Langmoen I A, Lundar T, Vatne K, Hovind K H
Department of Neurosurgery, National Hospital, University of Oslo, Norway.
Childs Nerv Syst. 1992 Jun;8(4):222-5. doi: 10.1007/BF00262852.
A series of 716 children underwent 2065 cerebrospinal fluid shunt procedures. Shunt failure due to fracture of the peripheral drain occurred 60 times, 38 times in ventriculo-atrial and 22 times in ventriculo-peritoneal shunts. The break occurred most commonly 2-4 cm above the neck incision in cardiac and just cephalad to the clavicle in abdominal drains. Fifty-nine ruptures occurred in Pudenz catheters (which were used in 82% of the shunts) and 1 occurred in a Holter drain (used in 17%). The fractured atrial catheters remained in situ (5/38) or were dislodged into the right cardiac ventricle (14/38), pulmonary arteries (9/38), right atrium (5/38) or hepatic veins (3/38). Two of the ruptured drains could not be located. Removal by a percutaneous transvascular snare technique was attempted in 27 cases and was successful in 24.
716名儿童接受了2065次脑脊液分流手术。因外周引流管断裂导致的分流失败发生了60次，其中脑室-心房分流38次，脑室-腹腔分流22次。断裂最常发生在心脏颈部切口上方2 - 4厘米处以及腹部引流管锁骨上方紧邻处。59次断裂发生在Pudenz导管（82%的分流手术使用该导管），1次发生在Holter引流管（17%的分流手术使用该导管）。断裂的心房导管仍留在原位（5/38）或移位至右心室（14/38）、肺动脉（9/38）、右心房（5/38）或肝静脉（3/38）。2根断裂的引流管无法找到。27例尝试采用经皮血管圈套技术取出，24例成功。
