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.
- Interventional radiology
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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.
Competing interests None declared.
Provenance and peer review Not commissioned; externally peer reviewed.