Endovascular retrieval of a broken distal ventriculoatrial shunt catheter within the heart: illustrative case

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Insertion, Maintenance, and Removal of the Percutaneous Dual Lumen Cannula Right Ventricular Assist Device

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Jordan Xu1, Gira Morchi2, Suresh N Magge1,3

  • 1Department of Neurosurgery, University of California, Irvine Medical Center, Orange, California.

Journal of Neurosurgery. Case Lessons
|September 5, 2022
PubMed

Insights

Distal catheter displacement in ventriculoatrial (VA) shunts is rare. This case report details a successful multidisciplinary approach for endovascular retrieval of a displaced VA shunt catheter.

Area of Science:

  • Neurosurgery
  • Interventional Cardiology

Background:

  • Ventriculoatrial (VA) shunts are used to treat hydrocephalus.
  • Distal catheter displacement is a rare but serious complication.

Observation:

  • A patient experienced distal catheter displacement of their VA shunt.
  • The catheter migrated through the tricuspid valve into the right ventricular outflow tract.

Findings:

  • Endovascular retrieval was successfully employed to extract the displaced catheter.
  • A multidisciplinary team approach was crucial for managing this complication.

Implications:

  • This case highlights the importance of prompt diagnosis and intervention for displaced VA shunts.
  • Endovascular techniques offer a minimally invasive option for catheter retrieval.
Abstract

Keywords:
CSF = cerebrospinal fluidVA = ventriculoatrialVP = ventriculoperitonealendovascular retrievalshuntventriculoatrial

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