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1 From the Department of Radiology, Indiana University Medical Center, Indianapolis, Indiana
Ventriculo-atrial shunts are currently being widely used in the treatment of hypertensive hydrocephalus. This report describes the role of roentgenology in the placement of these shunts as well as in the follow-up of individuals after cerebral decompression. Several case illustrations are presented along with a review of the pertinent literature.
Sequelae and complications of cerebral ventricular decompression include overlap of cranial bones, premature closure of cranial sutures, thickening of the calvaria, subdural hematomata and acute pulmonary edema.
Complications following insertion of a catheter in the right atrium include thrombosis, pulmonary embolism, pulmonary hypertension and cor pulmonale, cardiac perforation, and bacterial colonization.
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