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[Heart catheter dislocation following ventriculo-atrial cerebrospinal fluid drainage. Report of 2 cases]
1Fachbereich Neurochirurgie, Krankenhaus Ludmillenstift Meppen.
Insights
Ventriculo-atrial shunt systems for hydrocephalus can lead to cardiac catheter dislocation. A chest X-ray after central venous catheter removal is recommended to detect this complication.
Area of Science:
- Neurosurgery
- Cardiology
- Radiology
Background:
- Ventriculo-atrial shunt systems are a common treatment for hydrocephalus internus.
- Central venous catheters are often introduced via the left subclavian vein for these procedures.
Observation:
- Two cases of cardiac catheter dislocation following adjustment or removal of central venous catheters are presented.
- Dislocation occurred after manipulation of catheters introduced through the left subclavian vein.
Findings:
- Technical and pathophysiological factors can predispose to cardiac catheter dislocation.
- Ventriculo-peritoneal drainage may be an alternative to avoid this complication.
Implications:
- Post-removal chest X-rays are crucial for detecting cardiac catheter dislocation in patients with ventriculo-atrial shunts.
- Awareness of these risks can improve patient safety and management strategies.
Abstract:
Implantation of ventriculo-atrial shunt systems for treatment of hydrocephalus internus is a common and useful method. Two cases of cardiac catheter dislocation after adjustment or removal of central venous catheters introduced through the left subclavian vein are reported. Technical and pathophysiological predisposing factors are discussed. Ventriculo-peritoneal drainage is also mentioned as a possibility for avoiding cardiac catheter dislocation. After removal of a central venous catheter in cases of ventriculo-atrial shunts a p.a. X-ray of the chest should be performed.