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Neurointervention. 2012 Sep;7(2):109-12. doi: 10.5469/neuroint.2012.7.2.109. Epub 2012 Aug 17.

Endovascular intervention for repositioning the distal catheter of ventriculo-atrial shunt.

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Department of Neurosurgery, Southern Medical University, Nanfang Hospital, Guangzhou, China.


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.


Distal catheter; Endovascular; Hydrocephalus; Intraoperative monitoring; Ventriculoatrial shunt

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