医学
分流(医疗)
调车
脑室造瘘术
脑积水
内镜第三脑室造瘘术
外科
导管
作者
Mohamad Bakhaidar,Jared T. Wilcox,David Sinclair,Roberto J. Diaz
标识
DOI:10.1016/j.wneu.2021.11.025
摘要
Diversion of cerebrospinal fluid is required in many neurosurgical conditions. When a standard ventriculoperitoneal shunt and endoscopic third ventriculostomy are not appropriate options, placement of a ventriculoatrial shunt is a safe, relatively familiar second-line shunting procedure. Herein we reviewed the technical aspects of ventriculoatrial shunt placement using an illustrative case. We focused on the different modalities for inserting and confirming the location of the distal catheter tip. We discussed how to overcome typical difficulties and significant concerns, such as cardiac arrhythmias and venous thrombosis. In addition, we reviewed the current literature for the different complications associated with ventriculoatrial shunt placement.
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