Prolonged puncturing decreases ventriculoperitoneal shunt insertion rate in neonates with posthemorrhagic…

Cohort studyChild's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery· Aug 2026

Prolonged puncturing decreases ventriculoperitoneal shunt insertion rate in neonates with posthemorrhagic ventricular dilatation.

Dino Gačević, Gerbrich E van den Bosch, Ronny Knol … Jochem K H Spoor

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Pediatric NeurosurgeryCohort studyTreatmentQ2IF 1.3

Puncturing beyond 28 days associated with fewer ventriculoperitoneal shunt insertions in posthemorrhagic ventricular dilatation

Prolonged puncturing decreases ventriculoperitoneal shunt insertion rate in neonates with posthemorrhagic ventricular dilatation.

Dino Gačević … Jochem K H Spoor

Child's nervous system · Aug 2026 · Q2 in Pediatrics

Background

Posthemorrhagic ventricular dilatation (posthemorrhagic ventricular dilatation) is a frequent complication of intraventricular hemorrhage (intraventricular hemorrhage) in preterm infants and is associated with increased neurodevelopmental morbidity.

Purpose

We aimed to investigate retrospectively whether performing ventricular access device punctures for longer than 28 days decreased the final ventriculoperitoneal shunt insertion rate.

Methods

Were included if they were born between 2010 and 2020 and treated for posthemorrhagic ventricular dilatation.

n = 55 included patients

15%

Results

15%

Punctures continued past 28 days linked to a lower rate of shunt surgery.

n = 55 included patients

More results

Out of 55 included patients, 23 were punctured in low frequency longer than 28 days via their ventricular access device because of improved but persistent ventricular dilatation.

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Conclusion · 1 of 2

Puncturing infants with posthemorrhagic ventricular dilatation with a beneficial clinical course via a ventricular access device for longer than 28 days decreases the ventriculoperitoneal shunt insertion rate.

Conclusion · 2 of 2

Further research on prolonging temporizing punctures and its impact is warranted.

Prolonged puncturing decreases ventriculoperitoneal shunt insertion rate in neonates with posthemorrhagic ventricular dilatation.

Prolonged puncturing decreases ventriculoperitoneal shunt insertion rate in neonates with posthemorrhagic ventricular dilatation.

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