Neurointervention.  2012 Sep;7(2):109-112. 10.5469/neuroint.2012.7.2.109.

Endovascular Intervention for Repositioning the Distal Catheter of Ventriculo-Atrial Shunt

• Xu B
• Chotai S
• Yang K
• Feng W
• Zhang G
• Li M
• Qi S

• KMID: 1841097
• DOI: http://doi.org/10.5469/neuroint.2012.7.2.109

Abstract

Displacement of distal ventriculo-atrial (VA) shunt is not uncommon. However, misplacement of the distal catheter of VA shunt in the internal jugular vein is a possibility, especially when conducted without intraoperative monitoring. We describe a patient in whom a VA shunt was performed due to failure of ventriculo-peritoneal shunt and the distal catheter of the shunt was found to be misplaced in the left internal jugular vein. Endovascular intervention via femoral vein was used to retrieve the distal catheter.

Keyword

Ventriculoatrial shunt; Endovascular; Distal catheter; Hydrocephalus; Intraoperative monitoring

MeSH Terms

Catheters
Displacement (Psychology)
Femoral Vein
Humans
Hydrocephalus
Jugular Veins
Monitoring, Intraoperative
Ventriculoperitoneal Shunt

Figure

• 

  Fig. 1 Abdominal X-ray demonstrating the peritoneal end of the ventriculoperitoneal shunt catheter (arrows).

• 

  Fig. 2 A. Chest X-ray post ventriculoatrial shunt procedure showing the absence of catheter in the T6 vertebral level.B. X-ray neck showing the distal catheter back in the jugular vein before entry into the subclavian vein (arrows).

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  Fig. 3 Chest X-ray after endovascular retrieval demonstrating the catheter positioned at T6/atrial level (arrows).

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