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摘要:
A ventriculoperitoneal shunt(VPS) is a medical device used to deflect cerebrospinal fluid from cerebral ventricles to the peritoneal cavity. Since 1908, ventriculoperitoneal shunts have been considered the best option in hydrocephalus management. Manifestation related to VPS may arise anywhere whilst tunneling the VPS from the ventricle to the peritoneal cavity, but complications associated with the distal catheter are especially common and a leading cause of revision surgeries. Among the many complications associated with peritoneal shunts, migration of the catheter into other parts of the body is still common. Scrotal migration mainly takes place in children aged 4 days to 5 years. Patent processus vaginalis, formation of an inguinal hernia, and increased intraabdominal pressure are leading risk factors associated with migration of the peritoneal catheter into the scrotum. Thoracic migration of peritoneal catheters predominantly occurs in adult patients. Important mechanisms in thoracic migration include(1) iatrogenic perforation of the external or internal jugular veins by the surgeon during tunneling and(2) gradual destruction of the venous structures by the catheter due to routine extension and flexion of the neck. After entering the vessel, negative intrathoracic pressure combined with positive intraabdominal pressure aids migration into the thoracic cavity. Sharp tips or shunt types contribute to intraabdominal migration and perforation.
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篇名 Mechanisms and major sites of distal catheter migration in ventriculoperitoneal shunting maneuvers: A review article
来源期刊 临床转化神经医学(英文版) 学科 医学
关键词 ventriculoperitoneal SHUNT DISTAL CATHETER MIGRATION HYDROCEPHALUS
年,卷(期) 2018,(2) 所属期刊栏目
研究方向 页码范围 141-155
页数 15页 分类号 R651.1
字数 语种
DOI
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研究主题发展历程
节点文献
ventriculoperitoneal
SHUNT
DISTAL
CATHETER
MIGRATION
HYDROCEPHALUS
研究起点
研究来源
研究分支
研究去脉
引文网络交叉学科
相关学者/机构
期刊影响力
神经科学(英文)
季刊
2096-5958
10-1534/R
Xueyuan Building Tsi
出版文献量(篇)
176
总下载数(次)
0
总被引数(次)
0
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