T-connector modification for reducing recurrent distal shunt failure: Report of 2 cases

Joseph A. Carnevale; Nigar Ahmedli; John F. Morrison; Wael F. Asaad; Petra Klinge; Albert Telfeian

doi:10.1093/ons/opx050

T-connector modification for reducing recurrent distal shunt failure: Report of 2 cases

Joseph A. Carnevale, Nigar Ahmedli, John F. Morrison, Wael F. Asaad, Petra Klinge, Albert Telfeian

Otorhinolaryngology - Head & Neck Surgery

Research output: Contribution to journal › Article › peer-review

Abstract

BACKGROUND AND IMPORTANCE: Cerebrospinal fluid shunt placement is used to treat the various causes of hydrocephalus by redirecting the cerebrospinal fluid to the body, most commonly from the ventricle to the peritoneum. Distal catheter displacement from the peritoneal cavity can occur as a complication, necessitating reoperation. CLINICALPRESENTATION:We report 2 such cases in obese patients involving retropulsion of the distal tubing. To address this complication, we implanted a T-connector to the distal catheter construct. CONCLUSION: This study supports the use of a T-connector catheter construct to decrease and prevent the possibility of distal peritoneal catheter retropulsion in cases of elevated intra-abdominal pressure, both prophylactically and in revisions.

Original language	English (US)
Pages (from-to)	E33-E36
Journal	Operative Neurosurgery
Volume	13
Issue number	6
DOIs	https://doi.org/10.1093/ons/opx050
State	Published - Dec 1 2017

Keywords

Distal catheter retropulsion
Shunt revision
Ventriculoperitoneal shunt

ASJC Scopus subject areas

General Medicine

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10.1093/ons/opx050

Cite this

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title = "T-connector modification for reducing recurrent distal shunt failure: Report of 2 cases",

abstract = "BACKGROUND AND IMPORTANCE: Cerebrospinal fluid shunt placement is used to treat the various causes of hydrocephalus by redirecting the cerebrospinal fluid to the body, most commonly from the ventricle to the peritoneum. Distal catheter displacement from the peritoneal cavity can occur as a complication, necessitating reoperation. CLINICALPRESENTATION:We report 2 such cases in obese patients involving retropulsion of the distal tubing. To address this complication, we implanted a T-connector to the distal catheter construct. CONCLUSION: This study supports the use of a T-connector catheter construct to decrease and prevent the possibility of distal peritoneal catheter retropulsion in cases of elevated intra-abdominal pressure, both prophylactically and in revisions.",

keywords = "Distal catheter retropulsion, Shunt revision, Ventriculoperitoneal shunt",

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T1 - T-connector modification for reducing recurrent distal shunt failure

T2 - Report of 2 cases

AU - Carnevale, Joseph A.

AU - Ahmedli, Nigar

AU - Morrison, John F.

AU - Asaad, Wael F.

AU - Klinge, Petra

AU - Telfeian, Albert

PY - 2017/12/1

Y1 - 2017/12/1

N2 - BACKGROUND AND IMPORTANCE: Cerebrospinal fluid shunt placement is used to treat the various causes of hydrocephalus by redirecting the cerebrospinal fluid to the body, most commonly from the ventricle to the peritoneum. Distal catheter displacement from the peritoneal cavity can occur as a complication, necessitating reoperation. CLINICALPRESENTATION:We report 2 such cases in obese patients involving retropulsion of the distal tubing. To address this complication, we implanted a T-connector to the distal catheter construct. CONCLUSION: This study supports the use of a T-connector catheter construct to decrease and prevent the possibility of distal peritoneal catheter retropulsion in cases of elevated intra-abdominal pressure, both prophylactically and in revisions.

AB - BACKGROUND AND IMPORTANCE: Cerebrospinal fluid shunt placement is used to treat the various causes of hydrocephalus by redirecting the cerebrospinal fluid to the body, most commonly from the ventricle to the peritoneum. Distal catheter displacement from the peritoneal cavity can occur as a complication, necessitating reoperation. CLINICALPRESENTATION:We report 2 such cases in obese patients involving retropulsion of the distal tubing. To address this complication, we implanted a T-connector to the distal catheter construct. CONCLUSION: This study supports the use of a T-connector catheter construct to decrease and prevent the possibility of distal peritoneal catheter retropulsion in cases of elevated intra-abdominal pressure, both prophylactically and in revisions.

KW - Distal catheter retropulsion

KW - Shunt revision

KW - Ventriculoperitoneal shunt

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T-connector modification for reducing recurrent distal shunt failure: Report of 2 cases

Abstract

Keywords

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