Right Transcephalic Ventriculo-Subclavian Shunt in the Surgical Treatment of Hydrocephalus-An Original Procedure for Drainage of Cerebrospinal Fluid into the Venous System

Overview

Journal J Clin Med

Specialty General Medicine

Date 2023 Aug 12

PMID 37568321

Authors

Mircea Litescu

Daniel Alin Cristian

Violeta Elena Coman

Anwar Erchid

Iancu Emil Plesea

Anca Bordianu

Corina Veronica Lupascu-Ursulescu

Costin George Florea

Ionut Simion Coman

Valentin Titus Grigorean

Affiliations

Soon will be listed here.

Abstract

Materials And Methods: We present the case of a 20-year-old male patient with congenital hydrocephalus who underwent a number of 39 shunt revisions, given the repetitive dysfunctions of various techniques (ventriculo-peritoneal shunt, ventriculo-cardiac shunt). The patient was evaluated with the ventricular catheter externalized at the distal end and it was necessary to find an emergency surgical solution, considering the imminent risk of meningitis. The patient was also associated with the diagnosis of acute lithiasic cholecystitis.

Results And Discussions: The final chosen solution, right ventriculo-venous drainage using the cephalic vein, was a temporary surgical solution, but there are signs that this procedure can provide long-term ventricular drainage.

Conclusions: Transcephalic ventriculo-subclavian drainage represents an alternative technical option, which can be used when established options become ineffective.

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