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Successful retrieval of disconnected shunt tubing from the right heart and superior vena cava

Succès du retrait d'une valve de holter déconnectée

Erfolgreiche Entfernung eines abgelösten Shunt-Gliedes aus dem rechten Herzen und der V. cava superior

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Summary

A distal limb of a ventriculojugular shunt became disconnected in a child treated for hydrocephalus and chest films showed the tubing had migrated into the right heart and superior vena cava. — The tubing was retrieved under fluoroscopic control by a snare technique (a doubled-over guide wire introduced through a red Kifa catheter via the femoral vein).

Résumé

Dans le cadre des progrès en médecine on a observé que des cathéters assortis, sondes et guides (utilisés à des fins diagnostiques ou thérapeutiques) se sont perdus dans le système vasculaire et se sont logés dans les grandes veines et dans le coeur droit. Parmi ces instruments, il y a des cathéters à perfusion intra-veineuse, des cathéters à pression veineuse centrale, à pace-maker, des guides angiographiques et des valves ventriculo-auriculaires. Comme la valve ventriculo-auriculaire représente un corps étranger intra-vasculaire dangereux, les neuroradiologists et neurochirurgiens devraient être familiarisés avec les méthodes de retrait de ces valves en cas de besoin.

Zusammenfassung

Bei einem Kind mit einem Hydrocephalus löste sich das distale Glied des ventricuol-jugularen Shunts und gelangte in das rechte Herz und in die V. cava superior. Dieses abgelöste Glied konnte unter Röntgen-Kontrolle mit einer besonderen Technik wieder entfernt werden.

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Authors and Affiliations

  1. Department of Radiology, Los Angeles County-University of Southern California Medical Center, 90033, Los Angeles, California, USA

    Hervey D. Segall, Ethel J. Finck, Calvin L. Rumbaugh, James S. Teal & R. Thomas Bergeron

  2. Section of Neuroradiology, Los Angeles County-University of Southern California Medical Center, 90033, Los Angeles, California, USA

    Calvin L. Rumbaugh, James S. Teal & R. Thomas Bergeron

  3. Department of Neurosurgery, Los Angeles County-University of Southern California Medical Center, 90033, Los Angeles, California, USA

    Forrest Johnson

Authors
  1. Hervey D. Segall
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  2. Ethel J. Finck
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  3. Forrest Johnson
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  4. Calvin L. Rumbaugh
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  5. James S. Teal
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  6. R. Thomas Bergeron
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Segall, H.D., Finck, E.J., Johnson, F. et al. Successful retrieval of disconnected shunt tubing from the right heart and superior vena cava. Neuroradiology 7, 1–4 (1974). https://doi.org/10.1007/BF00344666

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  • DOI: https://doi.org/10.1007/BF00344666

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