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脑室-腹腔分流管迁移至肺动脉:病例报告及文献复习。

Ventriculoperitoneal shunt migration into the pulmonary artery: Case report and literature review.

机构信息

Neurosurgery Department, Hospital Universitario Virgen del Rocío, Avenida Manuel Siurot s/n, 41013 Sevilla, Spain.

Neurosurgery Department, Hospital Universitario Virgen del Rocío, Avenida Manuel Siurot s/n, 41013 Sevilla, Spain.

出版信息

Neurocirugia (Astur : Engl Ed). 2023 Nov-Dec;34(6):321-325. doi: 10.1016/j.neucie.2022.08.001. Epub 2023 Feb 10.

Abstract

Cerebrospinal fluid (CSF) shunt placement is a commonly performed procedure for patients with hydrocephalus of various etiologies. We present the case of a 68-year-old male patient treated with a ventriculoperitoneal shunt for obstructive hydrocephalus management. Eight years later, a computed tomography (CT) scan detected migration of distal catheter into the pulmonary artery. We conducted a systematic review in Medline database using PubMed search engine to identify previous cases and their management. Our literature review identified eighteen single case reports describing this complication and different strategies to attempt catheter retrieval. To the best authors' knowledge, this is the first case where conservative management was chosen.

摘要

脑脊髓液(CSF)分流放置是一种常用于治疗各种病因脑积水患者的常见操作。我们报告了一例 68 岁男性患者,因梗阻性脑积水接受脑室-腹腔分流术治疗。八年后,计算机断层扫描(CT)发现远端导管迁移至肺动脉。我们在 Medline 数据库中使用 PubMed 搜索引擎进行了系统综述,以确定以前的病例及其处理方法。我们的文献综述确定了 18 个单独的病例报告,描述了这种并发症以及尝试取回导管的不同策略。据作者所知,这是首例选择保守治疗的病例。

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