Distal Ventriculoatrial Shunt Revision in Adult Myelomeningocele Patient Performed via Endovascular Transvenous Approach
| Autor: | Victor M. Rodriguez, Brandon H. Tieu, Abigail J. Rao, Ahmed M. Raslan, Zoe E. Teton |
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| Rok vydání: | 2019 |
| Předmět: |
Male
Reoperation medicine.medical_specialty Meningomyelocele Ventriculoperitoneal Shunt 03 medical and health sciences 0302 clinical medicine Cerebrospinal fluid diversion Humans Medicine Transvenous approach Ventriculoatrial shunt business.industry Endovascular Procedures Middle Aged medicine.disease Prosthesis Failure Hydrocephalus Surgery Catheter Cardiothoracic surgery 030220 oncology & carcinogenesis Neurology (clinical) Neurosurgery business 030217 neurology & neurosurgery Shunt (electrical) |
| Zdroj: | World Neurosurgery. 121:24-27 |
| ISSN: | 1878-8750 |
| Popis: | Background Myelomeningocele patients with shunt-dependent hydrocephalus often require multiple shunt revisions, eventually exhausting first-line distal diversion sites. Ventriculoatrial (VA) shunts are used less commonly than ventriculoperitoneal shunts, but knowledge of their use and complications is important to the neurosurgeon's armamentarium. VA shunts differ from ventriculoperitoneal and ventriculopleural shunts in that the ideal distal catheter target is an anatomically small area in comparison with the peritoneal and pleural cavities. Case Description Here we present a case of an adult myelomeningocele patient who experienced migration of a distal VA shunt catheter. A minimally invasive revision technique that does not require recannulation of the vessels or open manipulation of the shunt is presented. Conclusions This is the fourth reported instance of successful distal revision of a migrated VA shunt catheter via transfemoral endovascular snaring. Knowledge of the opportunities afforded by this technique and collaboration with thoracic surgery colleagues is of benefit to all neurosurgeons. |
| Databáze: | OpenAIRE |
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