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American Journal of Neuroradiology 21:721-726 (4 2000)
© 2000 American Society of Neuroradiology

ARTICLE

The Adult Radiographic Shuntogram

Walter S. Bartynski,a, Saravanan Valliappana, James H. Uselmana and Michael P. Spearmana

a From the Department of Radiology (W.S.B., S.V., M.P.S.) and the Division of Neurosurgery (J.H.U.), The Western Pennsylvania Hospital, Pittsburgh, PA.

Summary: We describe the adult radiographic shuntogram, a simple method to evaluate the function and patency of a ventriculoperitoneal or ventriculoatrial shunt. The procedure involves placing contrast material into the valve of a shunt system and following the flow for appropriate clearing of contrast agent from the shunt tubing. Twenty-three studies were obtained in 15 patients in whom shunt malfunction was suspected. The method can be used to establish valve malfunction, ventricular or distal catheter obstruction, and peritoneal encystment.






Copyright © 2009 by the American Society of Neuroradiology. Print ISSN: 0195-6108 Online ISSN: 1936-959X