparing these two main sites, some authors noticed that, although peritoneal shunts did not have fewer complications than atrial shunts, these complications were less severe and carried a decidedly lower mortality [37]. The risk of sudden death due to pulmonary embolism, in particular, makes the atrial catheter a less attractive option than the peritoneal catheter [6]. Also, the length of the catheter is limited in atrial shunts, whereas it is not in peritoneal shunts; in children, the number of elective revisions required to lengthen atrial catheters is forbidding [60].


Bowel Perforation Shunt Patient Shunt Infection Shunt Revision Shunt Malfunction 


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Copyright information

© Springer-Verlag Italia 2005

Authors and Affiliations

  • Matthieu Vinchon
    • 1
  • Patrick Dhellemmes
    • 1
  1. 1.Department of Pediatric NeurosurgeryLille University Hospital, CHRU de LilleLilleFrance

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