Marrie A, Begin G F, Badina B, Sondag D, Hollender L F
J Chir (Paris). 1981 Jul-Aug;118(6-7):425-8.
The observation of 3 cases with dysfunction of a peritoneovenous shunt due to malposition of the distal tube suggests the need for systematic radiological control of the position of tube in the superior vena cava during the operation. In patients with postoperative dysfunction the first step should be opacification of the distal tube by transcutaneous puncture in order to locate the site of the proximal or distal obstruction and to decide on the further operative procedures necessary (replacement of the value or the distal tube).
3例因远端导管位置不当导致腹腔静脉分流功能障碍的观察结果表明,手术期间需要对导管在上腔静脉中的位置进行系统的放射学控制。对于术后出现功能障碍的患者,第一步应通过经皮穿刺使远端导管显影,以确定近端或远端梗阻的部位,并决定所需的进一步手术步骤(更换瓣膜或远端导管)。