Abstract
Objective To discuss the mechanism,clinical features,complications,diagnosis criteria and treatment of intracardiac migration of the distal catheter of ventriculoperitoneal shunt.Method The diagnosis criteria and treatment of 2 cases of intracardiac migration of the distal catheter of ventriculoperitoneal shunt were studied,and relative literatures were reviewed.Results The migratory catheter was successfully extracted after definite diagnosis according to clinical features and imaging findings.There was no postoperative abnormality.Conclusions This is the first report of migration of the distal catheter of ventriculoperitoneal shunt into heart in China.The possible measures to minimize the incidence of the migration include avoiding deep or superficial neck tunneling and using blunt tunneling devices.Head CT,chest and abdominal x - ray are needed if postoperative abnormality is noticed.Percutaneous removal of the catheter from the retroauricular fomer incision is simple and safe. Key words: Ventriculoperitoneal shunt ; Hydrocephalus ; Complication ; Hunt migration ; Heart ;
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