Xu Botao, Chotai Silky, Yang Kaijun, Feng Wenfeng, Zhang Guozhong, Li Mingzhou, Qi Songtao
Department of Neurosurgery, Southern Medical University, Nanfang Hospital, Guangzhou, China.
Neurointervention. 2012 Sep;7(2):109-12. doi: 10.5469/neuroint.2012.7.2.109. Epub 2012 Aug 17.
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.
远端脑室-心房(VA)分流管移位并不罕见。然而,VA分流管的远端导管有可能误置于颈内静脉,尤其是在没有术中监测的情况下进行操作时。我们描述了一名患者,因脑室-腹腔分流失败而进行了VA分流,结果发现分流管的远端导管误置于左颈内静脉。通过股静脉进行血管内介入以取出远端导管。