Ventriculomammary shunt: An unusual ventriculoperitoneal shunt complication

Chaudhry, Nauman S.; Johnson, Jeremiah N.; Morcos, Jacques J.

doi:10.1016/j.jocn.2014.05.026

Cited by 7 publications

(9 citation statements)

References 25 publications

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“…Literature review returned 34 articles, one of which described two separate patients, bringing cases to a total of 35 breast-related VPS complications (Table 1). 4–37 Seventeen included migration and coiling of the distal catheter inside the breast. Of these 17 patients, 13 had breast implants at the time of migration.…”

Section: Resultsmentioning

confidence: 99%

“…To avoid this, we recommend tunneling the catheter medial to the breast along the sternum with plastic surgery colleagues observing intraoperatively, if possible 15,21 . It is important to note that in many of the cases reviewed in this article, the neurosurgeon was not aware that the patient had breast implants, which may have impacted their ability to plan appropriate VPS placement 4 . Preemptively tunneling medial to the breast could reduce the risk of breast-related VPS complications, especially in these emergent cases where patients are unable to communicate their history of breast augmentation.…”

Section: Discussionmentioning

confidence: 99%

“…After the distal shunt catheter is removed, the new catheter should be tunneled medial to the breast, as discussed above 15,21 . Further breast drainage, if needed, can be performed percutaneously under US guidance 4,10,17 . Alternatively, the plastic surgery team may elect to perform a breast pocket washout with implant salvage, removal, or exchange at the time of shunt revision 11,15 .…”

Section: Discussionmentioning

confidence: 99%

“…The most recent national plastic surgery statistics report that over 299,000 were performed in 2019—a 41% increase from 2000 1 . As its popularity rises, surgeons across many other disciplines have encountered breast implants during procedures such as thoracotomy, 2 implantable cardioverter-defibrillator placement, 3 and ventriculoperitoneal shunt (VPS) placement 4 . The VPS, a widely used neurosurgical device, is fraught with complications, such as obstruction, infection, and migration 5 .…”

mentioning

confidence: 99%

“…1 As its popularity rises, surgeons across many other disciplines have encountered breast implants during procedures such as thoracotomy, 2 implantable cardioverter-defibrillator placement, 3 and ventriculoperitoneal shunt (VPS) placement. 4 The VPS, a widely used neurosurgical device, is fraught with complications, such as obstruction, infection, and migration. 5 In this report, we describe an interaction between a breast implant and a VPS.…”

mentioning

confidence: 99%

See 4 more Smart Citations

Treatment Strategies of Complications of Breast Implants Associated With Ventriculoperitoneal Shunts

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Alleyne²,

Isakov³

et al. 2020

Ann Plast Surg

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Breast augmentation is among the most commonly performed cosmetic procedures in the United States. As these patients age or develop comorbidities, surgeons across many other disciplines will inevitably encounter these patients in their own practices. Consequently, surgeons must be aware of the potential interactions between breast implants and devices commonly used in their fields. This case, the second of its kind encountered by our own department, describes a woman who suffered one such interaction: migration and coiling of a ventriculoperitoneal shunt around her breast implant. A systematic review was conducted to characterize breast-related ventriculoperitoneal shunt complications reported in the literature and generate an algorithm for management of the most commonly reported scenarios. Recognition of potential complications will aid surgeons in appropriate operative planning and prevention of these adverse events.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%