Endovascular Intervention for Repositioning the Distal Catheter of Ventriculo-Atrial Shunt

Abstract

Displacement of distal ventriculo-atrial (VA) shunt is not uncommon. However, misplacement of the distal catheter of VA shunt in the internal jugular vein is a possibility, especially when conducted without intraoperative monitoring. We describe a patient in whom a VA shunt was performed due to failure of ventriculo-peritoneal shunt and the distal catheter of the shunt was found to be misplaced in the left internal jugular vein. Endovascular intervention via femoral vein was used to retrieve the distal catheter.

Keywords

• ventriculoatrial shunt
• endovascular
• distal catheter
• hydrocephalus
• intraoperative monitoring