Minimally Invasive Ventriculo-Cholecystic Shunt Placement Utilizing Combined Ultrasound and Fluoroscopic Guidance.
| Autor: | Mrowczynski OD; Neurosurgery, Penn State Health Milton S. Hershey Medical Center, Hershey, USA., Majid SS; Neurosurgery, Penn State Health Milton S. Hershey Medical Center, Hershey, USA., Lynch FC; Interventional Radiology, Penn State Health Milton S. Hershey Medical Center, Hershey, USA., Simon SD; Neurological Surgery, Penn State Health Milton S. Hershey Medical Center, Hershey, USA. |
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| Jazyk: | angličtina |
| Zdroj: | Cureus [Cureus] 2022 Nov 23; Vol. 14 (11), pp. e31830. Date of Electronic Publication: 2022 Nov 23 (Print Publication: 2022). |
| DOI: | 10.7759/cureus.31830 |
| Abstrakt: | For the management of hydrocephalus with ventricular cerebrospinal fluid (CSF) shunting, multiple therapeutic options are available. Among these routes, the most commonly used are ventriculo-peritoneal, ventriculo-atrial, and ventriculo-pleural, while ventriculo-cholecystic is a less common option. Although ventriculo-peritoneal is accepted as the first option, ventriculo-cholecystic shunting may be performed in patients who are poor candidates for other routes of shunt placement. Open cholecystic shunt placement may be contraindicated in patients who have undergone previous surgeries or other comorbidities. Here, we present the case of a 25-year-old female with a complex medical history who presented with a posterior fossa intraparenchymal hemorrhage and subsequent hydrocephalus. She was unable to undergo a ventriculo-peritoneal, atrial, or pleural shunt placement, and thus, a cholecystic shunt placement was chosen. Due to a history of previous surgeries and comorbidities as well as a large volume of idiopathic and recurrent ascites, open placement was contraindicated in this patient. To the best of our knowledge, we present the first successful adult case of a minimally invasive ventriculo-cholecystic shunt placement under ultrasound and fluoroscopic guidance. Competing Interests: The authors have declared that no competing interests exist. (Copyright © 2022, Mrowczynski et al.) |
| Databáze: | MEDLINE |
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