Document Detail

Ventriculovascular shunts via the femoral vein: a temporary feasible alternative in pediatric hydrocephalus.
MedLine Citation:
PMID:  21034961     Owner:  NLM     Status:  MEDLINE    
Ventriculovascular shunts via the femoral vein have been described as a feasible alternative for cerebrospinal fluid diversion in those complex cases of hydrocephalus in which other accesses are discarded. However, experience is short. To our knowledge, only 4 cases have been reported in the literature to date. We report 2 cases of hydrocephalic children who were developed several complications related to ventriculoperitoneal and ventriculoatrial shunts and who successfully managed by means of ventriculovascular shunts via the femoral vein. Both patients underwent vascular catheter placement through a venotomy performed in the common femoral vein. Catheter advance was controlled under fluoroscopic guidance. Distal catheters were joined by means of a straight connector, and a loop was accommodated in a subcutaneous pocket in the inguinal region to avoid future complications. The femoral vein is a successful alternative approach for distal catheter placement in ventriculovascular shunts when other accesses are ruled out.
Raquel Gutiérrez-González; Mónica Rivero-Garvía; Javier Márquez-Rivas
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of pediatric surgery     Volume:  45     ISSN:  1531-5037     ISO Abbreviation:  J. Pediatr. Surg.     Publication Date:  2010 Nov 
Date Detail:
Created Date:  2010-11-01     Completed Date:  2010-11-30     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0052631     Medline TA:  J Pediatr Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  2274-7     Citation Subset:  IM    
Copyright Information:
Copyright © 2010 Elsevier Inc. All rights reserved.
Department of Neurosurgery, Hospital Universitario Clínico San Carlos, 28040 Madrid, Spain.
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MeSH Terms
Catheterization / methods*
Cerebrospinal Fluid Shunts / methods*
Diagnosis, Differential
Femoral Vein
Follow-Up Studies
Hydrocephalus / diagnosis,  surgery*
Infant, Newborn
Radiography, Abdominal
Ultrasonography, Doppler, Color
Ventriculostomy / methods*

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