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Neuronavigation and Laparoscopy Guided Ventriculoperitoneal Shunt Insertion for the Treatment of Hydrocephalus
14:59

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Upward migration of a peritoneal catheter following ventriculoperitoneal shunt

Kyung Rae Cho1, Je Young Yeon, Hyung Jin Shin

  • 1Department of Neurosurgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.

Journal of Korean Neurosurgical Society
|September 5, 2013
PubMed

Insights

A rare case of peritoneal catheter migration occurred after a ventriculoperitoneal shunt in an infant. The catheter moved upwards and coiled around the valve, prompting a discussion of potential causes for this shunt complication.

Area of Science:

  • Neurosurgery
  • Pediatric Surgery
  • Medical Device Complications

Background:

  • Ventriculoperitoneal shunts are crucial for managing hydrocephalus in infants.
  • Intraventricular hemorrhage at birth can lead to progressive hydrocephalus requiring shunting.
  • Ultra-small, low-pressure valve systems are used in pediatric shunt procedures.

Observation:

  • A 7-month-old infant developed scalp swelling 21 days post-ventriculoperitoneal shunt surgery.
  • Radiographic imaging demonstrated complete upward migration of the peritoneal catheter.
  • The migrated catheter was observed to be coiled around the shunt valve.

Findings:

  • The peritoneal catheter exhibited proximal upward migration, a rare complication.
  • The migration resulted in the catheter coiling around the implanted valve system.
  • The specific low-pressure valve system used may be a factor in this migration.

Implications:

  • Understanding catheter migration mechanisms is vital for preventing shunt failure.
  • This case highlights the importance of careful surgical technique and device selection.
  • Further research into shunt hardware and migration is warranted to improve patient outcomes.

Keywords:
Distal catheterMigrationVentriculoperitoneal shuntWindlass effect

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