Radiological Insertion and Management of Peritoneovenous Shunt
| Autor: | Fuad Hussain, M. J. Bratby, A.J. Lopez |
|---|---|
| Rok vydání: | 2007 |
| Předmět: |
Adult
Male Peritoneovenous Shunt medicine.medical_specialty medicine.medical_treatment Breast Neoplasms Radiography Interventional Postoperative Complications Edema Ascites Humans Paracentesis Medicine Radiology Nuclear Medicine and imaging Aged Ovarian Neoplasms business.industry Graft Occlusion Vascular Angiography Digital Subtraction Ultrasonography Doppler Middle Aged medicine.disease Pulmonary edema Surgery Shunt (medical) Pancreatic Neoplasms Peritoneovenous shunt Pneumothorax Fluoroscopy Radiological weapon Equipment Failure Female Radiology medicine.symptom Cardiology and Cardiovascular Medicine business Peritoneal catheter |
| Zdroj: | CardioVascular and Interventional Radiology. 30:415-418 |
| ISSN: | 1432-086X 0174-1551 |
| DOI: | 10.1007/s00270-006-0213-6 |
| Popis: | The purpose of the study was to report our experience of the management of complications following the insertion of a peritoneovenous shunt for intractable malignant ascites. From June 1999 to January 2006, 26 patients underwent insertion of a peritoneovenous shunt for ascites by interventional radiologists. We have used ultrasound and shuntography to assist in the diagnosis of the cause of shunt blockage. Successful techniques for the restoration of the shunt function include port- pumping, stripping of any fibrin sheath, and revision of either the venous or peritoneal catheter. The procedure was initially successful in all patients with continued patency until death in 17. A further four patients are still alive with a functioning shunt. There was one rapid postprocedure death resulting from pulmonary edema. Two patients developed pneumothorax, managed successfully with either a chest drain or aspiration. Shunt dysfunction occurred eight times in seven patients. There were five successful revisions in four patients. Overall, shunt patency has been maintained in 80.1% of patients. Shunt dysfunction is seen in a significant number of patients, but successful revision of the shunt can be achieved in the majority. |
| Databáze: | OpenAIRE |
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