Interventional Laser-assisted Extraction of an Infected Trapped Ventriculoatrial Shunt Based on Techniques for Pacemaker Lead Explantation

J Neurol Surg A Cent Eur Neurosurg. 2016 Jan;77(1):73-6. doi: 10.1055/s-0034-1396439. Epub 2015 Apr 27.

Abstract

We present a case of successful interventional laser-assisted extraction of an endovascularly trapped long-term implanted ventriculoatrial shunt in a patient with shunt-associated septicemia. This approach is based on modified techniques for explantation of pacemaker leads and might be considered an additional option for extraction of otherwise nonremovable trapped endovascular catheters in experienced centers.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Anti-Bacterial Agents / therapeutic use
  • Catheter-Related Infections / surgery*
  • Cerebrospinal Fluid Shunts / adverse effects*
  • Device Removal / methods*
  • Female
  • Heart Atria / surgery
  • Humans
  • Jugular Veins / surgery
  • Laser Therapy / methods*
  • Pacemaker, Artificial
  • Sepsis / etiology
  • Treatment Outcome
  • Vena Cava, Superior / surgery

Substances

  • Anti-Bacterial Agents