[Distal ventriculoperitoneal shunt catheter migration into the pulmonary artery: a rare complication].

IF 1 4区 医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Pelayo Hevia-Rodríguez, Mikel Armendariz-Guezala, José Undabeitia-Huertas
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引用次数: 0

Abstract

Ventriculoperitoneal shunt placement is a common treatment for hydrocephalus, although not devoid of complications. We report a case of a 60-year-old male who underwent ventriculoperitoneal shunt implantation for the treatment of post-traumatic hydrocephalus. Thirteen months post- surgery, after an initial clinical improvement, the patient manifested gait and cognitive disorders. Chest X-rays and computed tomography revealed that the distal shunt catheter had migrated into the pulmonary artery. The catheter was removed by reopening the previous retroauricular incision followed by manual traction, without incidents. A new peritoneal catheter was implanted with immediate clinical improvement and no further complications two years after the second surgery. We communicate a rare complication of a standard neurosurgical procedure that can be detected by different healthcare professionals, and review its various forms of presentation and multidisciplinary management strategies from 19 similar clinical cases found in the literature.

Abstract Image

Abstract Image

[远端脑室-腹腔分流导管迁移至肺动脉:一种罕见的并发症]。
脑室-腹腔分流术是治疗脑积水的常用方法,尽管并非没有并发症。我们报告了一例60岁的男性患者,他接受了脑室-腹腔分流术治疗创伤后脑积水。术后13个月,在初步的临床改善后,患者出现步态和认知障碍。胸部X光片和计算机断层扫描显示,远端分流导管已迁移到肺动脉中。通过重新打开先前的耳后切口,然后进行手动牵引,移除了导管,没有发生任何意外。在第二次手术后两年,植入了一根新的腹膜导管,临床立即得到改善,没有出现进一步的并发症。我们介绍了不同医疗专业人员可以检测到的标准神经外科手术的一种罕见并发症,并回顾了文献中发现的19例类似临床病例的各种表现形式和多学科管理策略。
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来源期刊
Anales Del Sistema Sanitario De Navarra
Anales Del Sistema Sanitario De Navarra 医学-公共卫生、环境卫生与职业卫生
CiteScore
1.30
自引率
30.00%
发文量
88
审稿时长
>12 weeks
期刊介绍: La revista Anales del Sistema Sanitario de Navarra es una revista de contenido médico sanitario de carácter generalista. En ella tienen cabida artículos referidos a temas de salud/enfermedad en general, salud pública, administración y gestión sanitaria y Atención Primaria de salud.
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