Weisse G, Vogt J, Fassbender D, Seggewiss H, Gleichmann U
Kardiologische Klinik, Herzzentrum Nordrhein-Westfalen, Bad Oeynhausen.
Dtsch Med Wochenschr. 1992 Mar 27;117(13):490-3. doi: 10.1055/s-2008-1062338.
A ventriculoatrial shunt had been placed 3 years previously in a now 17-year-old boy because of obstructive hydrocephalus of unknown cause. He presented with symptoms of elevated cerebrospinal fluid pressure and computed tomography demonstrated a dilated ventricular system. The chest X-ray film revealed a break in the shunt catheter at the level of the right clavicle with embolization of its 13 cm long distal part into the main stem and right branch of the pulmonary artery. The fragment was retrieved without complication with a percutaneously and transvenously introduced basket catheter. Centrally embolized catheter fragments should be removed as soon as possible. The percutaneous route is well tolerated by and of low risk for the patient. It should always be attempted before any surgical intervention.
一名现年17岁的男孩3年前因不明原因的梗阻性脑积水置入了脑室-心房分流管。他出现了脑脊液压力升高的症状，计算机断层扫描显示脑室系统扩张。胸部X线片显示分流导管在右锁骨水平处断裂，其13厘米长的远端部分栓塞至肺动脉主干和右分支。使用经皮经静脉引入的网篮导管顺利取出了碎片，未发生并发症。中央栓塞的导管碎片应尽快取出。经皮途径患者耐受性良好且风险较低。在任何手术干预之前都应尝试这种方法。
