Intramuscular Migration of Venous Catheter as a Rare Complication of Ventriculoatrial Shunt: Case Report and Literature Review

Hung, Chi F.; Chuang, Hao-Yu; Lin, Hung-Lin; Chu, Yen-Tse; Cheng, Cheng Hsin

doi:10.1055/s-0036-1597904

Cited by 8 publications

(2 citation statements)

References 18 publications

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“…Other surgical treatment options include third ventriculostomies and alternative shunt types [6] such as ventriculoatrial (VA), ventriculopleural, ventriculocisternal, and lumboperitoneal [7].…”

Section: Introductionmentioning

confidence: 99%

Neuronavigated and Laparoscopic-Assisted Ventriculoperitoneal Shunt Placement

Wilson¹,

Crozier²,

Helou³

2020

New Insight Into Cerebrovascular Diseases - An Updated Comprehensive Review

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Hydrocephalus is an abnormal accumulation of excess cerebrospinal fluid (CSF) in the brain causing increased intracranial pressure, which can arise from a variety of causes, including congenital, acquired, or idiopathic pathologies. Ventriculoperitoneal (VP) shunting is most commonly used to treat hydrocephalic patients, relieving the increased intracranial pressure by draining excess CSF from the ventricles to the peritoneal cavity. VP shunts are primarily completed using either an open or a more minimally invasive neuronavigated laparoscopic-assisted surgical technique. There is a high level of surgical complications, shunt failures and revision rates following VP shunting. It is suggested that different surgical techniques are associated with varying degrees of patient outcomes, surgical complications, and revision rates, with the less invasive laparoscopic-assisted approach producing improved results. We present our results on 14 consecutive hydrocephalic patients, analyzed retrospectively between 2017 and 2019, investigating the benefits offered by the neuronavigated laparoscopic-assisted insertion of VP shunts. Additionally, we explain our workflow and procedural technique. By investigating these differences, changes can be implemented in current routine procedures to ameliorate patient safety, surgical complications, and revision rates.

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Section: Introductionmentioning

confidence: 99%

Neuronavigated and Laparoscopic-Assisted Ventriculoperitoneal Shunt Placement

Wilson¹,

Crozier²,

Helou³

2020

New Insight Into Cerebrovascular Diseases - An Updated Comprehensive Review

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“…Lumbar puncture or ventricular tap is less sensitive (7-26% accurate) but is usually a reasonable preliminary step. Obtaining CSF via lumbar puncture prevents the theoretical risk of shunt contamination by tapping [9]. Routine CBC may demonstrate a leukocytosis.…”

Section: Introductionmentioning

confidence: 99%

Ventriculo-Peritoneal Shunt Complications at Emergency Teaching Hospital in Duhok City

Hussein

Rawi

Rasheed

2020

JAMMR

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Background: Ventriculoperitoneal (VP) shunt surgery is the predominant mode of therapy for patients with hydrocephalus. However, it has potential complications that may require multiple surgical procedures during a patient’s lifetime. The aim of the article was to review the experience in a 2-year teaching hospital and to evaluate the risk factors for PV shunt failure after initial shunt surgery and after subsequent reviews. Methods: The study was carried out at The Emergency Teaching Hospital in Duhok City in Iraq. All complications of VP shunted patients admitted to the hospital from January 2013 to January 2015, were included in the study. Forty six patients (out of 170 VP shunt operations), with all shunt related complications, qualified for this study. Identification of patients with complications of VP shunt is done by obtaining proper history, examination, and identification of ventricular enlargement with periventricular edema on imaging (brain computed tomography (CT) or magnetic resonance study (MRI); also, identification of any evidence of device migration by direct vision, chest and abdominal X-ray and evidence of infection on CSF analysis. Results: The incidence of the complications was (27.1%). There were 24 (52.2%) males and 22 (47.8%) females. Males were affected more than females with a ratio 1.1:1. Their age ranged from 2 months to 67 years, with mean age 8.6 years. The most common cause for the initial VP shunt implantation was congenital hydrocephalus and was noticed in 34 (73.9%) patients. Mean duration to develop VP shunt complication was 26.6 months. The most common presenting symptom in pediatric patients was decreased oral intake in 37 (80.4%) patients; however, in adult patients, it was headache, 4 (80%) patients. The most common complication was obstruction, 25 (54.3%) patients, followed by infection in 9 (19.6%) patients. The most common treatment option given to the patients who suffered from VP shunt complications was whole system change for a new one, in 15 (32.6%) patients. Conclusions: The findings of the study indicate that age of the patient at time of shunt placement, etiology of hydrocephalus, and previous treatments before shunt surgery were independently significantly associated with the shunt survival. Prospective controlled studies are required to address the observed associations between the risk factors and incidence of shunt revisions in these patients.

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Should not we be using aspirin in patients with a ventriculoatrial shunt? Borrowing a leaf from other specialities: a case for surrogate evidence

Udayakumaran

Kumar

2020

Childs Nerv Syst

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Intramuscular Migration of Venous Catheter as a Rare Complication of Ventriculoatrial Shunt: Case Report and Literature Review

Cited by 8 publications

References 18 publications

Neuronavigated and Laparoscopic-Assisted Ventriculoperitoneal Shunt Placement

Neuronavigated and Laparoscopic-Assisted Ventriculoperitoneal Shunt Placement

Ventriculo-Peritoneal Shunt Complications at Emergency Teaching Hospital in Duhok City

Should not we be using aspirin in patients with a ventriculoatrial shunt? Borrowing a leaf from other specialities: a case for surrogate evidence

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