Department of Neurosurgery, Faculty of Medicine, Masaryk University, Brno, Czech Republic.
Department of Neurosurgery, University Hospital Brno, Czech Republic.
Neurol Neurochir Pol. 2024;58(4):459-464. doi: 10.5603/pjnns.99224. Epub 2024 Jun 12.
Ventriculoatrial shunts are the alternative treatments when it is impossible to use ventriculoperitoneal shunts. Limited indication for ventriculoatrial shunt is due to the possibility of very serious complications inherent with this procedure. We present a case report of a young patient who suffered from disconnection of an atrial catheter from the valve after an accidental blow to his neck. The atrial catheter was dislocated to the heart and pulmonary artery and it was extracted through the femoral vein in the groin area using an endovascular technique. The procedure went without complications. A new atrial catheter was introduced under ultrasonic guidance during surgical revision.
当无法使用脑室-腹腔分流术时，可采用脑室-心房分流术作为替代治疗方法。由于该手术存在严重并发症的可能性，因此仅对脑室-心房分流术有限制性适应证。我们报告了 1 例年轻患者的病例，该患者在颈部意外受到撞击后，心房导管与瓣膜断开。心房导管脱位至心脏和肺动脉，并通过腹股沟区域的股静脉使用血管内技术取出。该过程无并发症。在手术修复过程中，在超声引导下引入了新的心房导管。
