Medizinische Universität Graz Austria/Österreich - Forschungsportal - Medical University of Graz
Gewählte Publikation:
Kurschel, S; Eder, HG; Schleef, J.
Ventriculopleural shunt: thoracoscopic placement of the distal catheter.
Surg Endosc. 2003; 17(11):1850-1850
Doi: 10.1007/s00464-003-4225-x
(- Case Report)
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- Führende Autor*innen der Med Uni Graz
- Kurschel-Lackner Senta
- Co-Autor*innen der Med Uni Graz
- Eder Hans
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- Abstract:
- Ventriculopleural shunting is usually reserved for patients with limited options for shunt revisions. We report the case of a 16-year-old boy with posthemorrhagic hydrocephalus who required numerous shunt procedures. At the age of 6 years, a ventriculopleural shunt was inserted by an intercostal thoracotomy, and 4 years later replacement of the distal catheter was necessary. Recently, he presented again with a shunt malfunction due to migration of the pleural catheter. We describe a technique for performing the placement of the distal catheter under direct thoracoscopic vision by a peel-off needle into the unscarred thoracic cavity despite two previous pleural procedures. The postoperative course was uneventful. Thoracoscopic assistance in ventriculopleural shunt placement appears to be a safe and effective technique, offering several advantages over the open procedure: it is less invasive, allows a precise positioning of the thoracic catheter under visual control, and confirms appropriate function.
- Find related publications in this database (using NLM MeSH Indexing)
- Adolescent -
- Birth Injuries -
- Cerebral Hemorrhage, Traumatic - complications
- Cerebrospinal Fluid Shunts - instrumentation
- Emergencies - instrumentation
- Equipment Failure - instrumentation
- Humans - instrumentation
- Hydrocephalus - etiology
- Male - etiology
- Pleural Cavity - etiology
- Reoperation - etiology
- Thoracoscopy - methods
- Find related publications in this database (Keywords)
- hydrocephalus
- thoracoscopy
- ventriculopleural shunt