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Case Reports: Novel treatment (new drug/interventions; established drug/procedure in new situation)
Endovascular repositioning and resizing of the distal catheter of a ventriculoatrial shunt
  1. Krantikumar Rathod1,
  2. Abhishek Bairy1,
  3. Aadil Shaukat Chagla2 and
  4. Hemant Deshmukh1
  1. 1Department of Radiology, Seth GS Medical College and KEM Hospital, Mumbai, Maharashtra, India
  2. 2Department of Neurosurgery, Seth GS Medical College and KEM Hospital, Mumbai, Maharashtra, India
  1. Correspondence to Dr Abhishek Bairy; abhishekbairy{at}gmail.com

Abstract

Ventriculoatrial (VA) shunts are an effective alternative to ventriculoperitoneal shunts for diversion of cerebrospinal fluid in patients with hydrocephalus. Accurate placement of the distal end of a VA shunt in the right atrium is imperative for appropriate drainage and can be technically challenging. Misplaced or dislodged shunt catheter needs urgent repositioning, which can be performed by endovascular techniques. We present a case of VA shunt placement related complication, in which the dislodged distal fragment was retrieved by endovascular techniques. The remaining distal catheter, found to be in the internal jugular vein, was not only repositioned, but also resized for accurate placement in the right atrium.

  • Hydrocephalus
  • Interventional radiology
  • Neurosurgery

https://doi.org/10.1136/bcr-2021-248452

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    Footnotes

    • Contributors KR, AB, ASC and HD gave substantial contributions to the conception or design of the work; drafting the work or revising it critically for important intellectual content and final approval of the version to be published. AB was involved in the conception, drafting and planning of the work. KR, ASC and HD were involved in the conception and design, planning, and review of the work.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.