Skip to main content Accessibility help
×
Home

Endoscopic Retrieval of Flanged Ventricular Catheters

  • M. Ege Babadagli (a1), Dwaine Cooke (a2), Simon A. Walling (a3) and P. Daniel McNeely (a3)

Abstract

Flanged ventricular catheters are now used infrequently. Many patients with longstanding hydrocephalus still harbor these catheters, either as their current ventricular catheter, or as a retained catheter from a prior implant. The removal of flanged ventricular catheters is sometimes necessary, and may be challenging due to intraventricular adhesions. We describe the use of an endoscopic technique for the successful retrieval of flanged ventricular catheters in two patients. The technique described in this report may be helpful for patients that have flanged ventricular catheters that must be removed.

Extraire des cathéters ventriculaires à brides par voie endoscopique. Les cathéters ventriculaires à brides sont désormais rarement utilisés. De nombreux patients atteints, de longue date, d’hydrocéphalie continuent encore aujourd’hui à être munis de ces cathéters. À noter qu’il s’agit parfois de cathéters ayant été maintenus en place à la suite d’une pose antérieure. L’extraction de ces cathéters devient parfois nécessaire et peut s’avérer difficile en raison d’adhésions intraventriculaires. Nous voulons décrire ici l’utilisation d’une technique endoscopique ayant permis, dans le cas de deux patients, d’extraire avec succès leurs cathéters. En somme, il se pourrait que la technique décrite dans ce compte-rendu soit bénéfique.

Copyright

Corresponding author

Correspondence to: P. Daniel McNeely, Division of Neurosurgery, IWK Health Centre, 5850 University Avenue, P.O. Box 9700, Nova Scotia, Canada B3K 6R8. Email: dmcneely@dal.ca

References

Hide All
1. Portnoy, HD. New ventricular catheter for hydrocephalic shunts. J Neurosurg. 1971;34(5):702-703.
2. Haase, J, Weeth, R. Multiflanged ventricular Portnoy catheter for hydrocephalus shunts. Acta Neurochir. 1976;33(3-4):213-218.
3. Browd, SR, Ragel, BT, Gottfried, ON, Kestle, JR. Failure of cerebrospinal fluid shunts: part I: obstruction and mechanical failure. Pediatr Neurol. 2006;34(2):83-92.
4. Hoffman, HJ, Smith, MSM. The use of shunting devices for cerebrospinal fluid in Canada. Can J Neurol Sci. 1986;13:81-87.
5. Kestle, J, Drake, J, Milner, R, et al. Long-term follow-up data from the Shunt Design Trial. Pediatr Neurosurg. 2000;33(5):230-236.
6. Kulkarni, AV, Drake, JM, Lamberti-Pasculli, M. Cerebrospinal fluid shunt infection: a prospective study of risk factors. J Neurosurg. 2001;94(2):195-201.
7. Vajramani, GV, Jones, G, Bayston, R, Gray, WP. Persistent and intractable ventriculitis due to retained ventricular catheters. Br J Neurosurg. 2005;19(6):496-501.
8. Chehrazi, B, Duncan, CC. Removal of retained ventricular shunt catheters without craniotomy. J Neurosurg. 1982;56(1):160-161.
9. Brownlee, RD, Dold, ONR, Myles, ST. Intraventricular hemorrhage complicating the ventricular catheter revision: incidence and effect on shunt survival. Pediatr Neurosurg. 1995;22(6):315-320.
10. Sagan, LM, Kojder, I, Madany, L. Endoscopic revision of adherent ventricular catheter: evaluation of the method. Neurol Neurochir Pol. 2005;39(4):294-299.
11. Whitfield, PC, Guazzo, EP, Pickard, JD. Safe removal of retained ventricular catheters using intraluminal choroid plexus coagulation. J Neurosurg. 1995;83(6):1101-1102.
12. Ausman, JI, Portnoy, HD, Amirjamshidi, A. Shunts: which one, and why. Surg Neurol. 1998;49(1):8-13.
13. Handler, MH. A complication in removing a retained ventricular catheter using electrocautery. Pediatr Neurosurg. 1996;25(5):276.

Keywords

Metrics

Full text views

Total number of HTML views: 0
Total number of PDF views: 0 *
Loading metrics...

Abstract views

Total abstract views: 0 *
Loading metrics...

* Views captured on Cambridge Core between <date>. This data will be updated every 24 hours.

Usage data cannot currently be displayed