儿科中心静脉导管致脑室-心房分流管移位：两例非典型病例报告
Ventriculoatrial shunt displacement by a central venous catheter in pediatrics: report of two atypical cases.
作者信息
Chiusa Christian G Pirozzi, Basilotta Yamila, Badaloni Eugenia, Argañaraz Romina, Mantese Beatriz
机构信息
Division of Pediatric Neurosurgery, Hospital de Pediatría Juan P. Garrahan, Combate de los Pozos 1881, ZC, 1407, Buenos Aires, Argentina.
出版信息
Childs Nerv Syst. 2023 Aug;39(8):2251-2254. doi: 10.1007/s00381-023-05981-6. Epub 2023 May 11.
INTRODUCTION
The treatment of hydrocephalus accounts for 40% of all procedures in pediatric neurosurgery. Ventriculoperitoneal shunt placement is the treatment of choice for most patients. When contraindicated due to different abdominal complications, the use of a ventriculoatrial shunt is a safe second option. Nevertheless, this procedure is not without risk of complications. An extremely rare complication is the displacement of the distal catheter by a central venous catheter.
CASE REPORT
We present two atypical cases of shunt dysfunction related to the placement of a central venous catheter.
CONCLUSION
After an extensive review of the literature, we believe these are the first cases of this unusual complication in children. Awareness of this complication is essential for its prevention and to ensure safe medical care.
引言
脑积水的治疗占小儿神经外科所有手术的40%。脑室腹腔分流术是大多数患者的首选治疗方法。当因各种腹部并发症而禁忌使用时，脑室心房分流术是一种安全的第二选择。然而，该手术并非没有并发症风险。一种极其罕见的并发症是中心静脉导管导致远端导管移位。
病例报告
我们呈现两例与中心静脉导管置入相关的非典型分流功能障碍病例。
结论
在广泛查阅文献后，我们认为这些是儿童中首例这种不寻常并发症的病例。认识到这种并发症对于预防它和确保医疗安全至关重要。
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